374604411-9-12-2025-08-AS-LTEZ-DLZTSR-20250930145934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604411
Report Date: 09/12/2025
Date Signed: 09/12/2025 03:57:55 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
09/08/2025 and conducted by Evaluator Hannah Rodgers

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250908111122

FACILITY NAME:	LA MAREA SENIOR LIVING		FACILITY NUMBER:	374604411
ADMINISTRATOR:	MATTHEW RYAN		FACILITY TYPE:	740
ADDRESS:	5592 EL CAMINO REAL		TELEPHONE:	(442) 325-3510
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	125	CENSUS: 100	DATE:	09/12/2025
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Executive Director Johnathan Thomas		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not handle resident with dignity
Staff yelled at resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to initiate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Johnathan Thomas.

On September 8, 2025, it was alleged that staff did not handle residents with dignity and staff yelled at residents. It was alleged that Staff #1(S1) abruptly pushed Resident #1 (R1) in their wheelchair and yelled at them while doing so. It was also alleged that R1 had been roughly handled by an unknown staff member previously as well. [See LIC811 Confidential Name List for identification of select person identifiers used in this report]. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews.

[CONTINUED ON LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025

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-20250908111122

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: 09/12/2025

NARRATIVE

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Review of R1’s medical assessment records dated January 17, 2025, revealed that R1 had a diagnosis of dementia with behavioral disturbances, was confused/disorientated, and did exhibit inappropriate, sundowning, and aggressive behaviors. Also, according to R1’s medical assessment they required assistance with All Activities of Daily Living (ADLs) except for feeding themself and were non-ambulatory with a wheelchair. Due to R1’s baseline memory loss they were unable to be used as a reliable historian to aid in this investigation.

Interviews and records reviewed did not reveal that S1 handled R1 in a rough manner nor did it reveal that any other staff member had handled R1 in a rough manner. Internal and external interviews did not reveal that S1 had yelled at or spoken inappropriately to R1.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that staff did not handle residents with dignity and staff yelled at residents. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Executive Director Thomas, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025

LIC9099 (FAS) - (06/04)

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