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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604350
Report Date: 03/18/2026
Date Signed: 03/18/2026 07:47:20 PM

Document Has Been Signed on 03/18/2026 07:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SUNSET COAST ASSISTED LIVINGFACILITY NUMBER:
374604350
ADMINISTRATOR/
DIRECTOR:		KARINA LOPEZFACILITY TYPE:
740
ADDRESS:1697 DONAX AVETELEPHONE:
(619) 882-5003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 6CENSUS: 6DATE:
03/18/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
06:30 PM
MET WITH:Licensee, Patricia TapiaTIME VISIT/
INSPECTION COMPLETED:
07:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a Case Management visit to cite a deficiency disclosed during a complaint investigation conducted on December 6, 2025. LPA met with Licensee Patricia Tapia via telephone and discussed the details of the violation.

During staff interviews conducted during the complaint investigation, it was disclosed that there have been multiple incidents of verbal abuse between two residents, in which Resident 1 (R1) has been the target of verbal aggression by Resident 2 (R2). Both residents have been roommates for an extended period of time. Records reviewed indicated that R1 has resided at the facility since December 2020 and R2 was admitted in September 2023 when they became roommates. Staff were provided with LIC811 to identify R1 and R1 for plan of correction.

Staff interviews indicated that the verbal abuse began around July 2025, when R2 experienced a change in condition and began directing verbal aggression toward R1. Staff reported that the incidents involved R2 yelling at and verbally targeting R1 on multiple occasions.

Staff further reported that on November 25, 2025, R2 threw a water bottle in the direction of R1. The water bottle did not strike R1 and R1 did not sustain any injuries. Staff indicated that the incident was addressed internally by staff; however, it was not reported to Community Care Licensing.

(Continue at LIC809D)
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Marisela Garcia-Centeno
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SUNSET COAST ASSISTED LIVING
FACILITY NUMBER: 374604350
VISIT DATE: 03/18/2026
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(Continue from LIC809)

During interviews conducted with staff, it was confirmed that none of the incidents involving R2’s verbal aggression toward R1 had been reported to Community Care Licensing as required by California Code of Regulations, Title 22. Staff stated that the incidents were not reported because they believed R2’s aggressive behavior was related to R2’s documented dementia diagnosis.

The California Code of Regulations, Title 22, requires licensees to report incidents involving resident abuse, including verbal abuse and aggressive behavior between residents that may threaten the health, safety, or personal rights of a resident. Based on staff statements and information obtained during the investigation, the facility failed to report the incidents involving R2’s verbal abuse toward R1, including the incident on November 25, 2025, in which R2 threw a water bottle toward R1.

Pursuant to the California Code of Regulations, Title 22, Division 6, a deficiency is being cited on the attached LIC 809D. The facility was advised that the November 25, 2025 incident must be documented and reported to Community Care Licensing. In addition, a plan of correction was developed with Licensee Patricia Tapia.

An exit interview was conducted with Licensee Patricia Tapia, to whom a copy of this report, the LIC 809D Deficiency Report and LIC811 Confidential Names form were provided at the conclusion of the visit.
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Marisela Garcia-Centeno
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/18/2026 07:47 PM - It Cannot Be Edited


Created By: Marisela Garcia-Centeno On 03/18/2026 at 06:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SUNSET COAST ASSISTED LIVING
FACILITY NUMBER: 374604350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/20/2026
Section Cited
CCR
87211(a)(1)(D)

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87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, (D)Any incident which threatens the welfare, safety or health of any resident, ... This requirement was not met as evidenced by:
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Licensee agreed to submit an the incident report discussed in this report. In addition, the licensee agreed to conduct in service training to all staff including Administrators and licensee by an independent contractor. Licensee agreed to submit documentation for POC to CCL by due date of 4/20/2026
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Based on records review and interviews it was disclosed that the licensee did not report as required numerous instances of verbal abuse to a resident (R1) by another resident (R2). This posed a potential health and safety risk to two (2) six (6) residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sabel Martinez
NAME OF LICENSING PROGRAM MANAGER:
Marisela Garcia-Centeno
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2026


LIC809 (FAS) - (06/04)
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