Sunset Villa Assisted Living

Allegation investigated: Staff did not prevent scabies outbreak. Staff left residents in soiled diapers. Staff are not following infection control requirements.

Licensing Program Analyst (LPA) David Roman conducted a phone call/zoom meeting to deliver findings in the above complaint allegations. LPA identified himself and discussed the purpose of the contact with Licensee, Quetzali Khanis. On October 20, 2025, Community Care Licensing Division (CCLD) received a complaint alleging staff did not prevent scabies outbreak, staff left residents in soiled diapers, and staff are not following infection control requirements. During the investigation, LPA D. Roman collected pertinent facility records and conducted interviews with staff. Regarding the allegations of staff did not prevent scabies outbreak and staff are not following infection control requirements. Staff interviews revealed that the facility did not have sufficient personal protective equipment for caregivers to use when caring for infected residents. Staff interviews also revealed that facility management was not transparent in disclosing the contagious scabies outbreak, nor followed infection control requirements. (Cont. on LIC 9099-C) Substantiated Regarding the allegation of staff left residents in soiled diapers. Staff interviews revealed that the facility was severley understaffed. Interviews revealed that facility management directed caregiver staff to double residents diapers. Staff interviews also revealed that caregivers were covering multiple shifts and working longer hours. Based on the evidence obtained, the preponderance of evidence standard was met, therefore, the allegations are Substantiated. The deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and is noted on the attached LIC 9099-D. A plan of correction was jointly formulated with Licensee, Quetzali Kahns. An exit interview was conducted with Licensee, Quetzali Kahns, to whom a copy of this report, LIC 9099D and Licensee/Appeals Rights (LIC 9058) were provided.the state’s words, verbatim · CDSS document, Aug 5, 2026 · control 08-AS-20251020150354

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87470(b)(2) · Plan of correction due date: Jul 31, 2026

Infection Control Requirements: All staff... providing direct care to a resident who has a contagious disease shall wear Personal Protective Equipment to prevent exposure to infectious agents... gloves, gowns, masks, respirators, shoe coverings and eye protection. Based on LPA interviews the Licensee did not provide PPE to facility staff which posed a health and safety risk to 12 of 12 residents in care.the state’s words, verbatim · CDSS document, Aug 5, 2026

Plan of correction: Licensee closed facility on 10/22/2025.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.618(c) · Plan of correction due date: Jul 31, 2026

Other Provisions (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members... Based on LPA interviews the Licensee did not employ a sufficient number of staff which posed a health and safety risk to 12 of 12 residents in care.the state’s words, verbatim · CDSS document, Aug 5, 2026

Plan of correction: Licensee closed their facility on 10/20/2025.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jul 31, 2026

Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on LPA interviews residents were not provided with healthful and comfortable accommodations when double diapered which posed a health and safety risk to 12 of 12 residents in care.the state’s words, verbatim · CDSS document, Aug 5, 2026

Plan of correction: Licensee closed their facility on 10/20/2025.

Allegation investigated: Questionable death. Staff are inappropriately administering medication to residents. Underaged staff providing care to residents. Staff are not meeting residents laundry needs.

Licensing Program Analyst (LPA) David Roman conducted an over the phone meeting to deliver findings regarding the above complaint allegations. LPA introduced himself and disclosed the purpose of the phone call to Licensee, Quetzali Kahns. On October 20, 2025, Community Care Licensing Division (CCLD) received a complaint alleging a questionable death, staff are inappropriately administering medication to residents, underaged staff providing care to residents, and staff are not meeting residents’ laundry needs. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, and records review. It was alleged that a resident's cause of death was related to a fall at the facility however, CCLD’s Investigative Bureau identified the resident’s death was due to their underlying health issues. (Cont. on LIC-9099C) Unsubstantiated Interviews with facility staff revealed that a DSP was terminated for having accidentally dropped an elderly client, interviews were unsure if the client dropped was the resident in question pertinent to the questionable death. Interviews with facility staff confirmed that medications were appropriately provided to the residents in care. Staff interviews revealed no underage staff was providing care to residents. Staff Interviews also revealed that resident’s laundry needs were being met although washer machines may have been broken the facility had its laundry needs met at their sister facilities. Records Review revealed that the resident was admitted into the facility on June 23, 2025. The client had a DNR on file. The resident’s Physician’s Assessment identified that the resident was DX of Alzheimer’s/Dementia w/hallucinations w/behavioral disturbances, hypertension, chronic atrial fibrillation, thyroidism, and hypercholesterolemia. Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Licensee, Quetzali Khans, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Aug 5, 2026 · control 08-AS-20251020150354

Allegation investigated: Staff did not provide assistance to resident in care resulting in a fall.

