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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604065
Report Date: 02/23/2026
Date Signed: 02/23/2026 01:21:36 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
10/13/2022 and conducted by Evaluator Daisy Panlilio
COMPLAINT CONTROL NUMBER: 08-AS-20221013142405
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: 94DATE:
02/23/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Natalie Carlborg, Executive Director TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility has pests
Facility is not maintained clean and sanitary
Resident was not provided housekeeping services
INVESTIGATION FINDINGS:
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On 02/23/26 at 11AM, Licensing Program Analyst (LPA) D Panlilio conducted a subsequent complaint investigation, explained the purpose of the Zoom meeting and delivered investigation findings to ED.

On 10/18/22, LPA L Silveira conducted interviews with reporting party (RP), residents (R2, R3) and staff (ED, Housekeeping H1, H2) and made observations in random residents’ apartments (R1, R2, R3, R4, R5). Review of RCFE Laguna Estates Senior Living facility # 374604065 history showed a change of ownership effective 04/15/2019 to Vista Carlsbad Village Senior Living with no change in facility number. During investigation, LPA L Silveira obtained the following documents from ED: Personnel record, Residents’ roster, admission agreements, call button records, charting notes, eviction notice, medication records, pest control reports, resident face sheets, SOC341 and photos.

Continued on next page, LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
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 3
Control Number 08-AS-20221013142405
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: 02/23/2026
NARRATIVE
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Allegation: Facility has pests
Finding: Unsubstantiated
During investigation, LPA L Silveira interviewed staff (ED & Housekeeping staff – H1, H2) and residents (R2, R3). On 10/18/22, LPA toured the facility with ED and randomly visited 5 residents’ rooms (Room B316, B317, B318, B321 & B315). LPA did not observe any signs of cockroaches or pest droppings in any of the bedrooms visited. LPA checked bathrooms, behind trash bins, closets, corners of all bedrooms and observed all rooms clean with no health or safety issues. LPA also interviewed residents (R2, R3) who stated that they did not observe any cockroaches, rats or ants in their apartments. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation that facility has pests was found to be unsubstantiated.


Allegation: Facility is not maintained clean and sanitary
Finding: Unsubstantiated
During investigation, LPA L Silveira interviewed staff (ED & Housekeeping staff – H1, H2) and resident (R2, R3). On 10/18/22, LPA toured the facility with ED and randomly visited 5 residents’ rooms (Rooms B316, B317, B318, B321 & B315). ED stated that R1 who lived in Rm# B318 was unsanitary (refused to let staff change his soiled diapers) and would deliberately drop food all over the floor, disrespectful with staff and refused to let housekeepers enter, clean the room and take out the trash. LPA L Silveira observed room B318 looked like it had recently been cleaned, floor had minor carpet stains and bed linens were clean. All random rooms were observed clean with no health or safety issues. LPA also interviewed residents (R2, R3) who stated that staff cleaned their apartments regularly, changed beddings with fresh linen and emptied trash bins. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that is not maintained clean and sanitary was found to be unsubstantiated.

Continued on next page, LIC 9099C pg1
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20221013142405
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: 02/23/2026
NARRATIVE
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Allegation: Resident was not provided housekeeping services
Finding: Unsubstantiated
During investigation, LPA L Silveira interviewed staff (ED & Housekeeping staff – H1, H2) and residents (R2, R3).
ED stated that R1 who lived in Rm# B318 was unsanitary, would drop food all over the floor, disrespectful with staff and refused to let housekeepers enter, clean the room and take out the trash. On 10/18/22, LPA toured the facility with ED and randomly visited 5 residents’ rooms (Rooms B316, B317, B318, B321 & B315). LPA L Silveira observed room B318 looked like it had recently been cleaned. There were minor carpet stains. R1’s bed linens were observed clean. All other random rooms were also observed clean with no health or safety issues. LPA also interviewed residents 9R2, R3) who stated that housekeeping staff cleaned their rooms regularly and took out their trash. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that resident was not provided housekeeping services was found to be unsubstantiated.

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3