374604407-5-6-2026-08-AS-LTEZ-DUBRUQ-20260522132018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 05/06/2026
Date Signed: 05/06/2026 12:37:28 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
02/11/2026 and conducted by Evaluator Ramin Hashemi

COMPLAINT CONTROL NUMBER: 08-AS-20260211082752

FACILITY NAME:	BAYSHIRE CARLSBAD		FACILITY NUMBER:	374604407
ADMINISTRATOR:	DAYNES, THOMAS		FACILITY TYPE:	741
ADDRESS:	3140 EL CAMINO REAL		TELEPHONE:	(760) 720-9898
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	125	CENSUS: 115	DATE:	05/06/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Resident Services Director Pamela Talamantes		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Lack of supervision, resulting in physical altercation

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Resident Services Director (RSD) Pam Talamantes.

On 02/11/2026 it was alleged "Lack of supervision, resulting in physical altercation." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, and records review.

Regarding the allegation, "Lack of supervision, resulting in physical altercation," it was alleged that Resident 2 (R2) hit Resident 1 (R1) on the shoulder as a result of the facility not checking on the residents.

(Continued on LIC9099C, Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

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 1

Control Number 08-AS-20260211082752

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: BAYSHIRE CARLSBAD	FACILITY NUMBER: 374604407
	VISIT DATE: 05/06/2026

NARRATIVE

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(Continued from LIC9099, Page 1)

Interviews with staff revealed that due to the nature of the relationship and the behaviors of the residents, staff are to check on the residents every two (2) hours. R1 and R2 at the time of the allegation were in a consensual and committed relationship. S1 stated that the alleged incident required staff to intervene and separate R1 and R2 due to a verbal altercation. LPA notes that the alleged physical altercation in this instance was R2 allegedly hitting R1 on the shoulder in a light manner. S1 stated that both residents are able to leave the facility unassisted and they have returned to the facility in an inebriated state multiple times. S1 states that they try to remind both residents about making good choices and alert staff to check on these residents when they return from outings.

Interviews with residents revealed that the facility checks on R1 several times a day. R1 stated that facility staff are nice to them and they have no concerns about the facility's ability to take care of them. This corroborates staff interviews about facility staff checking on residents. R1 insisted to the LPA that they were not hurt by R2 "hitting them on the shoulder" nor that the incident in question was considered a physical altercation. R1 expressed that this was R2's way of getting R1's attention and that there was no malice in the action.

Records review of both R1 and R2 state in their needs and services that they will be checked at the beginning of every shift and as needed. Physician's reports for both R1 and R2 demonstrate the ability for both residents to leave the facility independently.

Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with RSD Pam Talamantes, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

LIC9099 (FAS) - (06/04)

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