374604407-11-18-2025-08-AS-LTEZ-DPUQ35-20251230104810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 11/18/2025
Date Signed: 11/18/2025 12:46:27 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
10/23/2025 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20251023161310

FACILITY NAME:	BAYSHIRE CARLSBAD		FACILITY NUMBER:	374604407
ADMINISTRATOR:	DAYNES, THOMAS		FACILITY TYPE:	741
ADDRESS:	3140 EL CAMINO REAL		TELEPHONE:	(760) 720-9898
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	125	CENSUS: 114	DATE:	11/18/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Resident Services Director Pamela Talamantes		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee did not safeguard resident's personal belongings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Janet Ngallo conducted an unannounced subsequent visit to deliver findings regarding the above-mentioned complaint allegation. LPA introduced themselves and disclosed the purpose of the visit and elements of the complaint to Resident Services Director Pamela Talamantes.

On October 23rd, 2025, it was alleged that the facility did not safeguard resident's personal belongings. The department's investigation consisted of unannounced facility visits, LPA observations, interviews with facility staff, and records review.

(Cont. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

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-20251023161310

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: 11/18/2025

NARRATIVE

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(Cont. from LIC 9099)

Regarding the above-mentioned allegation, four(4) staff members and two(2) residents were interviewed. Staff interviews did not corroborate with the allegation, as staff stated there had been no occurrence of staff misconduct when it comes to stealing. Staff consistently stated that they will initially attempt to help locate the item(s), and if staff are unable to locate them, they will inform management for further investigation.

LPA interview with Resident 1 (R1) revealed that R1 stated ongoing beliefs that a staff member had tampered with or stole their personal belongings. R1 stated that their computer was being hacked, their phone screen protector was altered, and that they have contacted law enforcement and federal agencies such as the FBI and the IRS, regarding these concerns. R1 stated that the agencies have only assisted with filling out some forms. The investigation did not produce evidence to support the residents’ claims, and the incidents stated by R1 could not be verified. The residents’ statements appeared inconsistent. Staff noted that R1 suffers from a mental health issue with instances of paranoia.

During an unannounced facility visit, LPA observed med techs and housekeeping performing duties throughout the facility. LPA observed R1 and R2 groomed and cleaned with room clean and well maintained.

Review of the facility records did not corroborate the allegation. LPA records review revealed several progress notes mentioning R1's paranoia and claims of missing items dating back to the beginning of 2025. Records review revealed that the facility has reported theft and loss to the police multiple times for R1 regarding missing items and requested a Psychological Evaluation for R1 through a medical service provider. R1’s medical provider was made aware by the facility that R1's level of care had increased to level 1 as opposed to an independent level related to increasing psychological needs.

(Cont. on LIC 9099-C pg. 2)

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20251023161310

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: 11/18/2025

NARRATIVE

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(Cont. from LIC 9099-C)

R1's physicians report dated 11/13/2024 stated no history of behavioral expressions, and no mental/cognitive conditions, communication with R1’s medical provider dated 11/26/2024 revealed that R1 had severe increased confusion, decreased energy level, and slight slurred speech, as well as a request for a urinary analysis. The records review for the employee(S2) that R1 claimed may have stolen or tampered with R1's belongings had no disciplinary actions.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Resident Services Director Pamela Talamantes to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

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