374604123-5-5-2025-18-AS-APEZ-DGNUX5-20250514155747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604123
Report Date: 05/05/2025
Date Signed: 05/05/2025 01:25:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2025 and conducted by Evaluator Janette Romero

COMPLAINT CONTROL NUMBER: 18-AS-20250429123932

FACILITY NAME:	MERAKEY - WYNDEMERE		FACILITY NUMBER:	374604123
ADMINISTRATOR:	ADRIAN ARIAS		FACILITY TYPE:	737
ADDRESS:	26184 WYNDEMERE CT		TELEPHONE:	(442) 286-7548
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	4	CENSUS: 4	DATE:	05/05/2025
		UNANNOUNCED	TIME BEGAN:	10:25 AM
MET WITH:	Administrator, Elizabeth Gauci		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not prevent a client from physically abusing another client while in care

INVESTIGATION FINDINGS:

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On 5/5/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to investigate the allegation listed above. LPA met with Administrator, Elizabeth Gauci who was informed of the purpose of the visit.

LPA toured the facility, conducted interviews, and obtained copies of pertinent records. Regarding the allegation, "Staff did not prevent a client from physically abusing another client while in care" it was alleged Client 1 (C1) was physically abused. No additional details were provided regarding the allegation and LPA made several unsuccessful attempts to make contact with the reporting party. Administrator reported they believe the complaint may be regarding a Special Incident Report (SIR) dated 4/27/25 involving C1 and Client 2 (C2). LPA reviewed the SIR reporting on 4/25/25 C1 and C2 were walking towards the laundry room from opposite directions when C1 informed C2 it was their scheduled laundry day. C2 began yelling at C1 stating they can do their laundry as well. C2 then pushed C1 with their laundry basket and threw the basket at C1's face, hitting them in their nose. C1 hit the wall behind them and fell to the floor. Staff redirected C2 to their room and encouraged C1 and C2 to give eachother space. C2 calmed down and apologized.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

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 18-AS-20250429123932

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERAKEY - WYNDEMERE	FACILITY NUMBER: 374604123
	VISIT DATE: 05/05/2025

NARRATIVE

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LPA reviewed C1’s Individual Program Plan (IPP) dated 11/2/22 noting C1 is mostly independent regarding self-hygiene tasks but benefits from prompts to ensure they are completed thoroughly. LPA reviewed C1’s Physician’s Report (LIC 602) dated 1/16/25 indicating C1 has the capacity to bathe, dress, feed themselves, care for their own toileting needs, and does not require constant supervision. LPA reviewed C2’s IPP dated 5/23/22 noting C2 is capable of performing many of their own tasks independently without staff assistance. LPA reviewed C2’s LIC 602 dated 1/16/25 indicating C2 has the capacity to bathe, dress, feed themselves, care for their own toileting needs, and does not require constant supervision.

Administrator was interviewed and reported the following information. All clients have a scheduled laundry day to avoid any conflicts between them. C2 exhibits bowel incontinence and does laundry anytime they experience a bowel accident. On 4/24/25, C2 did not do their laundry despite it being their scheduled laundry day. On 4/25/25, C2 had a bowel accident and attempted to wash two (2) full baskets of dirty laundry as C1 was in the process of doing their own laundry. C1 politely informed C2 it was their scheduled laundry day and C2 began yelling at C1. Staff 1 (S1) observed the incident and redirected C2 to their bedroom. Other staff present immediately responded to the incident to help de-escalate the situation. The incident lasted approximately five (5) seconds. Administrator reported the incident to San Diego Sheriff's Department and all appropriate agencies in a timely manner. Administrator reported the facility has not recently contacted law enforcement for any other incidents involving C1.

S1 was interviewed and reported observing the incident and immediately separating the two (2) clients. S1 reported two (2) additional staff heard the incident and also responded to the location immediately. Staff 2 (S2) reportedly present was also interviewed and stated they responded to the incident location within five (5) seconds after hearing the clients yelling. S2 reported after the incident, staff monitored C1 and C2 to avoid further incident. C1 and C2 were interviewed and corroborated the information provided by the facility to LPA. C1 reported they did not require medical attention and both clients reported staff was present when the incident occurred. C2 reported moving forward, they will handwash their undergarments after having a bowel accident and wait until their scheduled laundry day to do their laundry to avoid additional incidents with other clients in the home. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Gauci along a Confidential Names list (LIC 811).

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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