374603125-5-20-2025-08-AS-APAO-DHHSXS-20250610141626

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603125
Report Date: 05/20/2025
Date Signed: 05/20/2025 01:52:29 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
09/05/2024 and conducted by Evaluator Sabel Martinez

COMPLAINT CONTROL NUMBER: 08-AS-20240905151848

FACILITY NAME:	RANCHO SANTA FE VILLA		FACILITY NUMBER:	374603125
ADMINISTRATOR:	BAHA, RAY CYRUS		FACILITY TYPE:	740
ADDRESS:	8292 RUN OF THE KNOLLS		TELEPHONE:	(858) 361-3322
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	6	CENSUS: 3	DATE:	05/20/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Administrator Ray Baha		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not meet resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Administrator Ray Baha.

Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents.

It was alleged staff did not meet a resident's needs. On September 5th, 2024, it was reported staff were not meeting Resident # 1’s (R1) needs. The reporting party reported the facility administrator mentioned R1’s spouse, Resident # 2 (R2), had declined a hospital bed for R1, as ordered by home health. This allegedly hindered the facility’s ability to meet R1’s needs.

(See LIC 9099-C for continuation of report.)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

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-20240905151848

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: RANCHO SANTA FE VILLA	FACILITY NUMBER: 374603125
	VISIT DATE: 05/20/2025

NARRATIVE

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An interview with the administrator revealed there was no order from R1’s home health agency, but instead the administrator had suggested a hospital bed for R1. R2 declined the hospital bed but agreed to allow the administrator to reduce the height of R1’s bed frame. Although R2 would decline suggestions from the administrator, staff were still able to meet R1’s needs.

An interview with the home health agency that provided services to R1 revealed there was no order, nor suggestion for a hospital bed. The agency disclosed R2 was very involved in R1’s care and preferred a homeopathic approach to R1’s care. Per home health, there was no indication that R1’s needs were not being met at the facility.

Interviews internal and external sources did not reveal any concerns with staff not meeting the residents’ needs. The Department attempted to interview R1 on multiple occasions, but these attempts were not successful. Based on the evidence obtained, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Administrator Ray Baha, to whom a copy of this report, and Licensee Rights (LIC 9058), were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

LIC9099 (FAS) - (06/04)

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