Inspection Reports for ActivCare Mission Bay
2440 Grand Ave, San Diego, CA 92109, United States, CA, 92109
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with clean and well-maintained conditions noted throughout the facility. Several complaint investigations were unsubstantiated, including a 2022 allegation about odors in a resident’s room. The most recent report from December 27, 2024, cited one minor deficiency related to the absence of non-skid mats or strips in resident showers, posing a potential safety risk. No fines, enforcement actions, or severe issues were reported in any inspection. Overall, the facility’s compliance appears stable with only isolated minor concerns.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 50
Capacity: 60
Deficiencies: 1
Dec 27, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was generally in compliance with regulations, with pathways clear, equipment in working order, and proper storage of food and medications. One deficiency was cited regarding the lack of non-skid mats or strips in resident showers, posing a potential safety risk.
Deficiencies (1)
| Description |
|---|
| Facility showers were not equipped with non-skid mats or strips, violating CCR 87303(e)(5), posing a potential safety risk to residents. |
Report Facts
Number of showers lacking non-skid mats or strips: 30
Residents on hospice: 12
Maximum bedridden residents allowed: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Bowman | Program Director | Met with Licensing Program Analyst during inspection and discussed facility conditions. |
| Hannah Rodgers | Licensing Program Analyst | Conducted the unannounced required annual inspection and authored the report. |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 44
Capacity: 60
Deficiencies: 0
Dec 28, 2023
Visit Reason
The inspection was a required 1-year unannounced annual licensing inspection conducted to evaluate compliance with licensing regulations.
Findings
The facility was found to be generally compliant with no deficiencies cited during the annual inspection; however, a technical violation was issued. The facility was clean, well-maintained, and residents were treated with dignity. Safety equipment and supplies were operational and properly stored.
Report Facts
Capacity: 60
Census: 44
Non-ambulatory beds approved: 45
Bedridden beds approved: 15
Hospice waivers approved: 15
Perishable food supply: 2
Nonperishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the annual licensing inspection |
| Dawn DeStefani | Executive Director | Facility administrator present during inspection and exit interview |
| Jeremy Przybylek | Family Advisor | Escorted Licensing Program Analyst during facility tour |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 60
Deficiencies: 0
Dec 14, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 10/16/2020 that staff did not keep a resident's room free from odor.
Findings
The investigation included records review, observations, and interviews. No foul odors were identified during the visit, and staff confirmed regular cleaning of carpeted rooms. The allegation was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that between August and October 2020, staff did not keep resident 1's room free from odor, specifically that urine was not cleaned from the carpet. The allegation was found unsubstantiated after investigation.
Report Facts
Capacity: 60
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the complaint investigation visit |
| Dawn Destefani | Executive Director | Facility representative met during the investigation |
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 0
Nov 5, 2021
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control measures.
Findings
The Licensing Program Analyst conducted a tour and observed the facility's implementation of the COVID-19 Mitigation Plan, including disinfection, testing surveillance, screening protocols, and PPE use. No deficiencies were cited or observed during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn DeStefani | Executive Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
Inspection Report
Census: 44
Capacity: 60
Deficiencies: 0
Sep 20, 2021
Visit Reason
An unannounced case management visit was conducted to follow-up on two self-reported incidents involving residents and staff at the facility.
Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed resident and staff records, and determined that both incidents require further investigation. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn DeStefani | Executive Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alexandre Vo | Licensing Program Manager | Named in the report as Licensing Program Manager. |
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