374603565-6-28-2022-08-AS-JRAE-CFVUBN-20220630152638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 06/28/2022
Date Signed: 06/28/2022 02:55:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/06/2022 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20220606142528

FACILITY NAME:	LA VIDA REAL		FACILITY NUMBER:	374603565
ADMINISTRATOR:	KIMBERLY GARCIA		FACILITY TYPE:	740
ADDRESS:	11588 VIA RANCHO SAN DIEGO		TELEPHONE:	(619) 660-5778
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	177	CENSUS: 142	DATE:	06/28/2022
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Executive Director Daniel Slaughter		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Facility is not maintaining sanitary conditions.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Daniel Slaughter.

On June 6, 2022, Community Care Licensing received a complaint alleging facility is not maintaining sanitary conditions. It was reported to the Department that La Vida Real management is not taking action to prevent resident from spitting on the public and dining room floor, no time frame was provided. During LPA Strong’s facility inspection on June 14, 2022 LPA Strong toured the facility’s assisted living and memory care areas, including the dining room, library, and kitchen. During this visit, LPA Strong was informed that the dining room was closed from June 8, 2022 until June 15, 2022 for remodeling resulting in all residents receiving in-room food service. On June 22, 2022 LPA Strong sat-in during lunch service and observed residents and staff and did not witness any unsanitary conditions. An interview with dining staff revealed facility has their public carpets cleaned monthly on every 3rd Thursday and any incidental spills are cleaned immediately by housekeeping staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20220606142528

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LA VIDA REAL	FACILITY NUMBER: 374603565
	VISIT DATE: 06/28/2022

NARRATIVE

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This information was verified with cleaning invoices and statements from management. LPA Strong additionally interviewed multiple residents who reported no issues. Lastly, Assistant Executive Director and Dining Manager state they are not aware of any resident who spits in public places.

Based on LPA's interviews, observations, and records reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director Daniel Slaughter to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 01/16) were provided.

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

LIC9099 (FAS) - (06/04)

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