Sunset Coast Assisted Living 4

Allegation investigated: Licensee did not follow reporting requirements

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint investigation visit to address the above allegation. Upon arrival, LPA Garcia-Centeno introduced herself and disclosed the purpose of the visit to Caregiver Stephanie Valdes. During the visit, the LPA also interviewed Administrator Vanessa Nunez over the telephone. A review of staff records confirmed that all staff present at the facility had criminal record clearances on file. The Department conducted an investigation into the above-listed allegation. The investigation included a tour of the facility, interviews with staff and residents, and a review of facility and resident records. On February 17, 2026, Community Care Licensing (CCL) received a complaint alleging that the facility failed to follow reporting requirements related to an incident involving Resident 1 (R1), which resulted in R1 being transported to the hospital for medical attention. Staff were provided with LIC811 to identify R1. (continue at LIC 9099C) Unfounded (continue from LIC 9099) Specifically, it was alleged that facility staff did not inform R1’s responsible party of the details of the incident that led to R1 being transported via 911. A review of facility and resident records revealed that R1 was admitted to the facility on February 2, 2026. At the time of admission, the only responsible party listed was the placement agency. Documentation showed that on February 3, 2026, facility staff notified the placement agency when R1 was transported to the hospital. Records further confirmed that the facility reported the incident to CCL as required. Based on the documents reviewed, the facility followed reporting requirements in accordance with Title 22 regulations. Based on observations, interviews with staff and R1, and a review of relevant facility and resident records, there was insufficient evidence to support the allegation. Therefore, the Department has determined the complaint allegation to be unfounded, meaning the allegation was false, could not have occurred, and/or lacks a reasonable basis. An exit interview was conducted with Caregiver Stephanie Valdes. A copy of this report, the Confidential Names List (LIC 811), and Licensee Appeal Rights (LIC 9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 27, 2026 · control 08-AS-20260217113812

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dang Nguyen made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Alba Bencomo. LPA then met with Licensee Vanessa Nunez and Administrator Karina Lopez, who arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. According to LIC602 Physician’s Reports, staff interviews, and LPA observation: During this annual inspection, there were a total of six (6) residents in care, of whom all were non-ambulatory, per their respective doctors. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter, and neither of these were present. During this inspection, LPA interviewed multiple staff, observed multiple residents, toured the interior and exterior of the facility, inspected all common areas and bedrooms. LPA also reviewed the care records for all residents and the personnel and training files for all current staff. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene, and Personal Protective Equipment (PPE) supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility’s ambient internal temperature was complaint at 73 F. Hot water at taps used by residents for grooming were compliant in temperature: Bathroom #1 was 112.3 F. Appliances to preserve perishable food were also complaint in temperature. There were at least (2) days of perishable food and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. No fireplaces or pools/bodies of water observed on the premises. There were no open-faced heaters accessible to residents. Smoke detectors, carbon monoxide detector, emergency lighting, night lights, and facility telephone were all working. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. Per the Licensee, no firearms or ammunition were kept at the facility. Licensee presented proof of current business liability insurance. Review of training records showed direct care staff met initial and annual training requirements described in regulations, to include training on PPE and the facility’s written Emergency and Disaster Plan. No deficiencies were cited during this annual inspection. An exit interview was conducted with Licensee Vanessa Nunez and Administrator Karina Lopez, to whom a copy of this a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today's visit.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Stephanie Gonzalez. LPA then met with Licensee Vanessa Nunez, who arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. According to LIC602 Physician’s Reports, staff interviews, and LPA observation: During this annual inspection, there were a total of five (5) residents in care, of whom all were non-ambulatory, per their respective doctors. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter, and neither of these were present. During this inspection, LPA interviewed multiple residents and multiple staff. LPA reviewed the care records for all residents and the personnel and training files for all current staff. LPA also toured the interior and exterior of the facility and inspected all common areas and bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene, and Personal Protective Equipment (PPE) supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility’s ambient internal temperature was complaint at 72 F. Hot water at taps accessible to residents were compliant in temperature: Kitchen Sink was 111.9 F, Bathroom #1 Sink was 116.8 F, and Bathroom #2 Sink was 118.6 F. Appliances to preserve perishable food were also complaint in temperature: Refrigerator was 35 F and Freezer was 0 F. There were at least (2) days of perishable food and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. No fireplaces or pools/bodies of water observed on the premises. There were no open-faced heaters accessible to residents. Smoke detectors, carbon monoxide detector, emergency lighting, night lights, and facility telephone were all working. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. Per the Licensee, no firearms or ammunition were kept at the facility. Licensee presented proof of current business liability insurance. Review of training records showed: Direct care staff met initial and annual training requirements described in regulations, to include training on PPE and the facility’s written Emergency and Disaster Plan. No deficiencies were cited during this annual inspection. LPA issued Technical Assistance (TA) regarding refresher training for staff on California Mandated Reporting requirements (refer to the LIC9102-TA page). An exit interview was conducted with Licensee Vanessa Nunez, to whom a copy of this a copy of this report, the LIC9102-TA page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today's visit.the state’s words, verbatim · CDSS document, Feb 25, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representative, Vanessa Nunez. The facility fire clearance was granted on 06/02/2023 and reflected that the facility was approved for six (6) residents in total, of which all may be non-ambulatory and none may be bedridden. The facility's fire clearance did not include delayed-egress door or secured perimeter endorsements, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. The facility’s ambient internal temperature was compliant at 73 degrees F. Hot water temperature at taps accessible to residents were also compliant: Kitchen sink was 117.6 F, Bathroom #1 sink was 117.1 F, and Bathroom #2 sink was 118.4 F. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. Refrigerator temperature was 39.3 F, and freezer temperature was -5 F. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant’s representative, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. The facility's fire extinguisher was serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. Nunez was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant’s representative, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 14, 2024