Sunset Residential Care

Allegation investigated: Staff caused injuries to a resident

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to for a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Caregiver Hilda Becerril and Volunteer Lucila Albarran. Administrator Yanet Puentes arrived later during the visit. On 11/20/2025, the Department received a complaint where it was alleged that facility staff had caused bruising to a resident (identified as R1). The complaint noted that R1 had been experiencing increased agitation and self-injurious behavior and expressed sudden dislike of a caregiver (identified as S1). The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources. [Continued on LIC 9099-C] Unsubstantiated [Continued from LIC 9099] R1 is a bed-ridden resident at the facility with a diagnosis of Dementia. Three (3) separate interviews with outside sources central to R1's medical care corroborated that R1 has thin skin, with one (1) additionally noting that R1 has a history of bruising and hitting themselves against their bed railings, along with an aversion to touch. Two (2) noted reports of increased agitation and aggression by R1 towards care staff, but revealed no concerns about R1's care at the facility. R1 having thin or fragile skin and easily bruising was corroborated by two (2) facility staff members, and one additional staff member interviewed stated that R1 tends to occasionally get agitated and begin wrapping sheets around their hands, or hitting things around them. Four (4) facility staff members corroborated that R1 has aggressive behaviors, with two (2) specifying they tend to increase around toileting. Per staff interviews, R1 constantly requests toileting assistance but then will not want to be assisted by staff and becomes combative. One (1) staff member interviewed stated that on one such occasion R1 began wrapping their hands in blankets then hitting their hands and arms against their side table and bed railings, resulting in bruising. Resident interviews revealed no concerns regarding their care at the facility. An additional outside source interviewed also corroborated an increase in R1's agitated and combative behaviors, and attributed them to R1's Dementia. File review of R1's records note R1's behaviors of disorientation but none regarding aggressive behaviors. Additional file review of hospice records revealed an order for a medication to help with R1's "agitation/restlessness." Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred – therefore the allegation have been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Puentes to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jan 23, 2026 · control 08-AS-20251120102637

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Yanet Puentes. The facility's license shows a maximum capacity of six (6), 60 and over non-ambulatory residents. Hospice Waiver approved for 4. LPA arrived at 7:15 am to the facility. At 7:50 am, the staff and residents files were shared with LPA. At 8:40 am, LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. LPA and licensee reviewed the medications cabinet. Medications were labeled, as required, and stored in locked areas. MAR is not required, but medications are being administrated from the bubble wraps with no particular order. No pools, bodies of water exist on the premises. A fireplace is keep in the premises with a barrier for residents' safety. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Water temperatures were measured around the facility with the following readings in Fahrenheit degrees: kitchen sink 114.4, bathroom one 111, bathroom two 107.8. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited per California Code of Regulations, Title 22 (refer to the LIC809-D page). No Civil Penalty was assessed. Plan of Correction was jointly developed with Licensee. An exit interview was conducted with Licensee Yanet Puentes, to whom 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, Dec 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Staff Romelia Solis and Volunteer Patricia Moreno. Administrator Yanet Puentes arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents. The facility also had an approved hospice waiver for four (4). The LPA toured the interior and exterior of the facility, and inspected resident bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Bathroom sinks and showers delivered water within the required range. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled and stored in locked areas. No pools, nor bodies of water were observed on the premises. Per staff, no firearms ,nor ammunition were kept at the facility. Carbon monoxide detector and facility telephone were all working. Required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records. The LPA provided technical advise and cited deficiencies in an LIC 809D form. A plan of correction was jointly formulated with the administrator. An exit interview was conducted with Administrator Puentes, to whom a copy of this report, LIC 809D, LIC 811 forms, and the Licensee/Appeal Rights (LIC9058), were provided via email. An email read receipt confirms the documents were received by the administrator.the state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: POC

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Plan Of Correction (POC) visit. The LPA introduced himself, and disclosed the purpose of the visit to Administrator Yanet Puentes. During the visit, the LPA reviewed records, cleared POCs, and provided the administrator Plan of Correction Letters. An exit interview was conducted with Administrator Puentes, to whom a copy of this report, and Applicant/Licensee Rights (LIC 9058), were provided.the state’s words, verbatim · CDSS document, Jan 25, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and discussed the purpose of the visit with Caregiver Elena Razo. Licensee Yanet Puentes arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6), approved for six (6) non-ambulatory residents, and a hospice waiver of four (4). At the time of the visit the facility had a census of three (3). The LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings, including personal storage space and linens. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, and stored in a locked area. No pools or bodies of water on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon Monoxide, fire extinguisher(s), and required licensing postings were observed in visible areas. LPA interviewed staff and reviewed multiple staff and resident records. Some of the required records were not present at the time of the visit. These deficiencies were cited an LIC 809D and a plan of correction was jointly formulated with the Administrator. An exit interview was conducted with licensee Puentes, to whom a copy of this report, the LIC 9099D, LIC 811, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Dec 28, 2023