374604177-2-28-2024-08-AS-SJAB-D2WTEL-20240229134006

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604177
Report Date: 02/28/2024
Date Signed: 02/28/2024 03:50:17 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
04/18/2022 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20220418102703

FACILITY NAME:	ATRIA BONITA		FACILITY NUMBER:	374604177
ADMINISTRATOR:	JULIA LOPEZ		FACILITY TYPE:	740
ADDRESS:	3434 BONITA ROAD		TELEPHONE:	(619) 476-9444
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	0	CENSUS: 0	DATE:	02/28/2024
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Report Mailed to former licensee via USPS Certified Mail		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not answer residents' call buttons in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano sent this report to the former licensee at their last known mailing address via USPS certified mail and via email to deliver the investigation findings for the above allegation. The facility ceased operations on or about January 20, 2023.

Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of records review and interviews with residents and facility staff and outside sources.

It was reported to CCL on April 2022 that the facility was understaffed, resulting in staff not answering residents' call buttons in a timely manner. It was alleged that facility staff did not respond to pendant call buttons for 30-40 minutes. Records review revealed On April 4, 2022, the facility employed thirty-two (32) caregivers and med techs, and seven (7) servers. On that date, the facility had eighty-six (86) assisted living residents and seventeen (17) memory care residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024

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-20220418102703

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: ATRIA BONITA	FACILITY NUMBER: 374604177
	VISIT DATE: 02/28/2024

NARRATIVE

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Of the assisted living residents, forty-two (42) were not charged for additional services (independent). Of the assisted living resident, twenty-two (22) were paying less than $1000 a month in additional services.

Interview with Resident 1(R1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the resident) revealed each resident had a call pendant on a string. In the bathroom, there was a string attached to the wall that, if pulled, would send a request for help. R1 stated that R1 called for help in the night and was helped quickly. R1 further stated that they heard other residents talking to caregivers saying, "What took you so long? I have been calling you for 15 minutes, half an hour!" Caregivers would respond that they were the only one on the floor, or that there were only two staff on shift.

Interview with outside source (OS) revealed OS had no complaints regarding staffing besides the frequent change in staff. OS stated that the facility did not return phone calls or emails. OS further stated that the only way OS could communicate with the facility staff is when OS was physically at the facility.

Interview with outside source II (OSII) revealed no knowledge of staff not responding to resident call buttons in a timely manner during this time period. OSII further stated that they have not received any recent reports of staff not responding to call buttons in a timely manner.

Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid.

A copy of this report along with Licensee/Appeal Rights (LIC 9058) was mailed via USPS Certified Mail to the former licensee’s mailing address on file.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC9099 (FAS) - (06/04)

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