Licensing Program Analyst (LPA) David Roman conducted a phone call contact to deliver findings in the above complaint allegation to the Licensee, Quetzalli Kahnis. LPA identified himself and discussed the purpose of the call with Facility Licensee, Quetzalli Kahnis. On June 24, 2025, Community Care Licensing Division (CCLD) received a complaint alleging facility staff did not provide assistance to resident in care resulting in a fall. During the investigation, LPA D. Roman reviewed pertinent facility records, conducted interviews with residents, staff, and outside sources. Resident interviews revealed contradicting information regarding the ratio of staff at the facility. Staff interviews revealed that the facility was understaffed. Caregivers reported multiple incidents in which their ratio was (1) one staff caring for (12) twelve residents for at least two hours. (Cont. on LIC9099C) Substantiated Based on the evidence obtained, the preponderance of evidence standard was met, therefore, the allegation was Substantiated. The deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and is noted on the attached LIC 9099-D. An exit interview was conducted with Facility Licensee, Quetzalli Kahnis, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058) were provided via email.the state’s words, verbatim · CDSS document, May 21, 2026 · control 08-AS-20250624144211

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: May 21, 2026

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This regulation was not met as evidenced by LPA record review, observations and interviews. Licensee did not meet staffing regulations which threatened the physical, emotional or health & safety of 12 of 12 residents in care.the state’s words, verbatim · CDSS document, May 21, 2026

Plan of correction: The facility has been closed as of 12/05/2025.

Allegation investigated: Staff did not provide assistance to resident in care resulting in a fall.

Licensing Program Analyst (LPA) David Roman conducted a phone call contact to deliver findings in the above complaint allegation to the Licensee, Quetzalli Kahnis. LPA identified himself and discussed the purpose of the call with Facility Licensee, Quetzalli Kahnis. On June 24, 2025, Community Care Licensing Division (CCLD) received a complaint alleging facility staff did not provide assistance to resident in care resulting in a fall. During the investigation, LPA D. Roman reviewed pertinent facility records, conducted interviews with residents, staff, and outside sources. Resident interviews revealed contradicting information regarding the ratio of staff at the facility. Staff interviews revealed that the facility was understaffed. Caregivers reported multiple incidents in which their ratio was (1) one staff caring for (12) twelve residents for at least two hours. (Cont. on LIC9099C) Substantiated Based on the evidence obtained, the preponderance of evidence standard was met, therefore, the allegation was Substantiated. The deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and is noted on the attached LIC 9099-D. An exit interview was conducted with Facility Licensee, Quetzalli Kahnis, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058) were provided via email.the state’s words, verbatim · CDSS document, May 21, 2026 · control 08-AS-20250624144211

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: May 21, 2026

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This regulation was not met as evidenced by LPA record review, observations and interviews. Licensee did not meet staffing regulations which threatened the physical, emotional or health & safety of 12 of 12 residents in care.the state’s words, verbatim · CDSS document, May 21, 2026

Plan of correction: The facility has been closed as of 12/05/2025.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) David Roman conducted a case management visit for the purpose of monitoring the facility closure. LPA met with Administrator, Quetzali Kahnis to discuss the purpose of the visit and to obtain additional information in regards to the progress of the facility closure. The Administrator advised LPA on 11/25/25 of their plans to sell the property and close the facility. During today's visit LPA along with facility staff conducted a tour of the interior and exterior of the property to confirm the closure of operations of the Residential Care Facility for Elderly (RCFE). LPA D. Roman confirmed that the administrator has terminated all operations and collected the site license. LPA also confirmed that there are no residents in care. According to the licensee, all residents have been transferred to another facility and one resident returned to their family. An exit interview was conducted with the Administrator, Quetzali Kahnis, Licensee Rights along with a copy of this report was provided to Administrator and their signature on this form confirms receipt of the report and their rights.the state’s words, verbatim · CDSS document, Dec 5, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) David Roman conducted an unannounced Case Management Inspection. LPA D. Roman identified himself to Evelyn Ramirez, and discussed the purpose of the visit. LPA D. Roman informed the caregiver to have contacted the Licensee/Administrator, Quetzali Kahnis via telephone. The Administrator reported that the Sunset Villa will be closing and that they have provided the resident's POA with a 60 day notice. During today's visit, LPA D. Roman along with facility staff toured the interior and exterior of the facility and inspected bedrooms and bathrooms. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Smoke alarms and fire extinguishers were present. Medication is in locked cabinets. Cooking/dining equipment and utensils were present, residents are provided with cooked meals. There were no toxic chemicals/poisons accessible to residents, medication are locked. No pools or bodies of water on the premises. LPA D. Roman inquired on the new residents records file. Facility staff provided 1 complete record for a new resident reporting to have face sheets in an emergency binder for the 4 of 5 residents that recently moved in from their sister facility Majestic Villa, which closed. Facility staff reported that the residents were moved into the facility on 10/15/2025. An exit interview was conducted with caregiver staff, Evelyn Ramirez, to whom a copy of this report, deficiencies page, and the Licensee/Appeal Rights were provided during the visit.the state’s words, verbatim · CDSS document, Oct 22, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(b)(15) · Plan of correction due date: Nov 5, 2025

