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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604417
Report Date: 08/24/2023
Date Signed: 08/24/2023 01:32:04 PM

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
11/03/2022 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20221103085230
FACILITY NAME:SONRISA VILLA INC.FACILITY NUMBER:
134604417
ADMINISTRATOR:GUEVARA, ITZELFACILITY TYPE:
740
ADDRESS:708 E. 5TH ST.TELEPHONE:
(760) 756-3285
CITY:HOLTVILLESTATE: CAZIP CODE:
92250
CAPACITY:175CENSUS: 103DATE:
08/24/2023
UNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Gabriela Zamora, ManagerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility's electrical system is in disrepair.
Facility's solid waste is not maintained or disposed as required.
Facility's bathrooms are in disrepair.
Facility's patio furniture is in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. LPA was allowed entry by Gabriela Zamora, Manager. LPA identified herself and disclosed the purpose of the visit and elements of the findings with the Manager.

On November 3, 2022 it was alleged that facility's electrical system is in disrepair; solid waste is not maintained or disposed as required, bathrooms are in disrepair and patio furniture in disrepair. The Department’s investigation consisted of record reviews, interviews with staff and residents and observations. LPA's observation on November 9, 2022 of the electrical system showed electrical outlets throughout building and patio area exposed to elements which posed a potential safety risk to residents. A large trash bin on the outside of the facility overflowed with trash on the outside of bin. Two of the facility bathroom toilets were in need of repair and inoperable. The patio wooden benches were in disrepair; tools used for cleaning and repair were observed throughout patio area and were not locked up as required.
Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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 2
Control Number 08-AS-20221103085230
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: SONRISA VILLA INC.
FACILITY NUMBER: 134604417
VISIT DATE: 08/24/2023
NARRATIVE
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On 02/03/2023 LPA verified and observed that corrections were made to these areas. Staff and residents interviewed stated that the elevator did not work properly and needed a switch to be replaced. Residents that needed additional assistance were moved from the second floor to the first floor. Records revealed the elevator has been under negotiations for repair or to be replaced for the past several months; however, this has not yet been addressed and elevator remains inoperable. The continued lack of elevator maintenance services impacts residents and facility operations.

Observations, record review and interviews concluded the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

An exit interview was conducted with Gabriela Zamora, Manager. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator and her signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2