374604784-9-15-2025-08-AS-LTEZ-DLUUMS-20250925154246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604784
Report Date: 09/15/2025
Date Signed: 09/15/2025 03:34:08 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
05/30/2025 and conducted by Evaluator Hannah Rodgers

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250530115513

FACILITY NAME:	BAYSHIRE TORREY PINES		FACILITY NUMBER:	374604784
ADMINISTRATOR:	JEREMY DANENHAUER		FACILITY TYPE:	741
ADDRESS:	13101 HARTFIELD AVE		TELEPHONE:	(858) 259-2222
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY:	125	CENSUS: 106	DATE:	09/15/2025
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Executive Director Jeremy Danenhauer		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff did not administer medication as prescribed
Staff did not follow resident's care plan
Staff did not follow resident's modified diet

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hannah Rodgers conducted a virtual visit, via video conference, to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Jeremy Danenhauer.

On May 8, 2025, it was alleged that staff did not administer medication as prescribed, staff did not follow resident’s care plan, and staff did not follow resident’s modified diet. It was alleged that Resident #1(R1) was no longer receiving their diuretic medication as prescribed, and that staff were not applying an ointment to treat a rash R1 had. It was also alleged that staff were not frequently checking on R1 during their meals as stated in their care plan, and R1 received fried food which goes against their modified diet. [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: 09/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025

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-20250530115513

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 TORREY PINES	FACILITY NUMBER: 374604784
	VISIT DATE: 09/15/2025

NARRATIVE

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Review of R1’s medical assessment records dated May 8, 2025, revealed that R1 required assistance with All Activities of Daily Living (ADLs) except for feeding themself and were non-ambulatory. Also, according to R1’s medical assessment they required a modified diet of mechanical soft and no added salt. Review of R1’s medications list revealed that R1’s diuretic medication was discontinued by a physician. Also, internal and external interviews did not reveal that R1 was not receiving their rash ointment as prescribed.

Review of R1’s care plan dated May 18, 2025, revealed that R1 required frequent safety checks and these checks would occur every two hours or as needed and R1 required escorts to and from the dining room. Interviews corroborated that R1 did receive safety checks and was escorted to and from the dining room. Interviews did not reveal that R1 received fried foods, nor did it reveal that R1’s modified diet was not followed. Due to R1’s baseline memory loss they were unable to be used as a reliable historian to aid in this investigation. Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that that staff did not administer medication as prescribed, staff did not follow resident’s care plan, and staff did not follow resident’s modified diet.

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 violations occurred. An exit interview was conducted with Executive Director Danenhauer, 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: 09/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025

LIC9099 (FAS) - (06/04)

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