Meadowbrook Village Christian Retirement Community

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Mark Memmelaar, Administrator, and informed them of the purpose of the visit. The Administrator and LPA conducted tour of interior and exterior areas of the facility. Facility Overview: The facility is 2 story building with 170 bedrooms for both assisted living and independent residents. This facility has multiple activity units like gym and swimming pool. The swimming pool is indoor unit that is accessible to residents with keys only. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. There is a laundry facility for the residents. Sharp and dangerous objects were securely stored and inaccessible to residents. LPA reviewed facility's water temperature logs and found the temperature to be within the regulation limit. LPA reviewed fire and safety inspection report from Escondido Fire Department dated 12-24-2024 and observed the facility passed the annual fire safety inspection. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C..... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for five (5) staff members, confirming criminal clearances, and updated training. Five (5) resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked inside med room. LPA reviewed medications for five (5) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 11-17-2025, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Nov 24, 2025

Type of visit: Required - 1 Year

On 11/15/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Mark Memmelaar who was informed of the purpose of the visit. The facility has fire clearance for 200 non-ambulatory elderly residents, of which 15 may be bedridden. LPA toured the Continuing Care Retirement Community's interior and exterior with Administrator. LPA was informed the facility is made up of 120 apartments and 50 cottages available for independent and assisted living. The facility also has a separate building with 22 beds designated for memory care and 15 beds for skilled nursing. The memory care unit is approved for delayed egress and LPA observed it to be operational. LPA also observed several common areas for resident leisure including a library, game room, theater, beauty salon, large dining rooms, and a fitness center with an indoor in-ground pool and spa. The in-ground pool and spa require a keyed entry and facility staff grant residents access. Indoor and outdoor passage ways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the facility. Fire extinguishers were last serviced on 12/16/2023. The smoke alarm/carbon monoxide detector in a resident room was tested and LPA observed it to be operational. LPA toured the kitchen and observed the facility had more than two-day supply of perishable foods and seven-day non-perishable food items, which were stored in a safe and healthful manner. Interviews revealed kitchen staff accommodate residents’ dietary needs. Medications are secured in medication carts in wellness centers, only accessible to authorized personnel such as wellness nurses and/or medication technicians. LPA reviewed random resident files, which had updated Departmental required records. Facility sketches are posted throughout the facility and complaint information is posted by the main dining room. When asked, Administrator communicated there are no reports or reasons to believe any of the current residents have firearms or ammunition in the facility. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator.the state’s words, verbatim · CDSS document, Nov 15, 2024

Type of visit: Required - 1 Year

On November 07, 2023, Licensing Program Analyst (LPA), Venus Mixson made an unannounced visit to the facility to conduct an annual licensing inspection, and met with the Assisted Living Director, Barbara Doss. The LPA introduced herself and stated the purpose of the visit. LPA Mixson toured the facility along with the Assisted Living Director, and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is licensed to serve elderly residents; ages 60 and above; all of whom may be non-ambulatory and ambulatory, currently there are 30 residents and 20 staff currently for assisted living. The facility has an approved hospice waiver for a number of residents to include five. The facility is approved for delayed egress in memory care, and the LPA observed a sampling of the living units. Physical Plant: The facility phone number is (760)746-2500, and is operable. The LPA observed a sample of the resident living units, and they are equipped with required furniture as per Title 22. The LPA inspected the facility restrooms, and the hot water temperature tested within regulations. The restrooms were clean and appliances were operating appropriately at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as; the Ombudsman poster, "If you See Something, Say Something" and the "Personal Rights" postings were posted in a common area. The cleaning supplies and sharp items were kept locked and inaccessible to the residents. There was a designated office for the resident and staff files. Medications: were locked and inaccessible to residents. The overall facility is clean, welcoming, and the furniture is in good condition. The facility air conditioning and other appliances were operable currently at the time of this visit. Food Service: A menu was observed, along with non-perishable and perishable foods. The food supply is sufficient per regulations, and there are a variety of food types available for residents. The facility does not serve breakfast at all, but provides noon meal and evening meals. Care & Supervision The facility has sufficient staff, several caregivers were observed at the time of this visit, and staff were assisting the residents with crafts and arts activity. Records Review: The LPA reviewed six resident files, six staff files, and reviewed previous CCL reports. There were no Title 22, Division 6 Regulation violations observed and/or cited during todays visit. An exit interview was conducted and a copy of this report was given to the Assisted Living Director, Barbara Doss.the state’s words, verbatim · CDSS document, Nov 7, 2023