374604227-5-1-2025-08-AS-APAO-DGMTJT-20250513144651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604227
Report Date: 05/01/2025
Date Signed: 05/01/2025 02:57:14 PM

Unfounded

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
04/22/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250422092257

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: 40	DATE:	05/01/2025
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Executive Director Chris Tharp		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Untrained staff administered medication to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Chris Tharp.

On 04/22/2025 it was alleged that an untrained staff member administered medications to a resident. The Department's investigation involved unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews revealed that the facility suffered threee (3) call-outs the day of the incident due to the Easter holiday, including the PM Medication Technician (Med Tech) on duty. Staff interviews further revealed that the staff in question, S1, was working as a concierge but had a significant medical background with adequate medication administration training from another state. S1 agreed to administer medications the evening in question, and there were no issues or errors. Staff members interviewed consistently stated that S1 was qualified and had sufficient training to pass medications at the facility. (Continued on LIC9099-C p.2)

Unfounded

Estimated Days of Completion: 90

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

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-20250422092257

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: 05/01/2025

NARRATIVE

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(Continued from LIC9099 p.1)

Staff additionally informed that medication training for Med Techs can be from a different state, per the regulations.

Records review revealed corroboration of staff statements regarding S1's medication training. The records showed that S1 was previously a certified Medication Aide, Pharmacy Technician, and Nurse Aide with over 200 hours of medical training, including medication administration. Review of Medication Administration Records (MAR) and communication logs showed that no medication errors occurred during the timeframe of incident, and that two (2) residents refused medications, reflecting that their personal right to refuse was honored. Records additionally showed that two (2) NOC shift staff trained in medication administration came in early the day of incident to assist, due to the call-outs. Outside source records confirmed staff statements that there is no requirement for all of the medication training to be completed in the state of California.

Based on records and interviews, the allegation that untrained staff administered medications is unfounded, meaning it was false, could not have happened, and/or is without a reasonable basis. The allegation has therefore been dismissed. An exit interview was conducted with Executive Director Chris Tharp, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

LIC9099 (FAS) - (06/04)

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