374604300-12-8-2025-08-AS-RCLK-DPTVME-20251229153325

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604300
Report Date: 12/08/2025
Date Signed: 12/08/2025 03:53:39 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
09/04/2025 and conducted by Evaluator Rebecca A Borunda

COMPLAINT CONTROL NUMBER: 08-AS-20250904100142

FACILITY NAME:	OCEANSIDE SENIOR LIVING		FACILITY NUMBER:	374604300
ADMINISTRATOR:	JOHNSON, KRISTELANGELICA		FACILITY TYPE:	740
ADDRESS:	5508 AVENIDA PACIFICA WAY		TELEPHONE:	(760) 978-6602
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92057
CAPACITY:	165	CENSUS: 100	DATE:	12/08/2025
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Executive Director Kristel Johnson		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Licensee did not maintain the facility at a comfortable temperature

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced complaint visit to conduct follow up and deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Executive Director Kristel Johnson.

During today's visit, LPA observed residents in care and interviewed staff.

The Department’s investigation consisted of interviews with residents, staff, and outside sources, records review, and a tour of the facility. It was alleged that the licensee did not maintain the facility at a comfortable temperature. Interviews with residents and staff revealed that sometime in late August 2025, there was an issue with the facility’s AC system. Interviews and review of work orders submitted between July and September 2025 revealed that multiple residents complained that apartment thermostats were not working, and that resident apartment temperatures were measuring up to 82 degrees Fahrenheit.
Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Rebecca A Borunda
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025

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-20250904100142

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: OCEANSIDE SENIOR LIVING	FACILITY NUMBER: 374604300
	VISIT DATE: 12/08/2025

NARRATIVE

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Interviews with residents and staff revealed that the facility offered portable AC units to residents, however, some residents claimed that they were not offered portable AC units, fans, or any other cooling devices despite residents wanting those devices. Interviews with staff provided conflicting information, stating that some residents complained that the portable AC units were too noisy and residents did not want to use them. Interviews with residents and LPA observations of thermostat readings in resident rooms did not reveal any evidence that the temperature in resident rooms rose above 85 degrees.

Review of work orders and interviews with staff revealed that an outside vendor assessed the facility’s AC system in late July 2025 and determined that there was a leak in the AC system, which the vendor fixed. Interviews with staff and residents revealed that the issue with the AC system took approximately two weeks to fix.

The Department has investigated the above-mentioned allegation and based on interviews and observations, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Executive Director Kristel Johnson, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Rebecca A Borunda
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025

LIC9099 (FAS) - (06/04)

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