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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 03/07/2025
Date Signed: 03/11/2025 02:46:24 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
02/11/2025 and conducted by Evaluator Iby Strong
COMPLAINT CONTROL NUMBER: 08-AS-20250211103925
FACILITY NAME:LA VIDA REALFACILITY NUMBER:
374603565
ADMINISTRATOR:GARCIA, KIMBERLYFACILITY TYPE:
740
ADDRESS:11588 VIA RANCHO SAN DIEGOTELEPHONE:
(619) 660-5778
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:177CENSUS: 120DATE:
03/07/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Executive Director Kimberly GarciaTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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9
Medication was not issued as prescribed
Resident was charged for services not rendered
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia.

On February 11, 2025, Community Care Licensing (CCL) received a complaint alleging Resident 1’s (R1) medication was not issued as prescribed and R1 was charged for services not rendered. During investigation, LPA Strong collected pertinent facility records and conducted interviews.

According to the first allegation, R1’s did not receive two medications as prescribed: metoprolol tartrate 25mg and Losartan Pot 25mg both requiring blood pressure to be measured prior to administration. Interview with former Director of Memory Care revealed that R1’s medication prescription was followed. Medication administration records corroborated that both above-mentioned medication was issued as prescribed and blood pressure was reviewed prior to issuing medication.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
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 08-AS-20250211103925
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: LA VIDA REAL
FACILITY NUMBER: 374603565
VISIT DATE: 03/07/2025
NARRATIVE
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Interview with Medication Technician revealed that R1 received medication as prescribed. Interview with outside source could not corroborate that medication was not issued as prescribed.

It was also alleged that R1 was charged for services after September 30, 2024, though resident moved out on September 20, 2024. Records collected revealed that R1 was at the facility from September 7, 2024, until September 20, 2024. According to interviews, R1 submitted their 30-day notice on September 11, 2024, and had paid the full month of September of 2024. According to the reviewed Admissions Agreement, the resident continues to be responsible for all charges accruing under the agreement until 30 days. Based on such information, R1 is responsible for charges until October 11, 2024.


Based on multiple interviews and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive Director Kimberly Garcia to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2