Summerfield Of Encinitas

On 11/14/2025 at 02:00 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger meet virtually via Teams to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Mercedes Margritz. During the course of the investigation, The Department conducted interviews with staff, residents, and witnesses. The Department collected and reviewed the following documents: Resident’s (R1) podiatry authorization form, incident report for R1, R1’s resident assessment, R1’s admission record, R1’s physicians report, and R1’s medical records. On the allegation: Resident sustained an unwitnessed fall resulting in injury. R1 was observed in bed at 6:00am, at 8:00am S2 Changed R1’s diaper got R1 dressed and took R1 to Continued on LIC 9099C... UnsubstantiatedRead the full finding— CDSS inspection report, November 14, 2025 · control 08-AS-20240819150239

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Chris Tharp. On 04/22/2025 it was alleged that an untrained staff member administered medications to a resident. The Department's investigation involved unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews revealed that the facility suffered threee (3) call-outs the day of the incident due to the Easter holiday, including the PM Medication Technician (Med Tech) on duty. Staff interviews further revealed that the staff in question, S1, was working as a concierge but had a significant medical background with adequate medication administration training from another state. S1 agreed to administer medications the evening in question, and tRead the full finding— CDSS inspection report, May 1, 2025 · control 08-AS-20250422092257

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Chris Tharp. On 01/03/2025 it was alleged that Licensee did not ensure resident(s) private information remained confidential. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, and interviews with facility staff. Staff interviews corroborated the allegation. During and unannounced facility visit on 01/10/2025, LPA was notified by a staff member that an outside person, not affiliated with the facility, had contacted them inquiring about things that had happened at the facility the same day during the visit. The outside source named a resident relevant to LPA's complaint investigation, advising that they were told LPA was investigating a situation regarding the resident. The staff member informeRead the full finding— CDSS inspection report, February 4, 2025 · control 08-AS-20250103132436

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Chris Tharp. On 10/08/24 it was alleged that staff did not ensure resident's oxygen tank was changed in a timely manner. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews revealed that staff were aware of Resident 1 (R1)'s continuous oxygen prescription and oxygen needs. Staff informed that the facility primarily used an oxygen concentrator for R1 at the facility, but there were times when a portable oxygen tank was used, particularly when R1 was taken for walks away from the facility with an approved Outside Individual (OI). Staff informed that the facility preferred to used the concentrRead the full finding— CDSS inspection report, January 21, 2025 · control 08-AS-20241008163510

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced facility visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Resident Services Director Richard Mariona. On 8/30/2023 it was alleged that staff did not administer medication as prescribed, and Licensee did not maintain a medication administration record. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Regarding the allegation, "Staff did not administer medication as prescribed", it was alleged that a resident's (R1) medications were not given on multiple occasions. Staff interview revealed that there have been no medication errors for R1. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, October 5, 2023 · control 08-AS-20230830162510

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Business Office Manager Janelle Harris and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review, interviews with facility staff and outside agency. It was reported to CCL that on December 12, 2021 Resident 1 (R1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the resident) was allowed to wander outside of their designated wing. It was also alleged that the facility failed to report this incident to CCL. LPA visit to the facility on December 21, 2021 revealed the entire facility is memory care. LPA toured the facility and witnessed residents moving throughout the circular shaped building which included an indoor patio area. The building layout allows alRead the full finding— CDSS inspection report, June 22, 2023 · control 08-AS-20211216095955

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Heather Myers, Executive Director. On 3/27/23 it was alleged that staff did not follow a resident's care plan which resulted in a fall, and that a resident was not provided a modified diet, as prescribed. The Department’s investigation consisted of two unannounced facility tours, review of facility and outside source records, interviews with facility staff, residents, and outside sources, and LPA direct observations. Regarding the allegation, "Staff did not follow resident's care plan, resulting in a fall", it was alleged that staff did not perform a 2-person assist for a resident during a transfer, which resulted in a fall in the shower. Staff interview revealed that all caregivers have been trained with 2-person assist transfer protocols for residents and are aware of each resideRead the full finding— CDSS inspection report, June 16, 2023 · control 08-AS-20230327152133

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Heather Myers. On 2/13/23 it was alleged that the facility had inadequate staffing to meet the needs of residents, staff were not properly trained, the facility was in disrepair, and the facility did not ensure that resident(s) had access to personal care supplies. The Department’s investigation consisted of 3 unannounced facility tours, review of facility and outside source records, interviews with facility staff, residents, and outside sources, and LPA direct observations. Regarding the allegation "Inadequate staffing to meet the needs of residents", interviews with staff, outside sources, and residents revealed that while the facility suffered from staffing inconsistencies, residents' basic needs continued to be met during the timeframe of the complaint. (ContRead the full finding— CDSS inspection report, June 16, 2023 · control 08-AS-20230213114748

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Heather Myers and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of LPA interviews with residents and facility staff and records review. It was reported to CCL that residents were being handled aggressively by Staff #1 (S1) Complainant also reported that they observed S1 dragging residents by the arm. Resident 1(R1) and Resident 2 (R2)[an LIC 811 Confidential Names List was provided to the facility representative to identify the residents.]. Interview with Staff #2 (S2) revealed no knowledge of any staff member acting aggressively or abusing any residents in care. Staff further stated that they have never seen any staff member under the influence of drugs or alcohol at the facility. UnsubstantiatedRead the full finding— CDSS inspection report, April 27, 2023 · control 08-AS-20230303092056

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegation. LPA Correia met with Executive Director (ED) Myers to whom was explained the purpose for the visit. The Department’s investigation consisted of a resident record review and staff and outside source interviews. It was alleged facility staff failed to produce Resident’s (R1) (See Confidential Names List LIC 811) records when requested by R1’s authorized representative. A record review revealed on June 5, 2020 a records request was submitted to the facility for R1. An interview with facility staff revealed R1’s facility file was sent to Administrative staff to fulfill the record request. An additional interview with the facility Administrative staff corroborated receiving the file containing R1’s records and the record request. The interview also confirmed the record request was never processed and provided to the requesting party. SubstantiateRead the full finding— CDSS inspection report, May 12, 2022 · control 08-AS-20200611160446