374604274-7-29-2025-18-AS-APAO-DK53NF-20250731182351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604274
Report Date: 07/29/2025
Date Signed: 07/29/2025 01:26:03 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
07/23/2025 and conducted by Evaluator Janette Romero

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250723140804

FACILITY NAME:	VISTA DEL LAGO MEMORY CARE		FACILITY NUMBER:	374604274
ADMINISTRATOR:	MARIE HILL		FACILITY TYPE:	740
ADDRESS:	1817 AVENIDA DEL DIABLO		TELEPHONE:	(760) 741-2888
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92029
CAPACITY:	96	CENSUS: 93	DATE:	07/29/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Administrator, Marie Hill		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff prevented the resident from enrolling in the Assisted Living Waiver (ALW) Program

INVESTIGATION FINDINGS:

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On 7/29/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit at the facility to investigate the allegation listed above. LPA met with Administrator, Marie Hill 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 prevented the resident from enrolling in the Assisted Living Waiver (ALW) Program” it was alleged Resident 1 (R1) required a lower level of care and facility staff denied R1 a more suitable housing option by failing to follow up on the Assisted Living Waiver (ALW) program status in a timely manner. During the visit, R1 was unavailable for an interview. LPA reviewed R1’s admission agreement dated 1/19/2023. LPA reviewed R1’s physician’s report dated 7/1/2025 noting R1 exhibits memory loss.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025

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-20250723140804

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: VISTA DEL LAGO MEMORY CARE	FACILITY NUMBER: 374604274
	VISIT DATE: 07/29/2025

NARRATIVE

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LPA conducted an interview with the reporting party who reported the following information. Care Coordination Agencies (CCAs) collaborate with a resident, their responsible person and assisted living facility to enroll the resident onto the ALW program. Vista del Lago Business Office Director (BOD), Jennifer Rios verbally agreed to assume responsibility to assist R1 with ALW program enrollment. However, in fall 2024 BOD failed to follow up and provide requested information to R1’s CCA, which resulted in R1 losing their place in the ALW program waitlist. LPA conducted an interview with BOD Rios who refuted the allegations and reported the following information. BOD denied ever assuming responsibility to enroll R1 in the ALW program as it is outside of the scope of their duties. R1’s CCA requested resident records from the facility; however, the request was accidentally overlooked by facility staff and R1’s CCA/responsible person did not follow up on the request prior to R1 being dropped from the ALW program waitlist. Administrator Hill was also interviewed and reported the following information. Although the facility collaborates with CCAs/responsible persons and provides any requested resident records to aid in the ALW program enrollment, it is not the facility’s responsibility to enroll any resident in the ALW program. The facility is only responsible for providing care and supervision funded by ALW. Furthermore, the facility did not act with malice and there is no financial incentive to sabotage R1’s ALW program enrollment. Administrator Hill added they believe R1 receives the required care and supervision at the facility and the facility has never restricted R1 or any other resident from pursuing other housing options. 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 and Confidential Names list (LIC 811) was reviewed and provided to Administrator Hill.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025

LIC9099 (FAS) - (06/04)

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