Sunset Coast Assisted Living

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) conducted an unannounced visit in response to a request of change in capacity for one bedridden resident. LPA disclosed the purpose of the visit with Licensee Patricia Tapia. LPA toured the facility and reviewed facility records. Lay out reviewed by LPA correspond to the one sent to the department. No deficiencies were cited in accordance with the California Code of Regulations. An exit interview was conducted with Licensee Patricia Tapia, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Jul 6, 2026

Allegation investigated: Facility staff hit resident.

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to the facility to deliver the findings regarding the above-referenced allegation. Upon arrival, LPA was granted entry by caregiver Betty Valdez. LPA met with Licensee, Patricia Tapia, via telephone to whom the purpose of the visit was disclosed. The investigation included facility observations, records reviews, and interviews with staff, residents, and outside sources. On December 23, 2024, Community Care Licensing (CCL) received a complaint alleging that facility staff hit Resident 1 (R1). It was alleged that on or about December 19, 2024, a staff member hit R1 on the arm, causing a bruise on the right upper arm and left hip. No additional details regarding the alleged abuse were available during the investigation, including the identity of the alleged perpetrator. (Continue at LIC9099C) Unsubstantiated (Continue from LIC9099) Review of R1’s admission agreement indicated that R1 was admitted to the facility on December 9, 2024. Review of R1’s medical records indicated that R1 was diagnosed with dementia and had previously suffered a stroke affecting speech and mobility. Records also disclosed that R1 had a documented history of aggressive and self-injurious behavior and had previously reported alleged physical abuse at prior placements. Interviews with external sources confirmed that R1 had reported physical abuse at previous placements. Review of facility documentation, including daily progress notes, medical records related to hospital visits, and incident reports submitted to CCL, indicated that R1 experienced multiple behavioral crises requiring transportation to the hospital via 911 emergency personnel. Documentation described incidents in which R1 threw themselves against a wall or onto the bed. Records also indicated that R1 had limited mobility due to the prior stroke and experienced difficulty moving the right arm. In addition, records documented episodes in which R1 expressed suicidal ideation and required transportation to receive a higher level of care. Records further indicated that R1 frequently refused staff assistance with activities of daily living, including eating, changing, and transfers. Review of incident reports submitted to CCL did not disclose any violations in the manner staff responded to or handled these incidents. During multiple interviews conducted during the investigation, R1 denied that staff at the facility had hit or otherwise harmed them and stated that any abuse referenced had occurred prior to moving into the facility. R1 reported that facility staff treated them with respect. During staff interviews, staff and external sources reported that due to R1’s medical condition, R1 often displayed aggressive behaviors toward both staff and themselves. During site visits conducted on November 17, 2025, and December 6, 2025, R1 was observed with no visible signs of abuse or neglect. R1 reported that the bruises referenced in the complaint had resolved months earlier. (Continue at LIC9099C) (continue from LIC9099C) Interviews with staff, external sources and residents did not disclose any corroborating information to support the allegation. Based on observations, interviews, and a review of records, there was insufficient evidence to corroborate the allegation. Although the allegation may have occurred, the investigation did not produce a preponderance of evidence to support that staff hit R1. Therefore, the allegation is deemed unsubstantiated. An exit interview was conducted with Patricia Tapia via telephone. A copy of this report, the LIC 811 Confidential Names List, and the Licensee Rights (LIC 9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Mar 18, 2026 · control 08-AS-20241223102735

