374603618-9-5-2022-08-AS-DPOL-CJPVWH-20220928164755

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603618
Report Date: 08/10/2022
Date Signed: 09/05/2022 02:29:33 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
02/05/2020 and conducted by Evaluator Esther Miller

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20200205094349

FACILITY NAME:	BROOKDALE CARLSBAD		FACILITY NUMBER:	374603618
ADMINISTRATOR:	HIGHTOWER, SASHA		FACILITY TYPE:	741
ADDRESS:	3140 EL CAMINO REAL		TELEPHONE:	(760) 720-9898
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	0	CENSUS: 0	DATE:	08/10/2022
		UNANNOUNCED	TIME BEGAN:	10:57 AM
MET WITH:	Facility closed - Mailed to address on file		TIME COMPLETED:	10:58 AM

ALLEGATION(S):

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Facility is not kept clean.
Facility is not providing services in contract.
Facility overcharged resident.
Inadequate food service.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Esther Miller made a determination of findings and concluded the complaint investigation regarding the above allegations. The facility closed on June 9, 2021 due to a change of ownership, and this report was mailed to the address on record of the former licensee in order to share the findings. The Department’s investigation consisted of interviews with residents and staff, multiple record reviews, and on-site observations.

On February 5, 2020, it was alleged that facility food service was inadequate. On-site observations were conducted on February 7, 2020, including common dining areas and timed observations of lunch food service. Interviews with multiple residents indicated overall satisfaction with food service quality and quantity and no concerns regarding delays in meal delivery times.

[Continued on LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Esther Miller	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

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-20200205094349

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: BROOKDALE CARLSBAD	FACILITY NUMBER: 374603618
	VISIT DATE: 08/10/2022

NARRATIVE

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LPM Denise Powell observations noted several residents arrived early and were seated in the dining area for approximately 10 to 15 minutes before the start of restaurant style meal service, when written lunch orders were taken. These residents were provided with beverages during this interval. Once orders were taken and sent into the kitchen, food items were served within 15 to 20 minutes. This was determined as a reasonable time interval for individual food preparation and service.

It was also alleged that the facility was not kept clean. LPM's on-site observations on February 7, 2020 were conducted in R1’s room, common hallways and elevator areas, and common activity areas at the facility. There was no evidence found to support the allegation. Direct observations determined the facility to be clean and in good repair at the time of the visit. Inspection of air ducts and filters did not show visual signs of dust and were in good repair, including inside R1’s private room. Carpeted areas in hallways and near elevators were clean and in good condition. Interviews with staff confirmed that resident rooms were cleaned on a weekly basis, with linens provided weekly or as needed. Laundry services were provided weekly as part of basic services; however, staff noted that many residents preferred to do their own laundry and a separate laundry room was observed with adequate supplies and equipment in good repair.

It was further alleged that the facility did not provide contracted services and had overcharged R1. Review of facility records determined that R1 was residing in assisted living and received basic services only, according to the signed admission agreement in place. Copies of invoices showed charges to R1’s account were itemized, and some had been adjusted to include changes in medical prescriptions. Final invoices were reconciled and did not support the allegation that R1 had been overcharged. Interviews with staff indicated there had been prior disputes regarding R1’s accommodations and services. Interviews with outside sources stated facility staff tried to work with the resident and maintained that R1 had “unreasonable expectations” about assisted living. Although the facility had experienced some staff turnover during this time, it did not seem to have a substantial impact on basic housekeeping and transportation services. Interviews with other residents expressed satisfaction with services provided and there were no concerns received from any third-party sources.

Based on evidence obtained during the investigation, the allegations were found to be unsubstantiated since the preponderance of evidence standard was not met. A copy of this report along with licensee rights was mailed to the previous licensee on record.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Esther Miller	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC9099 (FAS) - (06/04)

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