Senior Care Records.

Complaint Investigation Report

Fredericka Manor, Chula Vista08/24/2022Licence 374603402

Census249
Date signed08/24/2022 11:26:32 AM
The inspector’s account

374603402-8-24-2022-08-AS-JRAE-CHTV42-20220831160537

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/15/2022 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20220815153112

Facility did not meet resident's nutritional needs.

Facility did not communicate with responsible party appropriately.

Licensing Program Analyst (LPA) Ramon Serrano, conducted an unannounced Complaint Visit. LPA introduced himself and discussed the purpose of the visit with Director of Resident Services Corinna Norton.

During today's visit, a record review revealed the alleged victim is residing in the Skilled Nursing section of the facility. The San Diego Regional Office (SDRO) Community Care Licensing (CCL) Division does not have jurisdiction over Skilled Nursing Facilities (SNF), therefore the above allegation is determined to be Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. LPA Serrano will cross-report to the California Department of Public Health.

An exit interview was conducted with Corinna Norton. A copy of this report along with licensee rights (LIC 9098, 01/16) was provided to Corinna Norton whose signature below verifies receipt of these rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction