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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604065
Report Date: 07/22/2025
Date Signed: 07/22/2025 02:48:27 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
04/02/2025 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20250402144855
FACILITY NAME:LAGUNA ESTATES SENIOR LIVINGFACILITY NUMBER:
374604065
ADMINISTRATOR:WESLEY LAVENDERFACILITY TYPE:
740
ADDRESS:1088 LAGUNA DRIVETELEPHONE:
(760) 434-7116
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:214CENSUS: 90DATE:
07/22/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director Kim BonnTIME COMPLETED:
12:33 PM
ALLEGATION(S):
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Licensee is not adequately addressing a communicable disease outbreak at the facility.
Staff are not seeking medical attention for residents as necessary.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Executive Director Kim Bonn.

On April 2, 2025 the Department received this complaint which alleged licensee is not adequately addressing a communicable disease outbreak at the facility and staff are not seeking medical attention for residents as necessary. The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff and outside sources.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
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-20250402144855
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: LAGUNA ESTATES SENIOR LIVING
FACILITY NUMBER: 374604065
VISIT DATE: 07/22/2025
NARRATIVE
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(Continued from LIC9099)

It was specifically alleged that licensee did not adequately address scabies amongst residents. Resident records reviewed did not indicate any diagnosis of scabies to warrant infection control plans being initiated. While there was one former staff caregiver interviewed who suspected residents were displaying symptoms of scabies, interviews with current staff nurses and caregivers unanimously reported not having concerns of residents exhibiting symptoms of scabies. Interviews with current staff also reported interacting directly with residents and noted that due to scabies highly contagious nature, staff would likely be infected if it were present amongst residents and went unaddressed. Further, records reviewed and interviews corroborated some residents needing skin treatment care for symptoms of itchiness, but not for any communicable condition.

Regarding the allegation that staff are not seeking medical attention for residents as necessary, records reviewed demonstrated facility communicating with outside providers and following treatment care plans. Further, interviews with resident's responsible parties did not report concerns regarding lack of medical attention for residents.

The Department has investigated the above allegations. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated.

An exit interview was conducted with Executive Director Kim Bonn, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
LIC9099 (FAS) - (06/04)
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