374603815-5-7-2025-08-AS-SJAB-DHCSPY-20250605140352

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603815
Report Date: 05/07/2025
Date Signed: 05/07/2025 01:11:06 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
01/07/2025 and conducted by Evaluator Angelica Boyles

COMPLAINT CONTROL NUMBER: 08-AS-20250107102819

FACILITY NAME:	SOLARIS 36		FACILITY NUMBER:	374603815
ADMINISTRATOR:	ARCA, LUCIA		FACILITY TYPE:	740
ADDRESS:	14536 GARDEN RD		TELEPHONE:	(858) 842-4246
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	6	CENSUS: 5	DATE:	05/07/2025
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Administrator - Justin Mendoza		TIME COMPLETED:	01:11 PM

ALLEGATION(S):

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Staff is not following universal precautions when assisting sick residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced subsequent visit to deliver a finding regarding the above prior complaint allegations. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Justin Mendoza.

On January 7, 2025 the Department received this complaint which alleged staff were not following universal precautions when assisting sick residents. Specifically, this complaint alleged a staff member did not wear a mask while caring for a resdient with COVID. The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff and outside sources.

LPA interviews and records reviewed corroborated that there is not, nor has there been any staff that goes by the name of the alleged staff that was alleged to have not worn a mask when caring for a resident with COVID.

(Continue on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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-20250107102819

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: SOLARIS 36	FACILITY NUMBER: 374603815
	VISIT DATE: 05/07/2025

NARRATIVE

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(Continued from LIC9099)

Residents, staff, and outside sources alike report not witnessing any staff not wearing masks while caring for sick residents. Staff reported that when a resident did have COVID, protocol derived from the COVID Mitigation Plan was implemented. Staff were able to explain that this included staff donning proper Personal Protective Equipment (PPE) and isolating infected resident away from other residents until tested negative.

The Department has investigated the allegation that staff were not following universal precautions when assisting sick residents. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate this allegation and therefore deemed unsubstantiated.

An exit interview was conducted with Administrator Justin Mendoza, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

LIC9099 (FAS) - (06/04)

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