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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881719
Report Date: 04/22/2026
Date Signed: 04/22/2026 04:15:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/10/2025 and conducted by Evaluator Venus Mixson
COMPLAINT CONTROL NUMBER: 18-AS-20251210153557
FACILITY NAME:VISTA SENIOR LIVING, LLCFACILITY NUMBER:
371881719
ADMINISTRATOR:KAKANI, SHRIKANTFACILITY TYPE:
740
ADDRESS:222 WASHIGTON STTELEPHONE:
(619) 791-5495
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:15CENSUS: 15DATE:
04/22/2026
UNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:FACILITY MANAGER, ELENA LEON TIME COMPLETED:
09:46 AM
ALLEGATION(S):
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Staff does not safeguard resident's personal belongings.
Staff does not ensure resident is provided a comfortable environment.
INVESTIGATION FINDINGS:
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On April 22, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Facility Manager, Elena Leon. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation.
On December 10, 2025, Community Care Licensing received a complaint alleging staff does not safeguard resident's personal belongings and staff does not ensure resident is provided a comfortable environment. It was reported that Resident #1 (R1) does not feel comfortable due to someone who lives there. Additional details were not provided. It was further reported another Resident # 2 (R2) has taken R1’s personal items. It was also reported that R1 is concerned that R2 will physically harm them.
Regarding the allegation staff does not safeguard resident's personal belongings, information obtained from interview with Licensee denied the allegations. Licensee advised that there was never a time when R1 or any residents, advised personal belongings were missing.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
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 18-AS-20251210153557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VISTA SENIOR LIVING, LLC
FACILITY NUMBER: 371881719
VISIT DATE: 04/22/2026
NARRATIVE
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Licensee stated R1 has resided at the facility since July 01, 2025 and there have not been any incidents or advisements regarding R1’s belongings. Information obtained from interviews with staff members indicated that R1 has not had a roommate since October 2025 and at that time there was no information indicating there were missing items. When interviewed, R1 stated there were no concerns or challenges with how the facility attends to their daily needs and safeguarding their personal things. R1 stated they do feel safe and there were no concerns with how the facility safeguards their personal belongings. Information obtained from interviews with additional residents indicated they have not seen or heard anything about their personal belongings missing. Information obtained from interviews with witnesses indicated they do not have any concerns regarding the personal belongings and that R1 was not able to state what items were touched or gone missing. LPAs review of the records, including emails, and R1’s personal property and valuables, confirm information obtained during interviews.
Regarding the allegation Staff does not ensure resident is provided a comfortable environment. Information obtained from interview with Licensee indicated there were no advisements from R1 that there were any concerns regarding R1’s safety. Additionally, information obtained indicated there were no incidents with R1 or any of the residents. Information obtained from interviews with staff indicated there were no noted concerns with how the facility staff assure the residents have a comfortable environment. Information received from interviews with additional staff indicated R1 did not advise that they did not feel safe or that any of the residents would cause them harm. Information obtained from interview with R1 stated they were happy with living arrangements and there were no challenges with other residents or staff. Information obtained from interviews with other residents indicated there were no concerns with how the facility staff assure that they are safe. Information obtained from interview with Additional Witness stated they do not have any concerns with how the facility attends to the safety of the residents. LPA’s review of the records, including Serious Incident Reports and facility daily notes, corroborated the information obtained. LPA’s observations did not reveal any concerns with the environment being safe at the time of the unannounced visit.

Based on information obtained from interviews, record reviews, and observations, the evidence received pertaining to the allegations staff does not safeguard resident's personal belongings and staff does not ensure resident is provided a comfortable environment, has been deemed unsubstantiated. An unsubstantiated allegation means although the allegation may have happened or is valid, there is not a preponderance of evidence to demonstrate the alleged violations did or did not occur.

An exit interview was conducted. A copy of this report was discussed and given to the Facility Manager, Elena Leon.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2