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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604660
Report Date: 09/08/2025
Date Signed: 09/08/2025 11:42:07 AM

Document Has Been Signed on 09/08/2025 11:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 LLCFACILITY NUMBER:
374604660
ADMINISTRATOR/
DIRECTOR:		NEAVE, JOHN SFACILITY TYPE:
740
ADDRESS:3126 LYNN CTTELEPHONE:
(858) 260-8765
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 6CENSUS: 5DATE:
09/08/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator John "Stuart" NeaveTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit. LPA identified herself to, was greeted by, and explained the purpose of the visit to Administrator John "Stuart" Neave.

On 7/9/2024, the Department received a self-reported incident report and report of suspected dependent adult/elder abuse (SOC341) from the facility that described the alleged incident where Staff 1 (S1) touched Resident 1 (R1) genitals. On 7/10/2024, the Department conducted a case management visit to conduct a health and safety visit and interviewed staff and residents.

Review of R1’s assessment documents dated July 2023 revealed that R1 had a diagnosis of major neurocognitive disease, had short term memory loss, and required assistance with bathing, grooming, dressing, and toileting. Interviews with facility staff revealed that on 6/26/2024, staff overheard R1 tell another resident at the facility that S1 kissed R1’s face and touched R1’s genitals. When interviewed by the Department, R1 stated that S1 wanted a sexual relationship with R1 and had touched R1’s genitals while S1 showered R1. While R1 remained consistent in the accusation against S1 across multiple interviews, R1 was confused, disoriented to time, and unable to provide specific details regarding the incident, including if the incident had occurred multiple times. During R1’s multiple description of the incident, R1 provided details that did not make sense or contradicted R1’s previous descriptions of the incident. Interviews with staff, including S1, revealed that S1 was responsible for providing showers for residents, including R1. Interviews with other residents denied any issues with staff interactions and stated staff were pleasant, however, a resident had observed S1 kiss a resident on the cheek, which was supported by staff interviews.
Continued on LIC809-C page...
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Rebecca A Borunda
LICENSING PROGRAM ANALYST 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.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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
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Staff denied being aware of any resident complaints regarding their interactions with S1. During interviews, S1 denied the allegation of inappropriate touching, either during bathing or otherwise. The evidence obtained during Department’s investigation did not meet the preponderance of evidence for a violation of regulations regarding the incident between R1 and S1.


Interviews with facility staff revealed that staff did not report R1’s statements to facility management or any other agencies or other individuals, which interviews with facility management confirmed. Interviews with staff and facility management revealed that facility management became aware of the incident when R1 spoke to one of the Administrators on 6/28/2024. Review of incident reports and SOC341 submitted to the Department by the facility revealed that the incident was reported to the Department on 7/9/2024, eleven (11) days after facility management was made aware of the incident, and thirteen (13) days after staff became aware of the incident. Therefore, following deficiency was cited for reporting requirements and noted on the attached LIC809-D page.

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 3/22).
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Rebecca A Borunda
LICENSING PROGRAM ANALYST 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
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/08/2025 11:42 AM - It Cannot Be Edited


Created By: Rebecca A Borunda On 09/08/2025 at 10:12 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR BEGINNINGS @ JULIA'S COTTAGE LLC
FACILITY NUMBER: 374604660

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/08/2025
Section Cited
CCR
87211(c)

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87211(c) Any suspected physical abuse that does not result in serious bodily injury... shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours… This requirement has not been met as evidenced by:
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Administrator stated that staff and facility management would complete vendorized training on reporting requirements and submit proof of training completion for staff and facility management to the Department by POC due date of 10/8/2025.
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Based on interviews and records review, the Licensee did not comply with the section cited above in that R1’s report of sexual abuse was not reported within 24 hours. This posed a potential safety and personal rights risk of 5 of 5 residents.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sabel Martinez
NAME OF LICENSING PROGRAM MANAGER:
Rebecca A Borunda
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2025


LIC809 (FAS) - (06/04)
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