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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881719
Report Date: 04/22/2026
Date Signed: 04/22/2026 05:04:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2025 and conducted by Evaluator Venus Mixson
COMPLAINT CONTROL NUMBER: 18-AS-20251003153819
FACILITY NAME:VISTA SENIOR LIVING, LLCFACILITY NUMBER:
371881719
ADMINISTRATOR:KAKANI, SHRIKANTFACILITY TYPE:
740
ADDRESS:222 WASHIGTON STTELEPHONE:
(619) 791-5495
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:15CENSUS: 12DATE:
04/22/2026
UNANNOUNCEDTIME BEGAN:
04:38 PM
MET WITH:LICENSEE, SHRIKANT KAKANITIME COMPLETED:
04:39 PM
ALLEGATION(S):
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Staff forcefully grabbed resident
INVESTIGATION FINDINGS:
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On April 22, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Licensee, Shrikant Kakani. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation.
On October 03, 2025, Community Care Licensing received a complaint alleging Staff #1 (S1), forcefully grabbed Resident #1 (R1). It was reported that Staff #1 forcefully grabbed R1 by the wrist. Information obtained from interview with the Licensee denied the allegation occurred. Licensee stated R1 picked up documents that they were not supposed to have and Staff #1 removed the documents from R1’s hands. Licensee stated there was no force or intent of malice by Staff #1. Information obtained by Staff #1 stated that . Information obtained from interviews with additional staff members indicated that they did not see any of the staff members forcefully grab R1 by the wrist.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
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 2
Control Number 18-AS-20251003153819
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VISTA SENIOR LIVING, LLC
FACILITY NUMBER: 371881719
VISIT DATE: 04/22/2026
NARRATIVE
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 Information obtained from an interview with R1 stated that they do not feel as though this occurred. R1 also stated that they felt that staff members do not violate their personal rights. Information obtained from interviews with additional residents indicated there were no shared concerns regarding the staff members infringing on their personal rights. LPA made numerous attempts to contact and interview additional relevant parties and was unable to obtain additional information. LPA’s review of the records, including resident and staff files, did not disclose any concerns advise of inappropriate interactions between Staff #1 or any other resident.

Based on information obtained from interviews, record reviews, and observations, the evidence received regarding the allegation that staff forcefully grabbed resident, has been deemed unsubstantiated. An unsubstantiated allegation means although the allegation may have happened or is valid, there is not a preponderance of evidence to demonstrate the alleged violation did or did not occur.

An exit interview was conducted and a copy of this report was discussed and given to the Licensee, Shrikant Kanani.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2