374604407-5-13-2026-08-AS-APAO-DUE779-20260524212422

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 05/13/2026
Date Signed: 05/13/2026 01:03:02 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
05/06/2026 and conducted by Evaluator Ramin Hashemi

COMPLAINT CONTROL NUMBER: 08-AS-20260506160425

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: 113	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Executive Director Ozz Danes		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility did not safeguard residents belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to initiate and close a complaint investigation regarding the above-mentioned allegations. LPA identified themselves and met with Executive Director Ozz Danes to discuss the purpose of the visit and elements of the complaint.

On 05/06/2026 it was alleged "Facility did not safeguard residents belongings." The Department’s investigation consisted of unannounced facility visit, interviews with facility staff, residents, and records review. Regarding the allegation, "Facility did not safeguard residents belongings" it was alleged that the facility did not put preventions in place to safeguard Resident 1 (R1)'s jewelry.

(Continued on LIC9099C, Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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-20260506160425

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: 05/13/2026

NARRATIVE

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(Continued from LIC9099, Page 1)

Interviews with staff confirmed that staff are following the procedures established by licensing guidelines. Staff were able to tell the LPA of the steps they follow when a lost/stolen item comes to the administrative departments. Staff were unable to determine if facility staff were responsible for the theft but are reimbursing the resident within regulatory guidelines of $100.00 per item. LPA notes that the action of reimbursement does not suggest culpability on the facility's part. Additionally, staff demonstrated they had knowledge of procedures and preventions to help residents safeguard their belongings when they are admitted to the facility and beyond.

Interviews with Residents confirmed that staff have been helpful with trying to recover missing jewelry and following theft and loss policies. Resident 1 (R1) stated that they do not lock their door when they leave and up until the missing jewelry was noticed, left it unlocked all day. R1 also told the LPA they had concerns because facility staff/people are coming in and out of their apartment all day. LPA notes R1 receives bed turn down and trash services which are at most, once and twice a day, respectively.

Records review confirmed that R1 and their POA were provided and signed resident safeguard documents including: Client/Resident Personal Property and Valuables list, Theft and Loss Policy and Documentation, and the Admissions Agreement summarizing these policies. Some of the items listed as missing were not present on the valuables form.

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 Ozz Danes, 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: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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