374604407-1-30-2024-08-AS-LTEZ-CZYVX7-20240130154905

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604407
Report Date: 01/29/2024
Date Signed: 01/30/2024 09:37:40 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
12/11/2023 and conducted by Evaluator Mark Mandel

COMPLAINT CONTROL NUMBER: 08-AS-20231211111802

FACILITY NAME:	BAYSHIRE CARLSBAD		FACILITY NUMBER:	374604407
ADMINISTRATOR:	CHAD COLEMAN		FACILITY TYPE:	741
ADDRESS:	3140 EL CAMINO REAL		TELEPHONE:	(760) 720-9898
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	125	CENSUS: 114	DATE:	01/29/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Resdient Services Director, Pamela Talamantes		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are stealing resident's clothes

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mark Mandel conducted an unannounced visit to follow-up on a complaint investigation regarding the above-mentioned allegation. LPA identified himself, was granted entry by Concierge, Karin Kammerer, and a few minutes later, met with Resident Services Director, Pamela Talamantes. LPA stated the purpose of the visit and discussed the elements of the complaint with Resident Services Director, Pamela Talamantes. LPA delivered the findings of the investigation that was initiated on 12/18/2023 to Director Talamantes.

On 12/11/2023, the Department received a complaint alledging that facility staff are stealing the clothes of residents. The Department's investigation consisted of facility visits, record reviews and interviews with residents.

During the initial visit conducted on 12/18/2023, LPA Mark Mandel and Licensing Program Manger (LPA) Simon Jacob, toured the facility and interviewed residents. Interviews revealed that Resident 1 (R1) claimed that $90 of her money had gone missing in her first month living at the facility, but stated the facility reimbursed her for the missing money. R1 also stated that some of her clothing items, including "mostly sweat pants" and approximately ten T-shirts had gone missing from her room, but said the facililty replaced some of the missing clothing items and gave her a $50 gift card for the T-Shirts. R1 said she has no idea who allegedly stole her clothing items and stated that the staff is wonderful. Then R1 acknowledged that her missing clothing items may have gotten lost in the laundry as opposed to having been stolen.
(Cont. on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Mark Mandel	TELEPHONE: 619-990-1407
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024

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-20231211111802

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: 01/29/2024

NARRATIVE

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(Cont. from LIC9099)

Interviews with seven other residents revealed that only one, Resident 2 (R2), claimed to have had any personal items of their own go missing. R2 stated that she had some make-up disappear, but said that she had left her door open and anyone could have taken it. One other resident, Resident 3 (R3), stated a few people have experienced missing clothing, and Resident 4 (R4), who has lived at the facility for 7.5 years, stated a few residents have had "inexpensive" jewelry go missing.

A records review revealed that R1 moved into the facility on 06/30/2022.

During today's visit, additional records were reviewed by LPA Mark Mandel, which showed that R1 waived her right to list any items, including the items R1 reported as being stolen, on the Client/Resident Personal Property and Valuables Form, which she signed. In addition the Theft and Loss Policy states the facility can provide a lock for the resident's bedside drawer or cabinet upon request and residents are encouraged not to bring valuables to the facility. R1 did not state during a previous interview that the she requested a locked drawer or that it was broken into in relation to the money of hers that she said disappeared.

Based on the interviews conducted and records obtained and reviewed, the allegation that facility staff are stealing residents clothes is Unsubstantiated, as the preponderance of evidence standard was not met. An exit interview was conducted with Resident Services Director, Pamela Talamantes, whose signature below confirms receipt of this report and the Licensee Appeal Rights (LIC9058 01/16).

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Mark Mandel	TELEPHONE: 619-990-1407
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024

LIC9099 (FAS) - (06/04)

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