374604533-12-22-2022-08-AS-LTEZ-CMJVGZ-20221228152622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604533
Report Date: 12/22/2022
Date Signed: 12/22/2022 01:26:48 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
09/23/2022 and conducted by Evaluator Rebecca A Ruiz

COMPLAINT CONTROL NUMBER: 08-AS-20220923153256

FACILITY NAME:	SANTIANNA OAKMONT SIGNATURE LIVING		FACILITY NUMBER:	374604533
ADMINISTRATOR:	THARP, CHRISTOPHER		FACILITY TYPE:	740
ADDRESS:	2560 FARADAY AVE		TELEPHONE:	(442) 325-8090
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92010
CAPACITY:	226	CENSUS: 134	DATE:	12/22/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Sam El-Rabaa		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility elevator was not maintained in good repair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint investigation visit to conduct follow up and deliver findings. LPA was greeted by, identified herself to, and explained the purpose of the visit to Executive Director Sam El-Rabaa.

During today’s visit, LPA interviewed staff and residents and obtained copies of facility records.

The Department’s investigation consisted of LPA observations, interviews with staff, residents, and outside sources, and records review. It was alleged that the facility’s elevators were not maintained in good repair. Interviews with staff, residents, and outside sources revealed that around September 2022, the facility elevators were having operational issues. Interviews with residents and staff revealed that there were a couple times that one of the facility’s two elevators would be out of service and unavailable for use.

Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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-20220923153256

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: SANTIANNA OAKMONT SIGNATURE LIVING	FACILITY NUMBER: 374604533
	VISIT DATE: 12/22/2022

NARRATIVE

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Interviews revealed that only one elevator would be out of service at a time. Interviews revealed that there were a lot of residents moving into the facility and the facility began reserving one elevator for movers use only. During those times, a sign would be placed on the elevator that it was being used for movers and would not be available for use. During a visit on September 27, 2022, LPA Ruiz observed both facility elevators in operation, with one elevator being used for a resident move-in. The elevator being used for the resident move-in had a sign on the call button notifying residents that it was being used by movers. The other elevator was available for resident use during the LPA’s visit. Interviews with the Maintenance Director revealed that the facility contracted with an elevator maintenance company for regular preventative maintenance and the facility maintenance staff conducted monthly inspections and weekly elevator track cleaning. The Maintenance Director stated that there was one weekend in September 2022 where one of the elevators was out of service beginning on a Friday and an elevator technician was not able to service the elevator until that Sunday. During that time period, the other elevator was working and available for resident use and the facility provided residents with complimentary room service for meals. Review of elevator maintenance invoices revealed that the facility contract for regular elevator maintenance covered from July 21 to December 31, 2022. Additionally, the facility contacted the maintenance company on August 17, September 18, and September 22, 2022, for issues with the elevators not working properly. Review of those invoices revealed that the elevator company was able to respond to those service requests on the same day or within 24 hours. Interviews revealed that there have not been any issues with the elevators for a few months.

The Department has investigated the above-mentioned allegation and based on observations, record review, and interviews, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Executive Director Sam El-Rabaa, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

LIC9099 (FAS) - (06/04)

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