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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 10/21/2025
Date Signed: 10/21/2025 12:33:08 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/25/2025 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20250925082723
FACILITY NAME:MERIDIAN AT LAKE SAN MARCOS, THEFACILITY NUMBER:
374603339
ADMINISTRATOR:AMY BANAGAFACILITY TYPE:
740
ADDRESS:1177 SAN MARINO DR BLDG 1 & 2TELEPHONE:
(760) 510-7500
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:170CENSUS: 131DATE:
10/21/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Executive Director, Shaun McGuirk.TIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Staff do not ensure adequate supervison is provided to residents in care
INVESTIGATION FINDINGS:
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On 10/21/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of delivering investigative findings into the allegation listed above. The investigation consisted of interviews.
Information received alleged staff do not ensure adequate supervision is provided to residents in care as it was reported that Resident #1 (R1) observed an unknown male resident in R1’s room. A follow-up interview was conducted with the Reporting Party (RP) which divulged that RP is unsure if the allegation is true as R1 is confused at times often retelling incidents that have not occurred. Interviews conducted with Staff #1 (S1) and R1 reported that residents often wander in the common area’s of the facility but do not have knowledge of any residents wandering into R1’s rooms.

(Continue to LIC9099C...)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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 18-AS-20250925082723
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: MERIDIAN AT LAKE SAN MARCOS, THE
FACILITY NUMBER: 374603339
VISIT DATE: 10/21/2025
NARRATIVE
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(Continuation from LIC9099)

Interview conducted with R1 further detailed encounters with Resident #2 (R2) where R2 wanders the common areas and has attempted to open R1’s unit door but has not gained access to the unit as it required a key to open. R1 reports having a key to access their unit. R1 reports that all staff and residents are aware of R2’s actions as R2 is highly confused. R1 further reports that R2 nor any other resident have ever entered into R1’s room. Therefore, the complaint allegation of staff do not ensure adequate supervision is provided to residents in care is unfounded.

A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted and copy of report provided Executive Director, Shaun McGuirk.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2