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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 03/12/2025
Date Signed: 03/12/2025 03:32:28 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
06/12/2024 and conducted by Evaluator Becky Kennedy
COMPLAINT CONTROL NUMBER: 08-AS-20240612085444
FACILITY NAME:BAYSHIRE CARLSBADFACILITY NUMBER:
374604407
ADMINISTRATOR:CHAD COLEMANFACILITY TYPE:
741
ADDRESS:3140 EL CAMINO REALTELEPHONE:
(760) 720-9898
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: 114DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
01:37 PM
MET WITH:Pamela Talmantes, Resident Services DirectorTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Licensee did not dispense medications as prescribed.


Facility staff falsified medication records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Becky Kennedy conducted an unannounced complaint investigation visit to the facility to deliver findings on the above allegations. LPA was granted entry to the facility amd met with Pamela Talmantes, Resident Services Director.

It was alleged that licensee did not dispense medications as prescribed, and that facility staff falsified medication records.

The Department’s investigation consisted of review of facility records, outside source records, and interviews of facility staff and outside sources and a tour of the facility.
Specifically, the above allegations were that Resident 1’s (R1) medications were not administered as prescribed and not as documented on the medication record. It was alleged that the failure to administer medication as prescribed exacerbated a chronic condition.
R1 needed intensive medical care. A review of records determined that it not due to a failure to receive the prescribed medication.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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 2
Control Number 08-AS-20240612085444
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: BAYSHIRE CARLSBAD
FACILITY NUMBER: 374604407
VISIT DATE: 03/12/2025
NARRATIVE
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Based on interviews, a review of medication records and observations of the medication on hand, the investigation revealed that there was no apparent discrepancy in the documentation, and that the medication on hand at the facility reflected that medication was given to R1 appropriately.

Based on the evidence obtained during the complaint investigation, the allegations above are UNSUBSTANTIATED, meaning the preponderance of evidence standard was not met to prove a violation occurred.

An exit interview was conducted with Pamela Talmantes, Resident Services Director; a copy of this report and Licensee's Rights (LIC9058) were provided.
SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2