SUNRISE PRIVATE CARE

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having knife cabinet unlocked and unlocked lighter which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Administrator locked up the lighter and knife cabinets during inspection. Deficiency cleared.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having tile flooring, screen doors, and hallway lights in disrepair and cobwebs in the deck areas which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2025 Plan of Correction Administrator has agreed to repair/replace the tile flooring in the bathroom, screen doors, and hallway light. Additionally, Administrator has agreed to clean up the cobwebs in the deck areas. Administrator will submit picture proof to CCLD by POC date.

Official classification

Type B

Official code

87468(a)

Regulation authority

CCR

What the official deficiency says

Personal Rights. Residents in residential care facilities for the elderly shall have personal rights which include...those listed in Sections 87468.1...and 87468.2... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not providing written notice regarding facility renovation which poses a potential personal rights violation to the persons in care.

Official plan of correction

Facility has agreed to review the regulations pertaining to personal rights and submit written statement of understanding to CCLD by POC date.

Deadline recorded: Jun 10, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days... specified in (A) through (D) below... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not notifying CCLD regarding facility renovations which poses a potential health and safety risk to the persons in care.

Official plan of correction

Facility has agreed to submit a written statement detailing facility renovations and submit a copy to CCLD by POC date.

Deadline recorded: Jun 10, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having chest x-ray results on file which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Facility has agreed to obtain a copy of S2's chest x-ray and submit a copy to CCLD by POC date.

Official classification

Type B

Official code

87311

Regulation authority

CCR

What the official deficiency says

All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having a telephone service on premises which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Facility has agreed to obtain a telephone service and provide a receipt/or documents for completion to CCLD by POC date.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having R2's medical assessment and TB test which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Facility has agreed to obtain R2's medical assessment and TB test. Manager will submit a copy of the medical assessment and TB test to CCLD by POC date.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not maintaining centrally stored medication form for residents which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Facility has agreed to review current LIC622 and update all resident's centrally stored medication form. Manager will submit an updated copy to CCLD by POC date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having a current reappraisal/needs and service plan for R1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Facility has agreed to obtain a current reappraisal/needs and service plan for R1 and submit a copy to CCLD by POC date.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not giving R3 medications according to the physician's orders which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2023 Plan of Correction Staff purchased Melatonin 3mg during inspection. Facility has agreed to obtain new orders for R3's Flaxseed Oil and Stool Softener. Manager will submit the new order to CCLD by POC date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/15/2022 Plan of Correction Staff locked up the medication during inspection. Deficiency cleared.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked supplements and cleaning supplies which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/15/2022 Plan of Correction Staff locked up the supplements and cleaning supplies during inspection. Deficiency cleared.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having health screening and TB test for S1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/28/2022 Plan of Correction Administrator has agreed to obtain a copy of S1's health screening and TB test and will submit a copy to CCLD by POC date.

Official classification

Type A

Official code

87705(c)(4)(A)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. ...Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia...require awake night supervision. This requirement was not met as evidence by: Based on interviews, licensee did not comply with the section cited above by not having an awake night staff which poses an immediate health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to have an awake staff at night until R1 moves out on 12/15/2021. Administrator will submit staff schedule to CCLD by POC date.

Deadline recorded: Dec 11, 2021. A deadline is not proof that correction was completed.