374604227-11-14-2025-08-AS-HHUL-DNJQFM-20251118110810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604227
Report Date: 11/14/2025
Date Signed: 11/14/2025 02:08:30 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
08/19/2024 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 08-AS-20240819150239

FACILITY NAME:	SUMMERFIELD OF ENCINITAS		FACILITY NUMBER:	374604227
ADMINISTRATOR:	MYERS,HEATHER		FACILITY TYPE:	740
ADDRESS:	1350 S. EL CAMINO REAL		TELEPHONE:	(760) 479-1818
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	56	CENSUS: 37	DATE:	11/14/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Mercedes Margritz		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Resident sustained an unwitnessed fall resulting in injury
Staff does not ensure resident's toenails are maintained

INVESTIGATION FINDINGS:

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On 11/14/2025 at 02:00 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger meet virtually via Teams to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Mercedes Margritz.

During the course of the investigation, The Department conducted interviews with staff, residents, and witnesses. The Department collected and reviewed the following documents: Resident’s (R1) podiatry authorization form, incident report for R1, R1’s resident assessment, R1’s admission record, R1’s physicians report, and R1’s medical records.

On the allegation: Resident sustained an unwitnessed fall resulting in injury.

R1 was observed in bed at 6:00am, at 8:00am S2 Changed R1’s diaper got R1 dressed and took R1 to
Continued on LIC 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025

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-20240819150239

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: SUMMERFIELD OF ENCINITAS	FACILITY NUMBER: 374604227
	VISIT DATE: 11/14/2025

NARRATIVE

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... Continued from LIC 9099
breakfast and put R1 back to bed per R1’s request. Staff ( S2 )checked on R1 again at 10:00am and 11:30 am where R1 was still in bed. Around 12:00pm S2 checked on R1 again and R1 was then found lying on his buttocks with his back against the side of the bed. S2 called for assistance and S1 responded. R1 was asked if he had any pain in which he responded he did. 911 was called and R1 was taken to the hospital. R1 was not a known fall risk, there was no mitigation at the time to prevent any potential falls.

Based on the information provided during the course of the investigation there is not enough corroborating evidence to show the allegation of Neglect/Lack of Supervision resulting in an injury to R1, as staff had seen R1 at 11:30 a.m. and found him on the floor between 12:00 pm., therefore, this allegation is deemed unsubstantiated.

On the allegation: Staff does not ensure resident's toenails are maintained.

S1 stated that when the family came to view the facility, they were given a packet and, in that packet, there was a podiatry authorization form regarding a Podiatrist. The form said W1, would perform podiatry services, and the private pay patients (which R1 was) would be charged $45.00.” S1 stated the family never returned that form, and since R1 takes blood thinners, his toenails have to be trimmed by a doctor not the facility.

Based on the information provided during the course of the investigation there is not enough corroborating evidence to show the allegation of Staff does not ensure resident's toenails are maintained, as R1 was on blood thinners and which required his toenails to be cut carefully by a medical professional therefore, this allegation is deemed unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025

LIC9099 (FAS) - (06/04)

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