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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604696
Report Date: 05/22/2025
Date Signed: 05/22/2025 01:11:57 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
01/22/2025 and conducted by Evaluator Carmen Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250122154838
FACILITY NAME:SIERRA SUNSHINE CAREFACILITY NUMBER:
374604696
ADMINISTRATOR:CHAPARI, CINDYFACILITY TYPE:
740
ADDRESS:1355 HACIENDA DR.TELEPHONE:
(657) 259-8146
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:6CENSUS: 5DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shawn Chapari, Licensee, and Cindy Chapari, AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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9
- Staff not properly trained to attend to residents
- Licensee installed auditory devices
- Licensee did not provide the Department updates for facility cameras
- Licensee did not notify the Department of facility alterations
INVESTIGATION FINDINGS:
1
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4
5
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7
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13
Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigation findings. LPA identified herself and was granted entry by Gammel Jana, caregiver. LPA stated the purpose of the visit and reviewed the findings of the complaint with administrator Cindy Chapari.

The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, ad LPA observations. On January 22, 2025, it was said that staff were not properly trained to attend to residents, licensee installed audio devices, licensee did not provide updates for the facility camera’s, and licensee did not notify the Department of the facility alterations.

(Continuation on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
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 7
Control Number 08-AS-20250122154838
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: SIERRA SUNSHINE CARE
FACILITY NUMBER: 374604696
VISIT DATE: 05/22/2025
NARRATIVE
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32
(Continuation of LIC9099)

It was specifically said there were staff who are not being properly trained to assist residents in care. Interview with S1 and S2 said that they have been caregivers since about 2015. They had former training at their previous homes they worked, but according to S1, they had not received training at this facility. S1 said that former staff denied to train them and S2 when they first started. According to S2, they had a former certificates that expired and had no training for their current residents in care. S2 confirmed their CPR/First Aid were current. Upon LPA’s review of staff training documents, none of the training documents had been taken by any of the caregivers, S1 or S2. No additional training documents were observed in either of the facility’s staff files.

It was specifically alleged that the Licensee did not inform the Department of the installation of the cameras and auditory devices throughout the facility. Interviews with staff confirmed that there were cameras installed at the facility when they initially visited the facility, but they were taken down. Both S1 and S2 were unaware whether the surveillance had an auditory device. According to S1, they were unsure if there were any auditory devices throughout the facility. Interview with R1 confirmed that there were cameras placed in the dining area and the living room area of the facility. They did not have any auditory devices installed in their immediate area. According to R2, they confirmed that they did have cameras at the facility and were not sure about them because it felt like a prison but were fine with it later. They were unaware if they had auditory devices. According to R3, there were cameras in the facility, but they had already been taken down. R3 did not recall when they were taken down. LPA spoke with Licensee Chapari, who confirmed that they had cameras installed but had been taken down due to an internal issue with a former staff. Licensee Chapari still had video clippings of their cameras and showed them to LPA. LPA confirmed that the video clippings had the auditory device installed with the surveillance. LPA toured the facility rooms and did not observe any additional devices auditory devices installed other than an third-party device that is voice activated in a residents room. Upon LPA’s review of the facility’s file, per the facility’s initial submission of their facility sketch, there is no indication that surveillance videos would be installed in the facility’s common areas. Upon review of the facility’s Plan of Operation, it did not indicate that the facility would be utilizing the use of cameras in any area of the facility. Upon review of the facility’s Admission Agreement, there was no indication that the facility provided notification that use of camera’s would be utilized at the facility. The Department had not received a waiver from the facility requesting to have surveillance installed. Upon LPA’s entrance to the facility, LPA observed that there were installations of a possible cameras that were installed in the dining area and in the living room area.
(Continuation on LIC9099-C)
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 08-AS-20250122154838
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: SIERRA SUNSHINE CARE
FACILITY NUMBER: 374604696
VISIT DATE: 05/22/2025
NARRATIVE
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3
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5
6
7
8
9
10
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12
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32
(Continuation of LIC9099-C)

It was specifically revealed the Licensee did not inform the Department of the alterations at the facility, which caused disruptions to the residents. According to S1, they spoke with the licensee who informed them that the caregivers will be staying in the newly built rooms that were constructed in the garage. According to R2, the rooms had been already completed when they arrived and only recently added the windows. Interview with R1 said there was construction in the garage and would hear the saws of the construction. The construction workers would work from about 3:30 PM through 8 or 9 PM, or until dark. According to R2, they were told about the construction, but that did not bother them. According to R3, the construction would start in the evenings. The strange thing was that the construction workers would go into the attic. Licensee Chapari confirmed that construction had been done from December 24, 2024 through this past weekend, January 25-26, 2025. According to the facility’s file, there was no indication that the Department had received information regarding the facility’s alteration. Upon LPA’s tour, the garage was remodeled to an office and a bedroom. The facility sketch on file did not have the rooms added to their garage.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D of this report.

