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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881741
Report Date: 07/18/2025
Date Signed: 07/18/2025 11:38:00 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
07/11/2025 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250711120534
FACILITY NAME:VISTA SENIOR LIVING II LLCFACILITY NUMBER:
371881741
ADMINISTRATOR:KAKANI, SHRIKANTFACILITY TYPE:
740
ADDRESS:247 PRESLEY PLTELEPHONE:
(619) 791-5495
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:15CENSUS: 3DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Shrikant Kakani, AdministratorTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Facility increased capacity without obtaining city or state approval.
INVESTIGATION FINDINGS:
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On 07/18/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation listed above. LPA met with Shrikant Kakani, administrator and explained the purpose of the visit and the elements of the allegation. The allegation was investigated and the investigation consisted of observations, interviews and records review.

On 07/11/25 Community Care Licensing received a complaint alleging the facility increased capacity without obtaining city or state approval. It was alleged that parking is an issue on the street. There was a licensed facility with an approved capacity of (14) residents, by the name of King's Care Assisted Living # 374603787, that was at this address. There was a recent Change of Ownership with residents in care, and the prelicensing inspection was conducted by the department on 06/27/25. LPA conducted a records review of the application for a RCFE license which revealed that the licensee applied for and received an approved fire clearance from the city of Vista Fire department on 03/21/25, for eight (8) non ambulatory and seven (7) bedridden residents, for the total of (15) residents. In addition the facility had the state issued licensed that
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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-20250711120534
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VISTA SENIOR LIVING II LLC
FACILITY NUMBER: 371881741
VISIT DATE: 07/18/2025
NARRATIVE
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revealed the facility is licensed for (15) residents effective 0707/25. Based on records review the allegation of facility increased capacity without obtaining city or state approval is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted where a copy of this report was reviewed and provided to Shrikant Kakani, Administrator.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2