374604426-7-29-2023-08-AS-LTEZ-CUA5E2-20230731195250

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604426
Report Date: 07/27/2023
Date Signed: 07/29/2023 04:12:16 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
03/13/2023 and conducted by Evaluator Nacole Patterson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20230313140209

FACILITY NAME:	RIDGEVIEW ASSISTED LIVING COMMUNITY		FACILITY NUMBER:	374604426
ADMINISTRATOR:	DAYNES, ROBERT		FACILITY TYPE:	740
ADDRESS:	9825 GLEN CENTER DRIVE		TELEPHONE:	(858) 444-8560
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92131
CAPACITY:	68	CENSUS: 62	DATE:	07/27/2023
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Meegan Kline, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not administer medications as prescribed.

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 herself and disclosed the purpose of the visit to Meegan Kline, Executive Director.

On 3/13/2023 it was alleged that facility staff did not administer medication as prescribed to R1 (See LIC811 List of Confidential Names). The Department’s investigation consisted of unannounced facility tours, review of facility and outside source records, interviews with facility staff, residents, and outside sources, and LPA direct observations. The Department found insufficient evidence to support the allegation. Staff interview revealed that medications were administered to R1 according to the amount, types, and dates as prescribed by the physician. Staff interview revealed that R1 was upset that staff would not administer their PRN medication at the closest allowable time. A decision was made for R1 to self-administer certain medications, even though staff had been administering them wihin the prescribed timeframe.
(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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-20230313140209

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: RIDGEVIEW ASSISTED LIVING COMMUNITY	FACILITY NUMBER: 374604426
	VISIT DATE: 07/27/2023

NARRATIVE

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(Continued from LIC9099)

Outside source interview revealed R1 to have a longstanding history of inconsistent statements regarding care at the facility. Outside sources did not have direct knowledge or observation of medication errors at the facility. No outside sources interviewed had concerns regarding medication administration errors by staff.

Records review revealed that R1 had multiple changes to the administration of their medication regarding self/staff administration, timing intervals, discontinuations/reorders from their physician, and POA authority for consent. Records review revealed 8 out of 10 medications prescribed to R1 were ordered to be unsupervised self-administration per physician. No records reviewed revealed medication errors by facility staff.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Meegan Kline, Executive Director, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC9099 (FAS) - (06/04)

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