374603231-3-4-2026-08-AS-SMAZ-DSQLZY-20260401091244

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603231
Report Date: 03/04/2026
Date Signed: 03/04/2026 04:25:53 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
04/22/2024 and conducted by Evaluator Arian Golbakhsh

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20240422135104

FACILITY NAME:	BELMONT VILLAGE CARDIFF		FACILITY NUMBER:	374603231
ADMINISTRATOR:	ASHLEY MARCELLUS		FACILITY TYPE:	740
ADDRESS:	3535 MANCHESTER AVE		TELEPHONE:	(760) 436-8900
CITY:	CARDIFF BY THE SEA	STATE: CA	ZIP CODE:	92007
CAPACITY:	175	CENSUS: 153	DATE:	03/04/2026
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Director of Resident Care Services Catherine Dorrian and Executive Director Wes Lavender		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Lack of supervision resulted in sexual abuse.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit for a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Director of Resident Care Services Catherine Dorrian. Executive Director Wes Lavender arrived later during the visit.

On 04/22/2024, the Department received a complaint where it was alleged that a resident (identified as R1) had been sexually assaulted by another resident (identified as R2) at the facility about four to five years ago. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources.

[Continued on LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

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-20240422135104

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: BELMONT VILLAGE CARDIFF	FACILITY NUMBER: 374603231
	VISIT DATE: 03/04/2026

NARRATIVE

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[Continued from LIC 9099]

R1 and R2 were residents at the facility, both with a diagnosis of Dementia. R1 moved into the facility in January 2024 and R2 had moved in to the facility in January 2023. Per administrative staff member interview, both had resided at home or with family prior to moving to the community and neither had lived at another residential facility for the elderly before coming here.

R1 had initially shared the allegation to another resident who then reported it to staff. Details were that R2 had assaulted R1 at another facility they lived at together four to six years ago. Interviews with R1 (by the Community Care Licensing Department and by the Sheriff's Department) revealed inconsistent statements, timelines, and details about the incident. File review of the initial crime/incident report and subsequent follow up report by the San Diego County Sheriff's Department's reveal that their investigation was closed due to inconsistencies of details and timelines provided by R1. Interviews with staff and R1's responsible party reveal that the allegation is likely false and is a symptom of R1's Dementia.

Based on interviews and records review, while the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred – therefore the allegation has been determined to be UNSUBSTANTIATED. An exit interview was conducted with Executive Director Lavender to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC9099 (FAS) - (06/04)

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