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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604293
Report Date: 09/10/2025
Date Signed: 09/10/2025 10:05:51 AM

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
06/10/2025 and conducted by Evaluator Hannah Rodgers
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250610130511
FACILITY NAME:SEABRIGHT ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
374604293
ADMINISTRATOR:CHOUDRY, SAIFFACILITY TYPE:
740
ADDRESS:831 SANTA REGINATELEPHONE:
(858) 302-1366
CITY:SOLANA BEACHSTATE: CAZIP CODE:
92075
CAPACITY:6CENSUS: 3DATE:
09/10/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator Katherine SandezTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Unlawful eviction
Lack of supervision resulted in resident eloping
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Administrator Katherine Sandez.

On June 10, 2025, it was alleged that the licensee unlawfully evicted Resident #1 (R1) and lack of supervision resulted in R1’s elopement [See LIC811 Confidential Name List for identification of select person identifiers used in this report]. It was alleged that R1 was admitted to the Emergency Room after being found wandering in the street and the licensee refused to take them back. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews,

(CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
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-20250610130511
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: SEABRIGHT ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 374604293
VISIT DATE: 09/10/2025
NARRATIVE
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Interviews with internal and external sources revealed that R1 does not have a responsible party. Review of R1’s medical assessment dated April 4, 2025, revealed that R1 had a primary diagnosis of Senile Degeneration of the Brain (Dementia). Per the assessment, R1’s severe cognitive impairment limits their ability to self-manage, they require assistance with all Activities of Daily Living (ADLs), and they could leave the facility unassisted, but they frequently wander and require supervision. R1 could not be used as a reliable historian to aid in this investigation due to their baseline memory loss.

Interviews revealed that R1 stated on multiple occasions that they do not want to live at the facility. Interviews revealed that on June 7, 2025, R1 used their cellphone to make a phone call and arrange transportation to leave the facility. Staff then witnessed R1 packing up their personal belongings and leave in an unknown vehicle from the facility.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that the licensee conducted an unlawful eviction and lack of supervision resulted in resident eloping. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator Katherine Sandez, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
LIC9099 (FAS) - (06/04)
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