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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600799
Report Date: 02/19/2026
Date Signed: 02/25/2026 10:08:23 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
04/15/2022 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 08-AS-20220415090957
FACILITY NAME:CARLSBAD BY THE SEAFACILITY NUMBER:
374600799
ADMINISTRATOR:JOAN E. JOHNSONFACILITY TYPE:
741
ADDRESS:2855 CARLSBAD BLVD.TELEPHONE:
(760) 729-2377
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:224CENSUS: 190DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Executive Director Paula DigernessTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not allow resident to leave their room.
Staff interfering with resident sleeping.
Staff does not let resident leave the facility.
Staff not providing records to authorized.
Facility charging for services that were not approved by resident or agents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt to deliver findings on the allegations listed above. LPA met by phone with Executive Director Paula Digerness and explained the purpose of today's visit.

Regarding the allegation -Staff do not allow resident to leave their room. The Department reviewed Resident 1's Health and Wellness Review dated February 24, 2022, service plan documentation, and related correspondence. Interviews were conducted to the extent possible; however, due to the passage of time, recollection of specific events was limited. Records reviewed document the resident required frequent supervision, prompting, and redirection related to cognitive impairment and safety awareness. Documentation reflects the resident required wellness checks three to four times daily, which included checking overall wellness and safety, removal of spoiled food, and trash disposal. These checks did not include hands-on assistance with activities of daily living and were not documented as restrictive in nature.Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
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-20220415090957
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: CARLSBAD BY THE SEA
FACILITY NUMBER: 374600799
VISIT DATE: 02/19/2026
NARRATIVE
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Regarding the allegation staff interfering with resident sleeping. The Department reviewed assessment records and service plan documentation. The Health and Wellness Review reflects the resident required scheduled medication administration three times daily, including an early morning medication at approximately 5:00 a.m., as well as wellness checks for safety. Due to the age of the complaint, interviews conducted were unable to provide specific details regarding alleged sleep disruption. No documentation was obtained indicating staff intentionally deprived the resident of sleep or conducted unnecessary room entries outside of documented care needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Regarding the allegation Staff does not let resident leave the facility. The Department reviewed facility records and assessment documentation. Records reflect the resident was ambulatory, transferred independently, and participated in activities. Documentation does not indicate the resident was restricted from leaving the facility or placed under involuntary confinement. Interviews conducted did not provide consistent or sufficient information to corroborate that the resident was prevented from leaving the facility. Due to the passage of time, specific recollections were limited. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Staff not providing records to authorized. The Department reviewed available documentation and correspondence. No records were obtained demonstrating that the facility refused to provide requested records. Interviews conducted did not provide documentation or consistent statements confirming that records were requested and denied. Due to the age of the complaint, the Department was unable to verify the nature or timing of any alleged records requests. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Regarding the allegation facility charging for services that were not approved by resident or agents. Investigation: The Department reviewed service plan documentation and assessment records. The Health and Wellness Review documents the resident’s service plan level and assessed care needs. No documentation was obtained demonstrating unauthorized charges or billing for services outside of the documented service plan. Interviews conducted did not provide sufficient or consistent information to substantiate unauthorized charges. Due to the passage of time, the Department was unable to obtain billing records documenting invoices during this time period.. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Exit interview conducted with Executive Director Paula Digerness, and copy of report provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2