Resident Records 87506 (b) Each resident’s record shall contain at least the following information: (15)The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. Based on record review, the licensee did not comply with the section cited above in 4 out of 4 residents, by having incomplete or missing required documentation which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 22, 2025

Plan of correction: Licensee is to provide the Department proof of completion by POC date.

Type of visit: Required - 1 Year

Licensing Program Analyst, David Roman (LPA D. Roman), conducted an unannounced 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 Administrator, Siklalic Garcia. According to the facility’s license, the facility has a maximum capacity of 12 clients, of whom all may be non-ambulatory and two of which may be bedridden. LPA D. Roman toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 105 degrees F. No pools or bodies of water on the premises. Per Administrator, Siklalic Garcia, no firearms or ammunition are kept at the facility. Smoke alarms and carbon monoxide detectors were tested at 11:15 AM. Emergency lighting and facility telephone were all working. Fire extinguishers were present and serviced on 11/03/2024. First aid kits were complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. An exit interview was conducted with Administrator, Siklalic Garcia, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit. Their signature acknowledges the receipt of their rights.the state’s words, verbatim · CDSS document, Jun 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility background was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by Facility Manager Angelica Quintero. LPA discussed the purpose of the visit with Facility Manager Quintero. According to the facility’s license, there may be a maximum of 12 residents all of whom may be non-ambulatory; 4 of which may be bedridden with rooms 5 and 6 to be used for bedridden residents; and hospice is approved for 4 residents, in at any given time at the facility site. During today’s inspection, the facility’s current census is 8 residents living at the facility. There were 8 residents present at the facility site during the inspection. LPA, accompanied by House Manager Quintero, 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, 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 activities. The facility’s ambient internal temperature was comfortable and compliant, between 73-degrees and 76-degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were not all compliant: kitchen sink delivered hot water at 145 degrees F but according to staff is only used by staff; sink in restroom #1 delivered hot water at 138.6 degrees F; sink in restroom #2 delivered hot water at 137 degrees F; hot water in restroom #3 delivered hot water at 116.4 degrees F. 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, and all safely stored. There were no toxic chemicals/poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked cabinet. LPA inspected the medication and found that medications were properly labeled. The facility-maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per Facility Manager Quintero, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present (03) and serviced within the last 12 months. First aid kit was complete and readily accessible. LPA interviewed residents and staff. LPA reviewed staff and resident records. During today’s visit there were 8 residents on the facility premise but one left during the visit. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be reviewed on the LIC809-D page of this report. An exit interview was conducted with House Manager Angelica Quintero to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested House Manager Quintero to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, Emergency Disaster Plan LIC 610-E, and Residential Infection Control Plan LIC 9282 (6/23), to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Mar 7, 2024

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required annual inspection and in conjunction conducted this case management visit at the facility. LPA Lopez identified herself and was granted entry by Angelica Quintero, House Manager. LPA stated the purpose of the visit and reviewed the basic elements of the visit with House Manager Quintero. During today’s visit, LPA provided the House Manager consultation and provided additional information regarding the Department’s website, Records to be Maintained at the Facility – Residential Care Facility for the Elderly (LIC 311F), Changes to Administrator Certification Training Requirements (PIN 23-14-CCLD), Criminal Background Clearance Transfer Request (LIC9182) and Criminal Record Exemption Transfer Request (LIC 9188) Form Updates (PIN 23-08-CCLD), Residential Care Facilities for the Elderly Reference Guide to Administrator, Staff, and Volunteer Training Requirements (PIN 23-16-ASC), Revised Infection Control Regulations and Permanent Adoption (PIN 23-12-ASC); and 2023 Chaptered Legislation Affecting Adult and Senior Care Facilities: Summary and Implementation (PIN 23-19-ASC). No deficiencies were observed or cited during the case management visit. An exit interview was conducted with House Manager Angelica Quintero and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 3/22) were provided to the House Manager at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Mar 7, 2024