Inspection Reports for Gardens at Escondido

An unannounced complaint investigation visit was conducted due to an allegation that, due to staff neglect, a resident sustained a burn requiring hospitalization.

The investigation found insufficient evidence that staff neglect caused the resident's injuries. Medical records indicated the resident was not diagnosed with a burn but with injuries related to their health conditions. Staff obtained timely medical attention. The allegation was determined to be unfounded.

The complaint alleged staff neglect resulting in a resident sustaining a burn requiring hospitalization. The allegation was investigated through observations, interviews, and records review and was found to be unfounded.

An unannounced complaint investigation was conducted in response to allegations that the licensee did not allow a resident access to a telephone and did not allow the resident to leave the facility.

The investigation found that the resident was allowed to receive phone calls and had a personal cell phone. Staff and outside sources confirmed the resident was not restricted from communication. The resident was not allowed to leave the facility unassisted due to cognition but could leave with an escort. The allegations were unsubstantiated based on interviews, observations, and records review.

The complaint investigation was unsubstantiated. Allegations included denial of telephone access and restriction from leaving the facility. Evidence showed the resident had communication access and could leave with assistance due to cognitive limitations.

The visit was an unannounced Case Management visit in response to the facility's self-report of a fire in a resident's room.

The investigation revealed that a resident's personal lamp tipped over and caused a fire, which was extinguished by staff and emergency responders. No injuries were identified, and no deficiencies were cited or observed during the visit.

An unannounced complaint investigation visit was conducted in response to an allegation received on 2025-03-28 regarding an uncleared staff member caring for residents.

The investigation found that the staff member in question had a valid work permit approved by their school and legal background check documents on file. Therefore, the allegation was unsubstantiated.

The complaint alleged that an uncleared staff member was caring for residents due to being underage. The allegation was found to be unsubstantiated based on interviews, observations, and records review.

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff yelled at residents.

The investigation included interviews, record reviews, and a facility tour. The allegation that staff yelled at Resident #1 was found to be unsubstantiated due to insufficient evidence, with multiple staff and residents unable to confirm the incident.

The complaint alleged that Staff #1 yelled at Resident #1 during a meeting on October 5, 2023. Interviews with staff and residents revealed conflicting accounts, and Resident #1 was no longer reachable. The investigation concluded there was not enough evidence to substantiate the allegation.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not assisting residents with transportation and were not adhering to the admission agreement.

The investigation substantiated that the facility failed to provide transportation services as agreed in the Residence and Care Agreement due to the facility van being out of service and operated with expired registration. Additionally, the facility enforced a 10-mile transportation radius policy inconsistent with the 12-mile radius stated in the admission agreement.

The complaint alleged that staff were not assisting Resident #1 with transportation and were not adhering to the admission agreement. The investigation found that transportation was unavailable for several months in 2023 due to mechanical issues and lack of proper vehicle registration. The facility enforced a 10-mile radius transportation policy inconsistent with the 12-mile radius in the admission agreement. The allegations were substantiated.

An unannounced complaint investigation was conducted in response to an allegation that a staff member physically abused a resident.

The investigation found no evidence to substantiate the allegation. Interviews, record reviews, and observations indicated the resident was experiencing a delusion due to an acute infection, and the accused staff member was not working on the day of the alleged incident.

The complaint alleged staff physically abused a resident. The allegation was unsubstantiated after investigation, with evidence showing the resident's delusion and no proof of abuse.

The visit was an unannounced Case Management visit in response to two self-reported incidents by the facility regarding a resident death and a resident with a medical condition who is no longer able to meet their own insulin needs.

A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations including staff not answering resident call buttons timely and improper chemical storage, as well as other complaints regarding neglect, food service, facility repair, and temperature control.

The investigation substantiated that staff response times to resident call buttons were excessively long due to insufficient staffing, and that chemicals were not properly secured, posing safety risks. Other allegations regarding neglect resulting in resident death, inadequate food service, facility repair, and temperature issues were unsubstantiated based on interviews, observations, and records review.

The complaint investigation was substantiated for allegations that staff did not answer resident call buttons timely and that chemicals were improperly stored. The allegation that neglect/lack of supervision resulted in resident death was unsubstantiated, as was the allegation regarding inadequate food service, facility repair issues, and facility temperature concerns.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-12-09 regarding permanent room changes without required notice and failure to promptly respond to communications from a resident's representative.

