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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604422
Report Date: 10/08/2026
Date Signed: 10/08/2026 05:33:23 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
03/10/2022 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220310084247
FACILITY NAME:LA JOLLA CASA PACIFICAFACILITY NUMBER:
374604422
ADMINISTRATOR:FERNANDEZ, JENNIFERFACILITY TYPE:
740
ADDRESS:5468 PACIFICA DRTELEPHONE:
(858) 775-6935
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:0CENSUS: 0DATE:
10/08/2026
UNANNOUNCEDTIME BEGAN:
05:15 PM
MET WITH:Report Mailed to Licensee via USPS Certified MailTIME COMPLETED:
06:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Staff was stealing from resident.
-Staff verbally abused resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Iby Strong sent this report to the former licensee's last known mailing address via USPS certified mail to deliver the investigation findings for the above-mentioned allegations. This facility ceased operations on February 20, 2026.

In March of 2022, Community Care Licensing (CCL) received a complaint alleging that Staff 1 was stealing and abusing Resident 1. During the investigation the Department attempted to collect records. The Department was unable to interview relevant individuals. There were no records available to support the allegations.

Based available information there was not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. A copy of this report was mailed to Licensee via USPS Certified Mail.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2026
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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