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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 09/19/2025
Date Signed: 09/19/2025 12:52:50 PM

Unfounded


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
09/17/2025 and conducted by Evaluator Rebecca A Borunda
COMPLAINT CONTROL NUMBER: 08-AS-20250917162632
FACILITY NAME:BAYSHIRE CARLSBADFACILITY NUMBER:
374604407
ADMINISTRATOR:DAYNES, THOMASFACILITY TYPE:
741
ADDRESS:3140 EL CAMINO REALTELEPHONE:
(760) 720-9898
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: 115DATE:
09/19/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Executive Director Thomas "Ozzy" DaynesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not ensure resident received timely medical care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Rebecca Borunda and Janet Ngallo conducted an unannounced complaint visit to open an investigation and deliver findings regarding the above mentioned allegation. LPAs were greeted by, identified themselves to, and explained the purpose of the visit and the basic elements of the complaint with Executive Director Thomas "Ozzy" Daynes.

During today’s visit, LPAs reviewed and obtained copies of facility records and interviewed staff. Review of facility rosters and an interview with the Resident Services Director revealed that Resident 1 (R1) was not a resident of the facility. Due to evidence showing that R1 was not a resident of the facility, this allegation is deemed unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with Resident Services Director Pamela Talamantes, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).
Unfounded
Estimated Days of Completion: 0
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Rebecca A Borunda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2025
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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