The investigation substantiated that the licensee permanently changed a resident's accommodations without providing the required 30-day written notice to responsible parties and did not promptly respond to communications from a resident's representative. Another allegation regarding ensuring a resident had a working telephone was unsubstantiated due to the availability of a communal phone.

The complaint investigation was substantiated for allegations that the licensee permanently changed a resident's accommodations without required notice and did not answer communications from a representative promptly. The allegation that the licensee did not ensure a resident had a working telephone was unsubstantiated.

An unannounced complaint investigation was conducted due to an allegation that lack of supervision resulted in a resident elopement at the facility.

The investigation found that the resident was almost completely independent and staff provided supervision consistent with the care plan. The resident experienced a change in condition resulting in elopement for the first time, and the facility immediately adjusted supervision levels. The allegation was unsubstantiated based on interviews, observations, and records review.

The complaint alleged lack of supervision resulting in resident elopement. The investigation included unannounced visits, interviews with staff, residents, outside sources, and records review. The allegation was found unsubstantiated as evidence did not prove inadequate supervision by the Licensee.

The visit was conducted to collect proof for the completed plan of corrections for deficiencies cited on 2025-01-15 during the facility's annual inspection.

A wellness check was conducted with no health or safety issues identified. No deficiencies were cited or observed on this date, and the facility's plan of corrections was completed and the deficiency cleared.

An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations for the facility.

The facility was found to be clean, sanitary, and in good repair with proper furnishings and safety measures. However, deficiencies were cited related to food service requirements, specifically regarding the quality and condition of food containers.

An unannounced complaint investigation visit was conducted regarding an allegation that the licensee did not follow the facility's infection control notification policy.

The investigation found that the facility did not experience a COVID-19 outbreak during the complaint timeframe, with only two concurrent cases which did not require community notification. Infection control protocols were in place and followed, and the allegation was unsubstantiated.

The complaint alleged failure to follow infection control notification policy. The allegation was unsubstantiated based on staff interviews, records review, and direct observations.

The visit was conducted in response to a self-reported incident where a resident exited the facility without staff knowledge or assistance.

The Licensing Program Analyst interviewed staff and residents, reviewed records, and completed a wellness check, finding no health or safety issues related to the incident.

The visit was complaint-related due to the incident of Resident 1 exiting the facility unassisted. No health or safety issues were identified.

An unannounced complaint investigation was conducted based on allegations that the licensee did not adhere to the admission agreement and did not assist residents with transportation.

The investigation found no evidence to support the allegations. Cable television service was confirmed to be working and paid for, and transportation was provided despite the facility bus being under repair. Therefore, the allegations were unsubstantiated.

The complaint was unsubstantiated after interviews with residents, staff, and review of documentation showed no violations regarding admission agreement adherence or transportation assistance.

The inspection was an unannounced one-year annual inspection conducted by Licensing Program Analyst Amy Rodgers to evaluate compliance with licensing requirements for the facility serving elderly residents.

The facility was found to be in compliance with all licensing requirements, including safety systems, sanitation, medication storage, and resident care. No deficiencies were cited during the visit.

The inspection was an unannounced required annual inspection conducted to review the facility's compliance with licensing regulations.

During the visit, the licensing analysts toured the facility, reviewed staff and resident records, and interviewed staff and residents. No deficiencies were cited during this visit, but a return visit is needed to complete the annual inspection due to time constraints.

The Licensing Program Analyst conducted a prelicensing inspection due to a change of ownership and to review submitted prelicensing materials including facility sketch, emergency disaster plan, evacuation route, and infection control plan.

The facility had one elevator out of service with expected repair soon, experienced flooding in nine resident units which has been repaired with room repairs expected to complete by mid-November, and has an outstanding balance on the current license. The facility must complete appropriate repairs to obtain the new license.

The visit was conducted as a Component II (COMP II) evaluation by the Community Care Licensing Division to assess the applicant's and administrator's understanding of licensing requirements and facility operation for initial licensing.

The applicant and administrator successfully completed the COMP II evaluation via telephone, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted.

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