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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 02/12/2024
Date Signed: 02/12/2024 03:11:01 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
01/02/2024 and conducted by Evaluator Nacole Patterson
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20240102083619
FACILITY NAME:ATRIA COLLWOODFACILITY NUMBER:
374600890
ADMINISTRATOR:JULIA LOPEZFACILITY TYPE:
740
ADDRESS:5308 MONROE AVETELEPHONE:
(619) 286-3583
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:185CENSUS: 86DATE:
02/12/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Executive Director Julia LopezTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff handled resident(s) in a rough manner.
Staff did not treat resident(s) with dignity.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Julia Lopez.

On 1/2/24 it was alleged that staff handled resident(s) in a rough manner, and staff did not treat resident(s) with dignity. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations.

Regarding the allegation, "Staff handled resident(s) in a rough manner", Staff interviews did not corroborate the allegation, staff members informed that they had never seen another staff assist a resident roughly or in a way that hurt a resident. No staff members interviewed had been informed by a resident or responsible party regarding rough handling.

(Continued on LIC9099-C p.1)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024
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-20240102083619
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: ATRIA COLLWOOD
FACILITY NUMBER: 374600890
VISIT DATE: 02/12/2024
NARRATIVE
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Resident interviews did not corroborate the allegation, residents stated that staff were very gentle and respectful when assisting with their needs. Outside source interview did not corroborate the allegation, providing observations counter to the allegation and informing that staff provided good care to residents. No outside sources verbalized concern regarding resident care at the facility. No records were found to support the allegation. During three (3) unannounced facility visits, LPA directly observed residents being provided care by staff; LPA did not observe any staff member make physical contact with a resident in a way that was unwelcome or harmful.

Regarding the allegation, "Staff did not treat resident(s) with dignity", it was alleged that two staff (S1, S5) yelled at and/or spoke disrespectfully to three (3) residents (R1, R2, R6). Interviews with staff revealed that while dynamic issues existed between specific residents and staff, no observations were made regarding staff members speaking rudely to residents or not honoring their dignity. Staff interviews further revealed that the incidents in question were internally investigated by management and did not result in staff being at fault for lack of dignity. Management informed that their investigations revealed lapses in communication, language barriers, and unreasonable/unrealistic expectations by residents. Resident interviews confirmed the staff information of specific dynamic issues, but did not corroborate the allegation; residents stated that staff were respectful and nice when speaking to them. The investigation revealed that the situations in question were related to residents requesting staff to perform duties outside of their job description and being declined. Outside sources interviewed did not corroborate the allegation, advising no concerns with staff treatment of residents. An outside agency investigation for this claim was conducted and resulted in no evidence that the allegation was valid. No records were found to support the allegation. During three (3) unannounced facility visits, LPA directly observed residents receiving assistance from staff, including the staff in question. No observations were made regarding staff speaking to residents in an undignified manner.

Based on interviews, direct LPA observations and records review, the investigation did not yield sufficient evidence to conclude that staff handled resident(s) in a rough manner, or that staff did not treat resident(s) with dignity. Based upon the foregoing, the allegations are 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 violations occurred. An exit interview was conducted with Executive Director Julia Lopez, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024
LIC9099 (FAS) - (06/04)
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