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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 09/19/2024
Date Signed: 09/19/2024 04:23:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
07/15/2024 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20240715144450
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: 99DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Executive Director (ED) Julie LopezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility staff is not providing adequate toileting supplies.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted a facility visit to conclude a complaint investigation. LPA gained access to the facility, identified herself and met with Executive Director (ED) Julia Lopez to whom was explained the purpose of the visit.

The Department’s investigation consisted of staff and resident interviews, and a facility tour.

It was alleged that the facility did not provide adequate toiletries. An interview conducted with Resident 1 (R1) revealed being in need of more toilet paper and had notified facility staff. Howerver, the interview revealed R1 was never provided with extra toilet paper. R1 revealed being notified by facility staff that residents are provided with two rolls of toilet paper a week and that additional rolls are provided for a dollar a roll, or residents are responsible for buying their own. An interview conducted with the Executive Director (ED) and Staff 2 (S2) also revealed residents are provided with two rolls of toilet paper week and additional toilet paper are the resident's responsibility. The interview with the ED also revealed during COVID the facility would provide additional toiletries due to the shortages, and the facility had no issues providing extra toiletry supplies to residents that are experiencing temporary circumstantial issues, and residents that dont request extra services/supplies in excess.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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-20240715144450
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: ATRIA COLLWOOD
FACILITY NUMBER: 374600890
VISIT DATE: 09/19/2024
NARRATIVE
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Interviews conducted with residents in care revealed no issues with obtaining toiletry supplies, including toilet paper. Resident interviews corroborated receiving two rolls of toilet paper a week and that was an adequate amount or more than enough.

Based on staff and resident interviews, the finding regarding the above allegation was established to be unsubstantiated. This finding means although the allegation may have happened or could be valid there is not a preponderance of evidence to prove that the alleged violation occurred.

LPA conducted an exit interview with Julia Lopez who was notified a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) will be provided at the conclusion of the visit.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2