The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with administrator Cindy Chapari. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to administrator Chapari at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
01/22/2025 and conducted by Evaluator Carmen Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250122154838

FACILITY NAME:SIERRA SUNSHINE CAREFACILITY NUMBER:
374604696
ADMINISTRATOR:CHAPARI, CINDYFACILITY TYPE:
740
ADDRESS:1355 HACIENDA DR.TELEPHONE:
(657) 259-8146
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:6CENSUS: 5DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shawn Chapari, Licensee, and Cindy Chapari, AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Uncleared staff providing care to residents
- Staff falsified qualifications
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigation findings. LPA identified herself and was granted entry by Gammel Jana, caregiver. LPA stated the purpose of the visit and reviewed the findings of the complaint with Administrator Cindy Chapari.

The Department’s investigation consisted of interviews with staff, residents, and outside sources, and records review of relevant documents pertinent to this investigation. On January 22, 2025, it was alleged that uncleared staff were providing care to residents, and staff falsified qualifications.

It was specifically alleged that there are staff who are not cleared who are assisting residents in care and started on or about 1/21/25.

(Continuation on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 08-AS-20250122154838
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: SIERRA SUNSHINE CARE
FACILITY NUMBER: 374604696
VISIT DATE: 05/22/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
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14
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16
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32
(Continuation of LIC9099-A)

Interview with Staff #2 (S2) confirmed that both S1 and Staff #2 (S2) commenced their employment at the facility on 1/22/25. LPA was informed that they go by AKAs to make it easier for residents to call on them. LPA obtained S1 and S2’s full names and dates of birth. According to the Department records, both S1 and S2 are cleared staff and were associated with the facility before their start date at the facility.

It was specifically alleged that staff had another staff person take their training to qualify for their training requirements. They said they had taken an online training and when the certificate was printed it said the name for Staff #3 (S3). According to S3, they did not have any staff take online courses for their requirements. They had taken their own requirements online recently. They provided LPA with their certifications which were dated between April 2025 and May 2025. They formerly had staff review their hard copied binder with caregiver training information. Once they completed the review, caregivers would need to take an exam at the end which was a hard copied exam.

Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during resident, staff and outside source interviews, and records reviewed, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with administrator Cindy Chapari. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to administrator Chapari at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 08-AS-20250122154838
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: SIERRA SUNSHINE CARE
FACILITY NUMBER: 374604696
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2025
Section Cited
CCR
87412(c)
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87412 Personnel Records: (c) Licensees shall maintain in the personnel records verification of required staff training and orientation... This requirement was not met as evidence by:
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Administrator agreed to obtain training records for 4 of 4 current staff and submit them to LPA by POC due date, 6/23/25
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Based on records review and interviews, the licensee did not have training for staff caring for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.
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9
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14
Type B
06/06/2025
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in all Facilities: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
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This was cleared during the visit as the auditory devices were uninstalled. This allegation is deemed cleared.
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Based on interview and observations, the licensee did have auditory voice installed with their surveillance footage in the common areas for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.
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14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 08-AS-20250122154838
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: SIERRA SUNSHINE CARE
FACILITY NUMBER: 374604696
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2025
Section Cited
CCR
87468.1(a)(2)
1
2
3
4
5
6
7
87468.1 Personal Rights of Residents in all Facilities: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
1
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3
4
5
6
7
This was cleared during the visit as the camera devices were uninstalled. This allegation is deemed cleared.
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14
Based on interview and observations, the licensee did not notify the Department of the camera(s) being installed for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.
8
9
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14
Type B
05/30/2025
Section Cited
CCR
87305(b)
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87305 Alterations to Existiing Building or New Facilities: (b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists... this requirement was not met as evidence by:
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7
Administrator agreed to update their faciliity sketch to LPA and the RO by POC due date, 5/30/25.
8
9
10
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12
13
14
Based on interview, records review and observations, the licensee did not notify the Department of the alterations being constructed in the facility garage which posed a potential safety risk to 4 of 4 residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 7