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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 134604417
Report Date: 01/08/2026
Date Signed: 01/08/2026 07:50:24 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
06/09/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250609082218
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: 79DATE:
01/08/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Licensee, Kamran ShiraziTIME COMPLETED:
08:00 PM
ALLEGATION(S):
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Conduct Inimical
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Natasha Persaud, Amy Rodgers, Amy Domingo, Licensing Program Maanger (LPM) Lizette Tellez, and Regional Manager, Jerry Romero conducted an unannounced visit to deliver findings in the above complaint allegation. The purpose of the visit was discussed with Licensee, Kamran Shirazi and Administrator, Teresita Reyes.

On June 9, 2025, Community Care Licensing (CCL) received a complaint alleging Staff 1 (S1) was under the influence of narcotics while providing care to residents. Details of the allegation state that on June 1, 2025, S1 began their caregiving shift, at approximately 3:00pm. During S1’s break, they were observed by multiple staff retrieving an item from a car and returning to work with swollen and inflamed eye lids and partially closed eyes. Staff reported that S1 was not responding to their instructions. According to Staff #2 (S2) and Staff #3 (S3), S1 became unresponsive and cardiopulmonary resuscitation was initiated by S3 inside the facility. Emergency response records collected revealed that emergency personnel arrived at the facility at roughly 5:08pm to assist with an unresponsive staff. Continued on an LIC 9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
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 08-AS-20250609082218
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: 01/08/2026
NARRATIVE
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Such records also revealed S1 was administered a rapid reversal opioid medication to assist with narcotic overdoses. Medical records confirmed S1 was diagnosed with an apparent overdose on fentanyl.  

Based on interviews conducted, review of records, including outside sources records, a preponderance of evidence exists to support the allegation that S1 was under the influence of narcotic drugs while providing care. The allegation was substantiated. A deficiency was cited per the Health and Safety Code (refer to the attached LIC 9099-D). An exit interview was conducted with Licensee, Kamran Shirazi, and a Plan of Correction was jointly developed. A copy of this report, LIC811, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Licensee, Kamran Shirazi, signature on this form confirms receipt of documents. 
 
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20250609082218
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2026
Section Cited
HSC
1569.58
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Persons prohibited from being a licensee, owning beneficial interest in licensed facility, or holding certain positions... for reinstatement. Engaged in conduct that is inimical to the health...welfare, or safety...receiving services from the facility, or ...State of California
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Staff was terminated. POC corrected.
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This requirement is not met as evidenced by:
Based on interviews and record review, the licensee's staff engaged in conduct inimical in 1 out of 30 [S1] staff, which posed an immediate health and safety risk to evident 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.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3