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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604411
Report Date: 11/27/2024
Date Signed: 11/27/2024 12:49:08 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
06/25/2024 and conducted by Evaluator Ryan Fulton
COMPLAINT CONTROL NUMBER: 08-AS-20240625130417
FACILITY NAME:LA MAREA SENIOR LIVINGFACILITY NUMBER:
374604411
ADMINISTRATOR:GREGORY CASEFACILITY TYPE:
740
ADDRESS:5592 EL CAMINO REALTELEPHONE:
(442) 325-3510
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: DATE:
11/27/2024
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Resident Services Director Sonia MolinaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff do not ensure that resident's hygiene needs are being met
Facility is malodorous
Staff do not assist residents to dinning hall
Untrained staff providing care and supervision
Staff handle residents in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ryan Fulton and Licensing Program Manager (LPM) Jennifer Lott conducted an unannounced subsequent visit to deliver findings regarding the above allegation(s). LPA/LPM were welcomed by, identified themselves to, and discussed the purpose of the visit with Resident Services Director Sonia Molina.

The Department's investigation consisted of LPA observations, interviews with facility staff, residents, and outside sources, as well as records reviews.

It is alleged that staff do not ensure that resident's hygiene needs are being met. Specifically, it was alleged that R1 was left in soiled sheets and that staff were applying too much gel to R1's hair. R1, is visually impaired and requires assistance with toileting.
(Continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Ryan Fulton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
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 3
Control Number 08-AS-20240625130417
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 MAREA SENIOR LIVING
FACILITY NUMBER: 374604411
VISIT DATE: 11/27/2024
NARRATIVE
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However, staff interviews revealed that staff provide regular assistance with toileting. Interviews also revealed that resident’s sheets are changed immediately if they become soiled, otherwise sheets are changed by housekeeping staff weekly. 5:5 staff interviewed stated that they have not assisted R1 with putting gel in their hair. Resident interviews revealed that staff are meeting their hygiene needs, including changing soiled clothing and sheets when needed or at a minimum, once a week when housekeeping cleans the resident’s rooms. Residents interviewed expressed no concern with the level of hygiene care provided by the facility staff. Based on staff and resident interviews, this allegation is unsubstantiated.

It is also alleged that the facility is malodorous. It was reported that the facility had feces and urine on the carpets in the public areas and that resident's rooms smelled of feces and urine. LPA conducted a tour of the facility on four separate occasions and did not observe any fecal matter or urine in the public areas. LPA also conducted a tour of 8 different resident rooms and found the rooms to be clean and sanitary. At no time during the LPA’s visits, did they encounter malodors. Interviews with staff and residents corroborated the cleanliness of the common areas and resident rooms. Based on interviews with staff, residents and LPA observations, this allegation is unsubstantiated.

It was alleged that staff do not assist residents to dining hall. Interviews with staff and residents revealed that when residents make a request to go to the dining hall, staff provide assistance. Resident interviews revealed that staff arrive timely and provide stand assist or will push them in their wheelchair. Additionally, on 07/02/2024, 10/23/2024, and 01/22/2024, during unannounced facility visits, LPA observed staff assisting residents to the dining hall. Based on staff and resident interviews, along with LPA’s own observations, this allegation is unsubstantiated.

It was also alleged that untrained staff were providing care and supervision. A records review from a random sampling of 8 staff members revealed that all staff have received adequate training through Relias. In addition, staff also receive additional hands-on training for a minimum of 1 week shadowing an experienced caregiver before being released to work independently. Interviews with staff also revealed that each staff member receives an additional 20 hours of training annually. Interviews with staff and residents confirmed they were able to meet resident’s needs. Based on records review, staff interviews, this allegation is unsubstantiated.
(Continued on LIC9099C)
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Ryan Fulton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 08-AS-20240625130417
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 MAREA SENIOR LIVING
FACILITY NUMBER: 374604411
VISIT DATE: 11/27/2024
NARRATIVE
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Lastly, it was alleged that staff are being rough with residents in care. It was reported that staff do not know how to properly remove a resident's shirt while providing assistance with dressing. Interviews with residents revealed that staff were gentle in the assistance being provided. Staff interviews revealed that training had been provided on how to change resident clothing. Outside source interviews confirmed the staff training. Based on records review, staff resident and outside source interviews, this allegation is unsubstantiated.

This agency has investigated the complaint allegations, staff do not ensure that resident’s hygiene needs are being met, facility is malodorous, staff do not assist resident to dining hall, untrained staff providing care and supervision and staff handle residents in a rough manner. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted, and the report was along with licensee appeal rights (LIC 9058 03/22) reviewed with Resident Service Director Sonia Molina.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Ryan Fulton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3