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