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. Upon arrival, LPA identified herself and was granted entry by Caregiver Lizbeth Caudillo. LPA met with Administrator Karina Lopez and explained the purpose of the visit. It was noted that Caregiver Caudillo had a current criminal record clearance; however, she was not associated with this facility. According to the facility license, the facility is approved for a maximum capacity of six (6) elderly residents ages 60 and above, all of whom may be non-ambulatory, and has a hospice waiver for up to four (4) residents. During today’s inspection, six (6) residents were in care, all non-ambulatory. The facility does not have a secured perimeter or delayed-egress doors. LPA Garcia-Centeno, accompanied by Caregiver Caudillo, toured the interior and exterior of the facility, including resident bedrooms. The facility was clean, well-maintained, and free of obstruction or slip hazards. Resident bedrooms contained required furnishings, and all doors, toilets, and showers were operational. Adequate linens and hygiene supplies were available. The facility provided sufficient space and equipment for dining, laundry, visitation, meetings, and activities. The facility’s internal temperature, refrigerator, and freezer were within regulatory ranges. Hot water temperature in the resident-accessible kitchen faucet measured 110 degrees, which is within regulatory limits. The facility maintained at least two (2) days of perishable food and seven (7) days of non-perishable food, all properly stored. Cooking and dining equipment were present. No sharp objects, toxic chemicals, fireplaces, or open-faced heaters were accessible to residents. (continue at LIC809C) (continue from LIC809) Medications were properly labeled and stored in locked areas. Confidential resident and staff records were secured. No pools or bodies of water were observed. Per the Administrator, no firearms or ammunition are kept on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility telephone were operational. Fire extinguishers were serviced within the last 12 months on October 22, 2025. The first aid kit was complete and accessible. Required licensing postings were observed. Emergency drills were conducted in August 2025 and again this morning, November 17, 2025. LPA interviewed staff and residents and reviewed staff and resident files. No licensing concerns were identified through interviews. Resident files contained required documentation. Staff files included proof of current first aid training. The Administrator provided proof of current business liability insurance. Civil penalties in the amount of $900 were assessed for violations and are documented on the attached LIC 421. A plan of correction was developed in coordination with Administrator Karina Lopez. An exit interview was conducted with Administrator Karina Lopez. She was provided copies of this report, LIC 809D Deficiencies, LIC 421 Civil Penalty, and Licensee/Appeal Rights (LIC 9058, 03/22).the state’s words, verbatim · CDSS document, Nov 17, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced case management visit at the facility. LPA was greeted at the front entrance by Caregiver, Lizbeth Caudillo and granted entry after identifying herself. LPA explained the purpose of the visit to Administrator, Karina Lopez. During the visit, LPA Garcia-Centeno discuss the Title 22 regulation requirement for background checks and association of individuals to the facility prior to first day of work. During the annual inspection a caregiver was associated to the facility. An exit interview was conducted with Administrator, Lopez a copy of this report, and Licensee/Appeals Rights (LIC 9058 01/16) was provided.the state’s words, verbatim · CDSS document, Nov 17, 2025

Allegation investigated: Neglect/Lack of Supervision resulting in serious bodily injury Licensee did not provide night supervision

On 11/10/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Administrator Vanessa Nunez and explained the purpose of the call. Regarding the allegation of neglect/Lack of Supervision resulting in serious bodily injury, based on the records provided, resident (R1) was sent to the hospital by facility staff on 12/22/2024 after an unwitnessed fall. Due to R1s neuro cognitive issue, R1 could not recall details about the fall. For the allegation of Licensee did not provide night supervision, the department reviewed facility notes, and it showed that staff are observing R1 all throughout R1s stay in the facility. Staff observations about R1s behaviors are noted at different times of day and night shift. According to interviews, facility has live-in staff who do the night shift. Based on interviews and records review, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Report is reviewed and a copy is provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 10, 2025 · control 08-AS-20241223152834

