374603724-1-28-2025-08-AS-LTEZ-DDGB2K-20250131234141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603724
Report Date: 01/28/2025
Date Signed: 01/28/2025 04:04:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
08/23/2024 and conducted by Evaluator Sabel Martinez

COMPLAINT CONTROL NUMBER: 08-AS-20240823095237

FACILITY NAME:	MONARCH COTTAGES LA JOLLA		FACILITY NUMBER:	374603724
ADMINISTRATOR:	JESTER, RISA		FACILITY TYPE:	740
ADDRESS:	7630 FAY AVENUE		TELEPHONE:	(858) 924-8530
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	52	CENSUS: 21	DATE:	01/28/2025
		UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Congnitive Enrichment Director Alicia Prichard		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not follow infection control procedures

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced a follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Congnitive Enrichment Director Alicia Prichard.

Throughout the investigation, the Department secured records and conducted interviews with external and internal sources.

It was alleged staff did not follow infection control procedures. On 8/23/2024 it was reported to the Department Resident # 1 (R1) was diagnosed with an infectious disease and the facility was not following infection control procedures.

Interviews with both internal and external sources confirmed R1 was diagnosed with Methicillin-resistant Staphylococcus aureus (MRSA).

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) -76-2351
LICENSING EVALUATOR NAME: Sabel Martinez	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

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-20240823095237

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: MONARCH COTTAGES LA JOLLA	FACILITY NUMBER: 374603724
	VISIT DATE: 01/28/2025

NARRATIVE

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These sources confirmed R1 developed wounds on R1 legs and R1’s hospice agency requested a lab test, which revealed a positive result for MRSA. Interviews with staff consistently revealed R1 was initially isolated and followed infection control procedures. External sources revealed R1’s hospice agency collaborated with R1’s primary care physician and a wound care provider to provide the appropriate care.

Although R1 was allowed to ambulate through the facility, staff maintained the wounds covered and followed general precautions and environmental cleaning procedures to prevent cross contamination.

Review of records revealed the facility had provided staff training pertaining to infection control procedures.
Based on the evidence obtained during the investigation, the allegation was unsubstantiated.

An exit interview was conducted with Prichard, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058), were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) -76-2351
LICENSING EVALUATOR NAME: Sabel Martinez	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC9099 (FAS) - (06/04)

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