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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604660
Report Date: 09/08/2025
Date Signed: 09/08/2025 11:12:32 AM

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
06/04/2024 and conducted by Evaluator Rebecca A Borunda
COMPLAINT CONTROL NUMBER: 08-AS-20240604110033
FACILITY NAME:SENIOR BEGINNINGS @ JULIA'S COTTAGE LLCFACILITY NUMBER:
374604660
ADMINISTRATOR:NEAVE, JOHN SFACILITY TYPE:
740
ADDRESS:3126 LYNN CTTELEPHONE:
(858) 260-8765
CITY:OCEANSIDESTATE: ZIP CODE:
92056
CAPACITY:6CENSUS: 5DATE:
09/08/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Caregiver Lucita CreditoTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Resident was abused while in care
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 and was granted entry by Caregiver Lucita Credito. Administrator John "Stuart" Neave arrived during the visit, and LPA explained the purpose of the visit.

During today's visit, LPA observed residents in care and reviewed facility records.

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 Resident 1 (R1) was abused by Staff 1 (S1) while at the facility, due to R1 yelling “don’t let (S1) touch me”. Review of R1's assessment and needs and service plan documents dated January 2024 revealed R1 required staff assistance with all activities of daily living, including transferring, bathing, and incontinence care and was a fall risk.
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: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
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-20240604110033
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: SENIOR BEGINNINGS @ JULIA'S COTTAGE LLC
FACILITY NUMBER: 374604660
VISIT DATE: 09/08/2025
NARRATIVE
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Interviews with outside sources, staff, and R1 and review of R1’s assessment records revealed that R1 had a diagnosis with major neurocognitive disease and had occasional verbal aggression and agitation. Interviews with staff and outside sources revealed that R1’s agitation often occurred when R1 was repositioned in bed for bathing or incontinence care due to a fear of falling. Additionally, staff stated that R1 would sometimes tell staff not to touch R1, and staff believed that it was due to R1’s pride and desire to maintain their independence. Interviews with staff and outside sources revealed that R1 would grab onto the bed rails while yelling, including when R1 yelled to prevent S1 from touching them, which supported staff and outside source beliefs that R1 was agitated due to a fear of falling. R1 denied any concerns regarding the care provided by the facility and the staff during interviews and stated that staff were nice to R1. Other residents denied any concerns with the facility and stated that staff are pleasant and responsive to care needs. The Department interviewed S1 who denied any inappropriate interactions with any residents, including R1.

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

An exit interview was conducted with Administrator John "Stuart" Neave, 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: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
LIC9099 (FAS) - (06/04)
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