374600488-8-5-2026-08-AS-SMAZ-DY7MLK-20260923094225

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600488
Report Date: 08/05/2026
Date Signed: 08/05/2026 03:54:29 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
07/27/2026 and conducted by Evaluator Arian Golbakhsh

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20260727143036

FACILITY NAME:	CASA DE LAS CAMPANAS		FACILITY NUMBER:	374600488
ADMINISTRATOR:	SHIELA JURADO		FACILITY TYPE:	741
ADDRESS:	18655 WEST BERNARDO DRIVE		TELEPHONE:	(858) 451-9152
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	582	CENSUS: 515	DATE:	08/05/2026
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Director of Residential Health Shila Jurado and Executive Director Stefanie Thune-Barnes		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not ensure the fire alarm was not in disrepair.
Faciity does not have a qualified skilled professional for residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to conduct a complaint investigation and delivered findings regarding the above mentioned allegations. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Director of Residential Health Shila Jurado and Executive Director Stefanie Thune-Barnes. Note, LPA did step out for lunch from 12:15-1:15pm.

On 07/27/2026, the Department received a complaint where it was alleged that the facility did not maintain their fire panel in good operating condition and that there were no licensed nurses present during overnight shifts. The Department’s investigation consisted of an unannounced facility visit, records review, and interviews with staff, residents, and outside sources.

[Continued on LIC 9099-C, page 1 of 3]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

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 3

Control Number 08-AS-20260727143036

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: CASA DE LAS CAMPANAS	FACILITY NUMBER: 374600488
	VISIT DATE: 08/05/2026

NARRATIVE

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[Continued from LIC 9099]

Per interviews with staff, in the evening of 7/26/26, a staff member had notified managerial and maintenance staff of a beeping alarm on the fire panel in the Assisted Living area of the facility. Per staff interviews, it was determined that a node in the panel was not working properly, and that maintenance staff had responded that same evening to take a look at it. Per maintenance staff interviews, the issue was determined to not be urgent based on the section of the panel indicating the node issue. It was also revealed that the facility conducts weekly testing of fire alert systems and so an order was requested with the facility's fire tech vendor to take a look at the node during the next scheduled visit on 8/3/26.

File review of an email from facility staff to the vendor company dated 7/28/26 confirmed the request for the tech take a look at the node. An additional email dated 8/5/26 from the vendor company confirmed the work completed during the visit on 8/3/26. File review of maintenance records from June through August 2026 verified that a fire tech has come out to the facility on a weekly basis. Interview with an outside source from the fire tech company confirmed that the facility reached out on 7/28/26 about the issue and also revealed that node alerts do not necessarily indicate that a fire alarm system is non-functioning. Interviews with residents did not reveal any concerns about fire safety in the facility. The facility had demonstrated that it was aware of the work needed for the panel's repair and had taken timely action to do so based on the level of urgency determined.

In regards to the second allegation of the facility not having a qualified skilled professional, specifically nurses, present at the facility during overnight shifts, file review and interviews indicated that there were appropriately skilled/trained staff present during overnight shifts. Additionally, as community care facilities are non-medical facilities, there are no requirements for licensed medical staff to be present. Per regulation 87415 pertaining to night supervision, overnight staff "shall be familiar with the facility's planned emergency procedures, shall be trained in first aid as required in Section 87465, Incidental Medical and Dental Care Services and shall be available as indicated below to assist in caring for residents in the event of an emergency."

[Continued on LIC 9099-C, page 2 of 3]

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20260727143036

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: CASA DE LAS CAMPANAS	FACILITY NUMBER: 374600488
	VISIT DATE: 08/05/2026

NARRATIVE

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[Continued from LIC 9099-C, page 3 of 3]

Regulation 87415 also lists the ratio of overnight staff needed per census of the facility. As the facility currently has a census of 515 residents, they would require at least five (5) staff present and awake at the facility overnight, another present staff member on call (not necessarily awake), and another staff member on call and able to arrive to the facility within 10 minutes. File review of staff schedules for the month of July 2026 revealed that there were at least two (2) nurses and at least four (4) caregivers at the facility (not counting the facility's Skilled Nursing Facility (SNF) present or non-care staff) during overnight shifts, thus meeting required staffing ratios. File review of staff training records for several night shift staff revealed that they had record of all required training.

Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred – therefore the allegations have been determined to be UNSUBSTANTIATED. An exit interview was conducted with Residential Health Director Jurado to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC9099 (FAS) - (06/04)

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