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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604528
Report Date: 08/05/2026
Date Signed: 08/05/2026 03:15:47 PM

Substantiated


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
10/20/2025 and conducted by Evaluator David Roman
COMPLAINT CONTROL NUMBER: 08-AS-20251020150354
FACILITY NAME:SUNSET VILLA ASSISTED LIVINGFACILITY NUMBER:
134604528
ADMINISTRATOR:GARCIA, SIKLALICFACILITY TYPE:
740
ADDRESS:1203 DRIFTWOOD DRIVETELEPHONE:
(760) 592-4001
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY:0CENSUS: 0DATE:
08/05/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Licensee, Quetzali Kahns TIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not prevent scabies outbreak.
Staff left residents in soiled diapers.
Staff are not following infection control requirements.
INVESTIGATION FINDINGS:
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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
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 08-AS-20251020150354
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 VILLA ASSISTED LIVING
FACILITY NUMBER: 134604528
VISIT DATE: 08/05/2026
NARRATIVE
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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.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20251020150354
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 VILLA ASSISTED LIVING
FACILITY NUMBER: 134604528
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2026
Section Cited
CCR
87470(b)(2)
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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.
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Licensee closed facility on 10/22/2025.
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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.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20251020150354
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 VILLA ASSISTED LIVING
FACILITY NUMBER: 134604528
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
HSC
1569.618(c)
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Other Provisions (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members...
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Licensee closed their facility on 10/20/2025.
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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.
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Type B
07/31/2026
Section Cited
CCR
87468.1(a)(2)
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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.
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Licensee closed their facility on 10/20/2025.
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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.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4