374604407-7-13-2021-08-AS-JROO-DG97TM-20250430215657

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 07/13/2021
Date Signed: 07/13/2021 01:24:16 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/08/2021 and conducted by Evaluator Kristina Ryan

COMPLAINT CONTROL NUMBER: 08-AS-20210708142631

FACILITY NAME:	BAYSHIRE CARLSBAD		FACILITY NUMBER:	374604407
ADMINISTRATOR:	HIGHTOWER, SASHA		FACILITY TYPE:	741
ADDRESS:	3140 EL CAMINO REAL		TELEPHONE:	(760) 720-9898
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	125	CENSUS: 79	DATE:	07/13/2021
		UNANNOUNCED	TIME BEGAN:	01:11 PM
MET WITH:	Administrator, Sasha Hightower		TIME COMPLETED:	01:16 PM

ALLEGATION(S):

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Personal Rights
Personal Rights
Personal Rights
Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Kristina Ryan conducted an unannounced virtual visit to complete a complaint investigation regarding the above-mentioned allegations. LPA Ryan introduced herself, and explained the purpose of the call to Administrator, Sasha Hightower.

On June 1, 2021, the facility had a change of ownership. The resident mentioned in the allegations resided at the previously licensed facility, which is now closed. The resident did not reside at the newly licensed facility, therefore; the determination of the complaint was unfounded, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted. A copy of this report and Licensee's Rights (9058 01/16) were provided to the administrator, via electronic mail. An e-mail receipt confirms the receipt of these documents.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Kristina Ryan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021

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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