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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604411
Report Date: 10/13/2025
Date Signed: 10/14/2025 08:10:30 AM

Substantiated


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
10/07/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20251007103525
FACILITY NAME:LA MAREA SENIOR LIVINGFACILITY NUMBER:
374604411
ADMINISTRATOR:MATTHEW RYANFACILITY TYPE:
740
ADDRESS:5592 EL CAMINO REALTELEPHONE:
(442) 325-3510
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: 89DATE:
10/13/2025
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:SR.Business Office Director, Reika Villagomez MarronTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not checking on residents at night
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit for a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Senior Business Office Director, Reika Villagomez Marron and Generation Program Director, Daisy Rodriguez.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was alleged staff are not checking residents at night. It was reported that Resident #1 (R1) was not checked on by the NOC shift staff on 10/04/25, from 9:15pm to 6:30am. It was also reported R1 was calling out for help and asking for water. The NOC shift hours are from 10:30pm to 6:30am. R1 resided in the secured memory care unit. R1’s Physician Report dated 08/01/25, indicated R1 had a diagnosis of a Major Neurocognitive Disorder. It also reflected that R1 was incontinent of bladder, required assistance with transferring/repositioning, bathing, dressing/grooming, and medication management. A review of R1’s records indicated R1 was receiving hospice services. Continued on LIC 9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
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 3
Control Number 08-AS-20251007103525
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: LA MAREA SENIOR LIVING
FACILITY NUMBER: 374604411
VISIT DATE: 10/13/2025
NARRATIVE
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The Generation Program Director (GPD) explained residents in memory care don’t typically receive a call pendant due to their cognitive ability. However, R1 was provided with a call pendant due to having private companions. If assistance was needed prior to the staff making their rounds, then the private companion would push the pendant and alert staff. The private companions do not provide care, the facility staff are responsible for the residents’ care needs. The facility’s policy for their memory care unit is that staff check residents according to their care plan, as needed, and/or every 2-3 hours per shift. The GPD explained that most residents are asleep at night. However, some residents require incontinent care, which is provided by the NOC shift staff. The NOC shift will provide incontinent care at the beginning of their shift, the middle of their shift, and at the end of the shift. Staff will also provide additional care if needed. GPD stated residents have a care plan, which is followed by the staff, as each resident has different needs.

The Outside Source stated staff did not check on R1 on the evening of 10/04/25. The memory care unit has 2 staff on the NOC shift: 1 Medication Technician (med tech); and 1 caregiver. In the memory care unit during NOC shift the med tech steps into the role of a caregiver and provide care to residents. The facility will also use caregivers from their Assisted Living portion of the facility when needed. Staff #1 (S1) was working the NOC shift on 10/04/25. It was determined that S1 was under the assumption that due to R1 having a private companion, there was no need for a routine check. The GPD explained to S1 that all residents are checked regardless. The GPD also explained S1 was under the impression that if R1 needed assistance, the private companion would use the call pendant. Based on evidence, S1 did not check in on R1 during the night of 10/04/25. A review of R1’s call pendant log for 10/04/25 indicated the pendant was activated at 5:03pm and 5:07pm, there were no other calls for assistance indicated. S1 has been made aware by management that all residents must be checked, regardless of private companions.

Based on interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation was found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Senior Business Office Director, Reika Villagomez Marron whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20251007103525
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: LA MAREA SENIOR LIVING
FACILITY NUMBER: 374604411
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2025
Section Cited
CCR
87411(a)
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Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers...In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents…require such additional staff for the provision of adequate services.
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The Generation Program Director explained training was provided to S1. However, all staff will be trained on routine checks. Proof of training is due by POC due date.
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This requirement is not met as evidenced by: Based on interviews and record review the licensee did not ensure residents were checked on during the night for 1 out of 89 [R1] residents, which posed a potential health, safety, and personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3