374603565-3-17-2023-08-AS-SJAB-CQESCV-20230330134611

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 03/17/2023
Date Signed: 03/17/2023 11:46:21 AM

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
06/23/2022 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20220623143118

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: 98	DATE:	03/17/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cristi Ostreng, Director of Assisted Living		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Food services were inadequate

Resident(s) yelled at while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings in the above mentioned complaint allegation. LPA Domingo identified herself and discussed the purpose of the visit with Cristi Ostreng, Director of Assisted Living.

The Department’s investigation consisted of interviews with residents, staff, outside sources, review of records and LPA observations.

It was alleged that facility staff did not provide adequate food service to residents. Based on interviews and observations, residents order their meals at the dining area with a server. The residents that were interviewed had no complaints with the food temperature, the taste of the food or the food service. LPA Domingo observed residents entering the restaurant style meal service. The food service staff promptly

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 767-2330
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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-20220623143118

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: 03/17/2023

NARRATIVE

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took the written lunch orders and the orders were sent to the kitchen. The residents were provided with beverages during this interval. The food items were served within fifteen to twenty minutes. Based on interviews with residents, staff and outside sources, this was a reasonable time interval for individual food preparation and service. Interview with staff revealed facility is to serve meals ordered within thirty minutes. Interviews with residents also revealed that they could not recall any instances with issues with food service.
It was reported that unknown residents were being yelled at by a staff in the dining area. Interviews with the residents, staff, and outside sources did not yield evidence to conclude that staff yelled at residents while in care.

Based on the review of records, observations and interviews, the preponderance of the evidence standard was not met to prove food service was inadequate and that residents are being yelled at by staff members while in care. Therefore, the allegations are unsubstantiated.

An exit interview was conducted with Cristi Ostreng, Director of Assisted Living to whom a copy of this report, and the Licensee Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 767-2330
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

LIC9099 (FAS) - (06/04)

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