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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604417
Report Date: 11/14/2025
Date Signed: 11/14/2025 01:35:54 PM

Unsubstantiated


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
11/05/2025 and conducted by Evaluator David Roman
COMPLAINT CONTROL NUMBER: 08-AS-20251105082952
FACILITY NAME:SONRISA VILLA INC.FACILITY NUMBER:
134604417
ADMINISTRATOR:OSCAR CHAVEZFACILITY TYPE:
740
ADDRESS:708 E. 5TH ST.TELEPHONE:
(760) 756-3285
CITY:HOLTVILLESTATE: CAZIP CODE:
92250
CAPACITY:175CENSUS: 90DATE:
11/14/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Facility Manager, Gabriela Zamora TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff forced residents to move to other rooms in the facility.
Staff did not ensure the facility was kept free of pests.
Staff did not provide proper medication assistance to residents in care.
Staff exposed residents to an unknown chemical causing discomfort to residents in care.
Resident rooms are not kept clean.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) David Roman conducted an unannounced visit to conduct a complaint investigation. LPA D. Roman identified himself and discussed the purpose of the visit with Facility Manager, Gabriela Zamora.

On November 05, 2025, Community Care Licensing Division (CCLD) received the above complaint allegations. During the investigation, LPA D. Roman reviewed pertinent facility records, conducted interviews with residents, and staff. LPA D. Roman along with facility staff conducted a tour of the interior and exterior of the facility.

Interviews revealed scheduled, timely, and adequate care for residents. Proper medication support services. Interviews also disclosed no pest infestations however, interviews reported pest control services being provided. LPA observed no pest infestations, LPA observed housekeeping services, medication support services and care being provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
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 2
Control Number 08-AS-20251105082952
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: SONRISA VILLA INC.
FACILITY NUMBER: 134604417
VISIT DATE: 11/14/2025
NARRATIVE
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Based on evidence obtained, the preponderance of evidence standard was not met, therefore, the allegations are unsubstantiated.

An exit interview was conducted with Facility Manager, Gabriela Zamora, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2