Allegation investigated: Licensee did not meet incontinence needs

On August 18, 2025, Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a telephone conference with Licensee, Patricia Tapia and Administrator, Vanessa Nunez to present investigative findings. The Department’s investigation included a facility tour, record review, and interviews with staff and external sources. Allegation: Licensee did not meet incontinence needs On August 29, 2023, Community Care Licensing (CCL) received a complaint alleging that the licensee did not to meet a resident’s (R1) incontinence needs. Specifically, it was alleged that on or about August 25, 2023, R1 arrived at an outside agency soaked in urine, marking the third such occurrence. (Continue at LIC9099C) Unsubstantiated (Continue from LIC9099) Review of R1’s records confirmed that R1 required assistance with all activities of daily living, including bathing, grooming, and incontinence care. R1’s care plan indicated that staff were to provide incontinence care every two (2) hours or more frequently as needed. Interviews with staff and outside sources revealed that Monday through Friday, staff assisted R1 at approximately 7:00 a.m. with incontinence care, grooming, and changing clothes before R1 ate breakfast and was transported to the outside agency. Facility records confirmed that R1 attended the outside agency daily, Monday through Friday, from 8:30 a.m. to 4:00 p.m. Staff reported that R1 may have experienced an incontinence episode during transport, which could explain R1’s condition upon arrival at the agency. Interviews with outside sources further indicated that during weekly visits to the facility, R1 was consistently observed clean and without signs of hygiene neglect. No odors were reported at the facility. In addition, interviews with other residents’ responsible parties revealed no concerns regarding incontinence care or staff meeting residents’ needs. The investigation did not yield evidence to support the allegation. Records also showed that during prior visits on June 28, 2022; May 18, 2023; September 7, 2023; and December 5, 2024, the facility was consistently observed to be clean, organized, and free of odors, with no concerns regarding incontinence care. Conclusion Based on the investigation—including record reviews and interviews with staff and external sources—there was insufficient evidence to substantiate the allegation. Therefore, the allegation is deemed unsubstantiated. An exit interview was conducted with Licensee Tapia and Administrator, Nunez. A copy of this report and the Licensee Appeal Rights (LIC 9058 03/22) were provided via email at SUNSETCOASTLIVING@GMAIL.COM , an electronic email receipt confirmed receipt of report.the state’s words, verbatim · CDSS document, Aug 18, 2025 · control 08-AS-20230829084110

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed before the visit. LPA identified herself and was granted entry by Caregiver, Erika Hernandez to whom she disclosed the purpose of the visit. LPA spoke with Administrator, Karina Lopez during the visit. The administrator certificate is current through September 2026. Administrator, Patricia Tapia arrived at the facility during the visit. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents ages 60 and above; all of whom may be non-ambulatory; a hospice waiver approved for four (4) residents. During today’s inspection, there were a total of five (5) residents in care, of which five (5) were non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors. LPA Garcia-Centeno was accompanied by Caregiver, Hernandez while touring the interior and exterior of the facility. In addition, the residents’ rooms were inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The residents’ bedrooms contained the required furnishings. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities for the residents in care. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range. During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to residents was within regulatory range. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. (continue at LIC809C) (continue from LIC809) Medications were labeled, as required and stored in locked areas. Confidential residents and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The fire extinguishers were serviced within the last 12 months. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents present during the visit and reviewed staff and residents' records. LPA interviews did not raise any licensing concerns. The residents' files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The administrator presented proof of current/active business liability insurance and surety bond as required by Title 22 regulations. No deficiencies were cited or observed on this date. The Licensee was provided a copy of her appeal rights (LIC9058 03/22). An exit interview was conducted with Caregiver, Erika Hernandez, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Dec 5, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed before the visit. LPA identified herself and was granted entry by Caregiver, Anna Perez Ocampo to whom she disclosed the purpose of the visit. Administrator, Patricia Tapia arrived at the facility later during the visit. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents ages 60 and above; all of whom may be non-ambulatory; a hospice waiver approved for four (4) residents. During today’s inspection, there were a total of four (4) residents in care, of which four (4) were non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors. LPA Garcia-Centeno was accompanied by Caregiver, Ocampo while touring the interior and exterior of the facility. In addition, the residents’ rooms were inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The residents’ bedrooms contained the required furnishings. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities for the residents in care. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range. During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to residents was within regulatory range. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. (continue at LIC809C) Continue from LIC809 Medications were labeled, as required and stored in locked areas. Confidential residents and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The fire extinguishers were serviced within the last 12 months. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents present during the visit and reviewed staff and residents' records. LPA interviews did not raise any licensing concerns. The residents' files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The administrator presented proof of current/active business liability insurance and surety bond as required by Title 22 regulations. No deficiencies were cited or observed on this date. The Licensee was provided a copy of her appeal rights (LIC9058 01/16). An exit interview was conducted with Administrator, Patricia Tapia, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Dec 8, 2023