Inspection Reports for Laguna Estates Senior Living

The visit was conducted in response to an LIC624 Incident Report regarding a resident being absent without official leave (AWOL). The licensee self-reported the incident to Community Care Licensing on 08/11/2025.

No deficiencies were cited during the visit. The Licensing Program Analyst performed a facility tour, welfare check, collected records, and spoke briefly with the Executive Director. The incident may require further follow-up visits and could warrant a deficiency.

The visit was complaint-related due to an incident report of a resident AWOL. The incident was self-reported by the licensee. No substantiation status is stated.

The inspection was conducted as an unannounced complaint investigation following allegations that the licensee was not adequately addressing a communicable disease outbreak and that staff were not seeking medical attention for residents as necessary.

The investigation found no evidence to support the allegations. Resident records did not indicate any diagnosis of scabies, and staff interviews did not confirm concerns of communicable disease symptoms. Records showed appropriate communication with outside providers and adherence to treatment plans. The complaint was deemed unsubstantiated.

The complaint alleged inadequate management of a communicable disease outbreak (specifically scabies) and failure of staff to seek medical attention for residents. The investigation included facility tour, record reviews, and interviews with residents, staff, and outside sources. The allegations were found unsubstantiated.

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The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-03-15 regarding staff not ensuring the facility was free from pests.

The investigation found the allegation unsubstantiated as evidence did not meet the preponderance of the evidence standard. Observations included empty pest traps, clean resident rooms, and pest control measures in place.

The complaint alleged that staff did not ensure the facility was free from pests. The allegation was found unsubstantiated after investigation including staff and resident interviews and facility tour.

An unannounced complaint investigation was conducted regarding an allegation that the licensee did not allow a resident to keep their bed rails on their bed.

The investigation substantiated that the licensee did not allow Resident #1 to keep their half-length bed rails on their hospital bed, which were the resident's personal property. This action conflicted with facility policy but was not required by regulation. The licensee failed to reasonably accommodate the resident's preference, posing a potential personal rights risk.

The complaint alleged that the licensee did not allow Resident #1 to keep their bed rails on their bed. The allegation was substantiated based on interviews, observations, and records review.

An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for Laguna Estates Senior Living Facility.

The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All safety equipment and required postings were in place, and staff and resident interviews did not raise any licensing concerns.

An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.

The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All safety equipment and required postings were in place and functioning, and resident and staff records were complete and properly stored.

An unannounced complaint investigation visit was conducted in response to allegations received on 2020-12-30 regarding communication failures, unmet hygiene needs, property safeguarding issues, and medication mismanagement at the facility.

The investigation found no evidence to substantiate the allegations. Facility policies and interviews indicated proper communication with authorized representatives, adequate hygiene care despite occasional delays during the COVID-19 pandemic, no mishandling of resident property, and appropriate medication management practices.

The complaint investigation was unsubstantiated, meaning the preponderance of evidence did not support the allegations of failure to communicate health changes, unmet hygiene needs, failure to safeguard property, or medication mismanagement.

The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624A Report self-submitted by the licensee to the CCLD San Diego Regional Office.

During the visit, a facility tour and welfare check were performed, records were collected, and discussions were held with facility staff. No deficiencies were cited during the visit.

The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Unusual Incident Report self-submitted by the licensee regarding a medication management issue with a resident.

During the visit, records were requested and a brief discussion about the incident took place. No deficiencies were cited during this inspection.

An unannounced complaint investigation was conducted in response to an allegation that the licensee did not safeguard resident belongings.

The investigation included interviews, records review, and a facility tour. The allegation was found unsubstantiated as there was no evidence of staff stealing or misplacing resident belongings, and the resident did not disclose missing items to management.

The complaint alleged that the licensee did not safeguard resident belongings. The investigation found no substantiation of staff theft or misplacement. The resident had not entrusted items to the facility for safekeeping, and management was unaware of the missing items. The allegation was deemed unsubstantiated.

An unannounced complaint investigation was conducted in response to allegations that staff did not administer medications as prescribed and did not treat residents with dignity.

The investigation included interviews, records review, and observations. It was found that medication administration was consistent with prescribed orders and staff treated residents respectfully. The allegations were determined to be unsubstantiated.

The complaint alleged that staff failed to administer medications as prescribed and did not treat residents with dignity. After investigation, including interviews with staff, residents, and review of medication records, the allegations were found unsubstantiated.

An unannounced case management visit was conducted to follow up on a Death Report related to a resident's fall and subsequent death.

The facility did not submit an Incident Report for the resident's fall on 08/23/2023, which poses a potential safety risk to all residents. No immediate health or safety concerns were observed during the visit.

The visit was triggered by a complaint related to a Death Report (LIC624A) following a resident's fall and injury. The complaint was substantiated by the finding that the facility failed to submit the required incident report.

The visit was conducted in response to an LIC624 Incident Report self-submitted by the licensee regarding a medication incident involving Resident #1.

