<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600675
Report Date: 10/24/2025
Date Signed: 10/24/2025 10:05:45 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250611162024
FACILITY NAME:VI AT LA JOLLA VILLAGEFACILITY NUMBER:
374600675
ADMINISTRATOR:BOUDREAU, STEPHANIEFACILITY TYPE:
741
ADDRESS:8515 COSTA VERDE BLVDTELEPHONE:
(858) 646-7700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:783CENSUS: 477DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Amy Patterson,Associate Executive DirectorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff violated residents personal rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Amy Patterson, Associate Executive Director.

During the investigation, LPA toured the facility, conducted interviews and completed a records review. It was alleged that the facility staff violated residents personal rights.
Interviews revealed that that if the residents do not chose a selected home care agency(ies) that the facility staff want them to choose, then they get threatened. Interviews revealed by the staff at the facility by doing this it does not allow the residents to choose an unbias option that includes variation in hourly costs or agencies. Interviews with residents stated they have not been threatened and that they have been given the choice to choose their own home care servicer. Interviews revealed the residents don't feel intimidated by the staff at the facility and that they in fact feel comfortable.

Interviews revealed that it is the resident’s right to be able to choose which home care agency they want with the options available to them. Interviews revealed there haven't been any complaints from residents regarding not being able to choose their own home care agency.

An unsubstantiated finding means that while the allegation may have validity, there is not enough evidence to conclude that the alleged violation occurred.Therefore, this allegation is deemed unsubstantiated

An exit interview was conducted with Amy Patterson,Associate Executive Director, who received a copy of this report, and the Licensee Appeal Rights (9058 03/22) at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1