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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604417
Report Date: 05/22/2024
Date Signed: 05/28/2024 03:05:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
04/19/2024 and conducted by Evaluator Alyssa Ramirez
COMPLAINT CONTROL NUMBER: 08-AS-20240419093531
FACILITY NAME:SONRISA VILLA INC.FACILITY NUMBER:
134604417
ADMINISTRATOR:OSCAR CHAVEZFACILITY TYPE:
740
ADDRESS:708 E. 5TH ST.TELEPHONE:
(760) 756-3285
CITY:HOLTVILLESTATE: CAZIP CODE:
92250
CAPACITY:175CENSUS: 104DATE:
05/22/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Manager Gabriela Zamora TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility is in disrepair
Staff do not intervine when there are resident on resident altercations
INVESTIGATION FINDINGS:
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Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Manager Gabriela Zamora and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

It was reported to CCL that facility is in disrepair and staff do not intervene when there are resident on resident altercations.

[Continued on LIC 9099]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
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-20240419093531
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SONRISA VILLA INC.
FACILITY NUMBER: 134604417
VISIT DATE: 05/22/2024
NARRATIVE
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[Continued from LIC 9099]

Regarding the allegation that facility is in disrepair, it was reported that there is water damager to the facility and the facility is “falling apart”. LPA observations revealed that LPA did not observe any water damage or leaks in the facility. LPA observed room 202 to be under construction with debris on the floor, but was vacant and inaccessible to residents. Interview with Outside Source (OA) reported having concerns for the facility grounds such as cracks in the pavement in the outside/patio area and reported no knowledge of anyone getting injured from cracks. Interviews with facility staff revealed no concern for facility being in disrepair. Interview with residents revealed no concern for the buildings/grounds.

Regarding the allegation that facility staff do not intervene when there are resident on resident altercations, it was reported that there was an incident where R1 & R2 got into an argument that involved one resident shoving the other, one resident breaking the other’s cane and one resident had a knife. interviews with facility staff revealed that staff will redirect residents when there is an altercation and will call the police if there is a physical altercation. Facility staff revealed there was a verbal argument between two residents and facility staff stood in between them and asked them to separate. Staff stated that residents separated, denied that the argument got psychical and stated that none of the residents were seen with a knife. Staff also reported that residents were issued warnings regarding the incident. LPA’s review of records confirmed that warnings were issued to the residents. Interviews with residents revealed conflicting statements on whether or not a resident had a knife. Interview with R1 revealed that they have only been involved in minor disagreements and denied ever engaging in a physical altercation. R1 also denied that they have seen any residents with weapons. Interview with resident revealed that during the incident staff tried to verbally calm down R1 &R2.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today.



An exit interview was conducted with Manager Gabriela Zamora. A copy of this report along with licensee rights (LIC 9058) was provided to Manager whose signature below verifies receipt of these rights.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2