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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600675
Report Date: 07/21/2026
Date Signed: 07/21/2026 09:37:21 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
07/24/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250724141308
FACILITY NAME:VI AT LA JOLLA VILLAGEFACILITY NUMBER:
374600675
ADMINISTRATOR:BOUDREAU, STEPHANIEFACILITY TYPE:
741
ADDRESS:8515 COSTA VERDE BLVDTELEPHONE:
(858) 646-7700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:783CENSUS: 545DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director, Stephanie BoudreauTIME COMPLETED:
09:10 AM
ALLEGATION(S):
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Facility had low water pressure
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation. LPA discussed the allegation mentioned above with Executive Director, Stephanie Boudreau.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged that the facility had low water pressure. It was reported that the South Tower 20th and 21st floor had low residual water pressure. It also stated the supply did not provide a residual water pressure of at least fifteen (15) pounds per square inch. The facility obtained a professional plumbing company to test the water pressure. The professional plumbing company stated that the Uniform Plumbing Code (UPC) has to say on required residual pressure; 15 psi is the minimum residual pressure required at any plumbing fixture. The “Flow” referred to is not “Residual pressure”. Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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 2
Control Number 08-AS-20250724141308
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: VI AT LA JOLLA VILLAGE
FACILITY NUMBER: 374600675
VISIT DATE: 07/21/2026
NARRATIVE
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Based on the definition in the UPC code book the static pressure that was recorded “is the residual pressure” because it is pressure present after allowance has been made for friction loss, head, meter, and other losses that occur as water makes it way from the source to the plumbing fixture. According to the pressures measured at the facility they had well above 15 psi at each fixture. The flow rate of the water as the fixture is on, can vary depending on the make, model and built in design of the shower head and valve from the manufacturer. The facility provided proof of tested water pressure for multiple units, which were complaint to UPC.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Stephanie Boudreau.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2