No deficiency was cited for the medication incident or observed during the site visit. One Technical Violation was issued related to reporting requirements, and Technical Assistance was provided regarding medication cart procedures.

The visit was complaint-related, triggered by a medication incident report (LIC624) involving Resident #1. No deficiency was substantiated for the incident.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not provide hot water.

The investigation found that on 01/25/2023, hot water was not working in building B due to a broken water pump which was replaced on 01/27/2023. Interim showers were provided to residents during the outage. The allegation was determined to be unsubstantiated due to lack of corroborating evidence.

The complaint alleged that the facility did not provide hot water. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the violation occurred.

An unannounced complaint investigation was conducted in response to allegations that the licensee did not keep the facility free from rodents and did not maintain the facility in good repair.

The investigation found that a rodent issue was addressed by the facility with professional pest control services and that the memory care keypad was not working but was being actively monitored and repaired. The allegations were found to be unsubstantiated based on observations, records review, and interviews.

The complaint investigation was unsubstantiated. Allegations included failure to keep the facility free from rodents and failure to maintain the facility in good repair. Evidence showed pest control measures were taken and the memory care keypad issue was being managed.

An unannounced Case Management Visit was conducted to deliver additional documents and discuss the purpose of the visit with the Executive Director.

No deficiencies were cited or observed during this visit.

The inspection was an unannounced complaint investigation visit triggered by allegations of neglect/lack of supervision resulting in serious bodily injury and sexual abuse of a resident by an unknown perpetrator.

The investigation substantiated the allegations that lack of supervision and safety protocols resulted in the attempted rape of a resident (R1) and that the resident suffered a fall resulting in serious bodily injury. The facility failed to update the resident's appraisal to note significant changes and did not provide safe, healthful, and comfortable accommodations, posing immediate health and safety risks.

The complaint investigation was substantiated. Allegations included neglect/lack of supervision resulting in serious bodily injury and sexual abuse of a resident by an unknown perpetrator. Evidence showed the resident was sexually assaulted and suffered a fall causing a subdural hematoma. The facility failed to implement adequate supervision and safety measures.

An unannounced case management visit was conducted to follow up on two self-reported incidents involving residents leaving the facility grounds and swallowing difficulties.

No immediate health and safety concerns were noted during the facility tour and health and safety check, and no deficiencies were cited at this time.

An unannounced annual required inspection was conducted to verify compliance with statutes, regulations, and other requirements relevant to protecting the health of residents and staff, including infection control practices.

The facility was found to be in compliance with infection control practices as outlined in its COVID-19 Mitigation Plan Report (LIC808). No deficiencies were observed during the visit.

The visit was a Case Management inspection to review the newly constructed memory care building approved for bedridden and non-ambulatory residents and to assess submitted documentation for approval of eight bedridden rooms and other rooms for non-ambulatory use.

All required documentation was submitted and reviewed, the Carlsbad Fire Department conducted a Fire Clearance inspection, and no issues or deficiencies were observed during the inspection. The portion of the application process is complete and will be forwarded for final management review and approval.

An unannounced complaint investigation was conducted following an allegation that staff administered incorrect medication to a resident.

The investigation substantiated that a Licensed Vocational Nurse administered incorrect medication to one resident, which posed a potential health and safety risk. The resident was found on the floor and transported to the hospital for evaluation. The LVN was removed from medication duties and subsequently terminated after an internal investigation.

The complaint was substantiated. Staff administered incorrect medication to a resident, leading to the resident being found on the floor and transported to the hospital. The LVN self-reported the incident and was terminated after investigation.

An unannounced complaint investigation was conducted regarding an allegation that the facility did not have hot water.

The investigation found that there was no hot water in Building B from December 15 through 18, 2020, but the issue was immediately repaired and no further problems were reported. There were no health or safety concerns related to the outage, and the complaint was unsubstantiated.

The complaint was unsubstantiated because the preponderance of the evidence standard was not met and the facility addressed the maintenance issue promptly.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 12/20/2019 alleging that facility staff failed to seek medical care for a resident, failed to treat residents with dignity, failed to provide incontinence care, and that the licensee failed to meet residents' needs.

The investigation included interviews with staff, the Administrator, outside sources, and a review of facility and outside records. The allegations were found to be unsubstantiated as there was no preponderance of evidence to prove that the alleged deficiencies occurred.

The complaint alleged failure to seek medical care, failure to treat residents with dignity, failure to provide incontinence care, and failure to meet residents' needs. The investigation found no evidence supporting these allegations, and they were determined to be unsubstantiated.

The inspection was an unannounced case management virtual visit triggered by a self-reported incident where a resident left the facility without authorization and was returned by law enforcement.

The Licensing Program Analyst conducted a health and safety check and reviewed facility records and staff interviews. No deficiencies were cited during this visit.

The visit was complaint-related due to a self-reported incident involving Resident 1 leaving the facility without authorization (AWOL) on March 11, 2021, and being returned by law enforcement. No deficiencies were found.