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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604065
Report Date: 05/29/2025
Date Signed: 05/29/2025 06:55:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/15/2021 and conducted by Evaluator Lisha Holmes
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210315081809
FACILITY NAME:LAS VILLAS DE CARLSBADFACILITY NUMBER:
374604065
ADMINISTRATOR:DONELLE WILLIAMSFACILITY TYPE:
740
ADDRESS:1088 LAGUNA DRIVETELEPHONE:
(760) 434-7116
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:214CENSUS: DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
07:00 PM
MET WITH:Report mailed to LicenseeTIME COMPLETED:
07:30 PM
ALLEGATION(S):
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Staff did not ensure that facility was free from pests
INVESTIGATION FINDINGS:
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On 05/29/25, Licensing Program Analyst (LPA) L. Holmes from the Oakland Regional Office delivered the finding for the above allegation that was investigated by Licensing Program Analyst (LPA1), Kristina Ryan.

LPA1 conducted an unannounced need further investigation on 03/24/2021. LPA1 virtually toured the facility and discussed the purpose of the visit with Donelle William Administrator (ADM), and James Ringhoff Executive Director (ED)

During the investigation, LPA1 conducted Staff and Resident interviews, and obtained additional documents.

Allegation: Unsubstantiated
Staff did not ensure that facility was free from pests
Continued on LIC9099...

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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 2
Control Number 08-AS-20210315081809
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: LAS VILLAS DE CARLSBAD
FACILITY NUMBER: 374604065
VISIT DATE: 05/29/2025
NARRATIVE
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...continued from LIC9099.

ADM states that he/she has never seen roaches in any other parts of the facility, but there have been sightings in the B and C buildings. LPA1 observed traps were empty, resident’s room was clean, and Orkin puts down Bait Traps to determine what kind of pests are present in the space.

Based on information obtained, the allegation is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that the allegation is not valid because the preponderance of the evidence standard has not been met.

No signatures were obtained by the Oakland Regional Office, and a certified copy will be mailed to the Licensee.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2