374604726-3-20-2025-08-AS-LTEZ-DF5673-20250325203252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604726
Report Date: 03/20/2025
Date Signed: 03/20/2025 12:52:13 PM

Unsubstantiated

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
07/22/2024 and conducted by Evaluator Sabel Martinez

COMPLAINT CONTROL NUMBER: 08-AS-20240722104503

FACILITY NAME:	SUNSET COAST ASSISTED LIVING 3		FACILITY NUMBER:	374604726
ADMINISTRATOR:	TAPIA, CHRISTINE		FACILITY TYPE:	740
ADDRESS:	4886 DOLIVA DR		TELEPHONE:	(619) 481-4862
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92117
CAPACITY:	6	CENSUS: 5	DATE:	03/20/2025
		UNANNOUNCED	TIME BEGAN:	11:59 AM
MET WITH:	Caregiver Priscilla Rivero		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Staff did not maintain a comfortable temperature
Facility had insufficient staff to meet resident needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced a follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Priscilla Rivero.

Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents.

It was alleged staff did not maintain a comfortable temperature. On July 22nd, 2024, it was reported to the Department the facility temperature was too hot for residents, and staff had not addressed it. Interviews with internal and external source reported witnessing fans in residents’ bedrooms, and portable air conditioning units throughout the facility. During the initial investigation visit, the LPA witnessed air circulating fans in each of the resident bedrooms. On subsequent visits, the LPA witnessed portable air conditioning units in the hallways and living room area of the facility. (See LIC 9099-C for continuation of report.)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20240722104503

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: SUNSET COAST ASSISTED LIVING 3	FACILITY NUMBER: 374604726
	VISIT DATE: 03/20/2025

NARRATIVE

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There were no statements, or evidence to corroborate the facility was not maintained at a comfortable temperature, therefore, the allegation was unsubstantiated.

It was alleged the facility had insufficient staff to meet resident needs. On July 22nd, 2024, it was reported to the Department the facility only employed one live-in caregiver and this caregiver was not able to meet all the residents’ needs. Interviews with internal and external source, including sources who frequently visited the facility, did not have any concerns with the residents’ needs not being met. Interviews and review of records revealed that during the time in question, the facility employed two live-in caregivers. The LPA also reviewed the ambulatory status, care needs, number of staff present, and staff response times. Although there were conflicting statements made regarding how many staff were employed by the facility, the facility had additional staff who may respond to the facility and assist.

Based on the evidence obtained, there was not enough evidence to prove the alleged violations occurred, therefore, the allegations were unsubstantiated.

An exit interview was conducted with Caregiver Priscilla Rivero, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058), were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

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