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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 445202756
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:45:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2026 and conducted by Evaluator Marcella Tarin
COMPLAINT CONTROL NUMBER: 26-AS-20260303091811
FACILITY NAME:SUNSHINE VILLA ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
445202756
ADMINISTRATOR:BOLIN, CANDACEFACILITY TYPE:
740
ADDRESS:80 FRONT STREETTELEPHONE:
(831) 459-8400
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY:132CENSUS: 108DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:General Manager Candace BolinTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff allowed a non-resident to sleep in common area at facility.
Staff worked while under the influence of marijuana, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care.
Staff did not provide hygiene care to resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced complaint visit to deliver complaint findings. LPA met with General Manger (GM) Candace Bolin. LPA stated the purpose of the visit.

On 3/3/2026 the department received a complaint about the above allegations.

On 3/11/26 the department interviewed the Reporting Party (RP). RP alleges in December 2025 he/she observed a staff from an outside agency allow his/her ‘boyfriend’ to sleep in the facility. RP stated he/she did not know the name of the staff, and he/she did not report this incident to Sunshine Villa management.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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 3
Control Number 26-AS-20260303091811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 445202756
VISIT DATE: 07/09/2026
NARRATIVE
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On 3/9/2026 and 6/9/2026, the Department interviewed 8 Staff (S1 to S8). 7 Out of 8 staff stated he/she is not aware of and has not observed staff sleeping in the common areas at the facility. S6 stated he/she observed a staff asleep at the facility and reported to management. S6 did not provide additional information

On 3/9/2026, the Department interviewed 6 Residents. 5 out 6 Residents stated he/she is not aware of and has not observed staff sleeping in the common areas at the facility. R2 declined to be interviewed.

There are zero reports for December 2025 of staff sleeping in common areas at the facility.

On 7/9/2026, the Department interviewed General Manager (GM) Candace Bolin. GM states she is not aware of and has not observed staff sleeping in the common facility areas in 2025 or 2026.

Staff worked while under the influence of marijuana, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care
On 3/11/26 the department interviewed the Reporting Party (RP). RP alleges he/she observed three facility staff under the influence of marijuana. RP stated he/she reported this incident to facility management on 1/10/2026.

On 3/9/2026 the Department interviewed 6 Residents (R1 to R6). 6 Out Of 6 Residents stated he/she has never observed a staff to be under the influence of marijuana at any time.

On 3/9/2026 and 6/9/2026, the Department interviewed 8 Staff (S1 to S8). 6 Out of 8 staff stated he/she has not observed staff under the influence of marijuana while providing care to residents at any time. S1 stated he/she is aware of an allegation of a staff being under the influence of marijuana in late January 2026. S1 stated the facility investigated the allegation, and no additional follow up was required. S7 states he/she observed a staff as acting 'different' on one occasion and reported to management.

Review of correspondence dated 2/5/2026 notes facility management investigated the allegation of a staff being under the influence of marijuana. No date of the incident was noted, and no ‘evidence’ was discovered during the investigation.

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SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 26-AS-20260303091811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 445202756
VISIT DATE: 07/09/2026
NARRATIVE
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On 7/9/2026 the Department interviewed GM Candace Bolin. GM stated she is not aware of staff being under the influence of marijuana at anytime.

Staff did not provide hygiene care to residents
On 3/11/26 the Department interviewed the Reporting Party (RP). RP stated facility staff did not provide hygiene care to residents.

On 3/9/2026, the Department interviewed 6 Residents. 4 Out of 6 Residents stated he/she does not need assistance from staff. R2 declined to be interviewed. R3 did not respond to the question.

On 3/9/2026 and 6/9/2026, the Department interviewed 8 Staff (S1 to S8). 8 Out of 8 staff stated he/she checks on and assists residents. S5 stated he/she checks on residents every 30 minutes to 1 hour. S6 states he/she checks on residents every hour.

On 7/9/2026 the Department interviewed GM Candace Bolin. GM states she is not aware of staff not providing hygiene care to residents. GM states when residents call for assistance, if a caregiver is assisting with another resident, another caregiver will respond to the residents call for assistance.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with GM Candace Bolin and a copy of this report was provided.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
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