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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604411
Report Date: 11/18/2022
Date Signed: 11/18/2022 05:05:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/15/2022 and conducted by Evaluator Dawn Segura
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220815134727
FACILITY NAME:LA MAREA SENIOR LIVINGFACILITY NUMBER:
374604411
ADMINISTRATOR:CORNELL, LAUNAFACILITY TYPE:
740
ADDRESS:5592 EL CAMINO REALTELEPHONE:
(442) 325-3510
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: 81DATE:
11/18/2022
UNANNOUNCEDTIME BEGAN:
12:12 PM
MET WITH:Launa Moore, Senior Executive DirectorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Licensee is not providing hygiene supplies to residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA introduced herself, was granted entry into the facility, and met with Launa Moore, to whom LPA disclosed the reason for the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, review of facility records, and interviews of staff and outside source.

It was reported to Community Care Licensing that the licensee is not providing hygiene supplies to residents in care. It was alleged that facility staff were not stocking a bathroom shared by Resident 1(R1) and Resident 2 (R2) with toilet paper, which caused residents to have to use a bathroom towel to wipe themselves after using the toilet.

Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn SeguraTELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20220815134727
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LA MAREA SENIOR LIVING
FACILITY NUMBER: 374604411
VISIT DATE: 11/18/2022
NARRATIVE
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Records reviewed revealed that R1 has a diagnosis of dementia. It was also noted in facility records that R1 has anxious behaviors and is a perfectionist in reference to cleaning. During the investigation, it was discovered that R1 would use a whole roll of toilet paper at one time to wipe floors, the sink, and other surfaces within the facility, even if the surfaces were already clean. It was further discovered that, although facility staff attempted to redirect R1 to use facility provided rags for wiping surfaces, R1 would continually use all the toilet paper on any accessible rolls of toilet paper to wipe surfaces.

Despite having a diagnosis of dementia, records reflect that R1 is able to care for his/her own self-care and toileting needs. Because R1 is able to take care of his/her own toileting needs, R1 was able to go to the restroom alone. LPA learned that on an occasion, R1 used all of the toilet paper in the restroom to wipe surfaces and, subsequently, used the toilet, at which time there was no toilet paper left in the restroom. After using the toilet, in place of toilet paper, R1 used a towel that was in the restroom.

Although it was discovered that R1 used a towel instead of toilet paper, the investigation did not lead to a determination that this or any other incident occurred because toilet paper was not regularly being provided by the licensee or facility staff. No other evidence was obtained during the investigation to conclude that the facility did not provide toilet paper to meet resident care needs.

Based upon a lack of evidence to corroborate the allegation, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Launa Moore, Senior Executive Director, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to her at the conclusion of the visit.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn SeguraTELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2