374600675-2-20-2026-08-AS-SJAB-DRTVD5-20260303152011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600675
Report Date: 02/20/2026
Date Signed: 02/20/2026 03:47:23 PM

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
07/08/2025 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20250708162806

FACILITY NAME:	VI AT LA JOLLA VILLAGE		FACILITY NUMBER:	374600675
ADMINISTRATOR:	BOUDREAU, STEPHANIE		FACILITY TYPE:	741
ADDRESS:	8515 COSTA VERDE BLVD		TELEPHONE:	(858) 646-7700
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92122
CAPACITY:	783	CENSUS: 543	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	03:20 PM
MET WITH:	Executive Director, Stephanie Boudreau		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Lack of supervision resulting in financial abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegation. LPA discussed the allegation with Executive Director, Stephanie Boudreau.

During the investigation, records were reviewed and interviews were conducted with staff, residents and outside sources. It was alleged lack of supervision resulting in financial abuse. It was reported Staff #1 (S1) stole $2880.00 from Resident #1 (R1). R1’s Physician’s Report dated 03/27/25 indicated R1 had a Major Neurocognitive Disorder and was unable to manage their own cash resources. An outside source that manages R1’s money, discovered a check was made out to S1 by R1. A review of the Guardian Background Check System reflected S1 was associated to the Home Care Agency (HCA) and the facility. S1 was employed by the HCA and outsourced to R1 at the facility to provide one on one care. The HCA obtained signatures from R1 and S1 for comparison and it was determined the check was forged by S1. An outside source confirmed S1 cashed the check on 04/24/25 and stated it was earned for providing care. Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250708162806

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: VI AT LA JOLLA VILLAGE	FACILITY NUMBER: 374600675
	VISIT DATE: 02/20/2026

NARRATIVE

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Evidence also revealed S1 was working outside of their scheduled hours. S1’s employer, reimbursed R1. S1 was terminated from employment with the HCA.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Stephanie Boudreau.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

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