SUNRISE HOMES

Official classification

Type A

Official code

87303(e)(1)(B)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (1) All residential care facilities for the elderly where water for human consumption is from a private source shall: (B) Following licensure, provide a bacteriological analysis of the private water supply as frequently as is necessary to assure the safety of the residents, but no less frequently than the time intervals shown in the table below. However, facilities licensed for six or fewer residents shall be required to have a bacteriological analysis subsequent to initial licensure only if evidence supports the need for such an analysis to protect residents. Licensed Capacity Analysis Required Under 6 Initial Licensing 7 through 15 Initial Licensing 16 through 24 Initial Licensing 25 or more Refer to the County Health Department for compliance with the California Safe Drinking Water Act, Health and Safety Code, Division 5, Part 1, Chapter 7, Water and Water Systems. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in not getting the assay updated on time, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2025 Plan of Correction Get scheduled for a new assay, Licensee will send a copy of the result.

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 in a cart of unsecured and unsupervised disinfectant in an open closet which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2025 Plan of Correction Keep the closet locked at at all times, Licensee will post a sign, keep locked at all times, then send a picture of it to the LPA.

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on 2 record reviews, the licensee did not comply with the section cited above by not getting the 602's updated which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Updates for the clients who don't have a 602 from the last year, to have one.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care The following requirements shall apply to medications which are centrally stored: ... Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by: Based on LPA Jensen's observation of medication that was pre-poured for administration in to separate containers. This poses a potential risk to the residents health, safety and personal rights

Official plan of correction

The Licensee agrees to immediately cease pre-pouring medication and to conduct in-service training by 6/2/23 with proof of completion of training to be sent to maja.jensen@dss.ca.gov by POC due date.

Deadline recorded: Jun 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

Reappraisals The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months. This requirement was not met as evidenced by: Based on LPA Jensen's review of resident files, 3 of 3 Needs and Service Plans were not updated within the last 12 months. This poses a potential risk to the health Safety and Personal Rights of residents ion care

Official plan of correction

The Licensee agrees to update the Needs and Service Plans by POC due date and email an attestation that this has been completed to maja.jensen@dss.ca.gov.

Deadline recorded: Jun 23, 2023. A deadline is not proof that correction was completed.

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 was not met as evidenced by: Based on LPA's observation of rodent droppings in two places in the kitchen area adjacent to the dining room. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee agrees to conduct a deep clean of the combined kitchen/dining room area. Licensee will email photos or video as proof of correction to maja.jensen@dss.ca.gov by due date

Deadline recorded: Oct 1, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement was not met as evidenced by: Based on LPA Jensen observation that 2 of 2 staff present during the facility visit did not have current 1st aid certifications present in their staff files. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee agrees have to have all staff that provides care to residents 1st aid certified by the Plan of Correction due date. Licensee will email proof of CPR certification for S1 and S2 to maja.jensen@dss.ca.gov by due date.

Deadline recorded: Oct 14, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

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.... This requirement is not met as evidenced by: Deficient Practice Statement Based on documentation, the licensee did not comply with the section cited above in 87411(f). LPA observed Staff #3 (S3) does not have health screening or TB test on file which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/03/2022 Plan of Correction Administrator agreed to send S3's health screening and TB test to CCL by POC date.

Official classification

Type B

Official code

87463(b)

Regulation authority

CCR

What the official deficiency says

Reappraisals (b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person. This requirement is not met as evidence by: Based on observation, interview and record review the Licensee did not comply with the section cited above in that administrator did not reappraise in writing R1 at hospital or SNF to determine R1 care level needs and notify R1's payee of change in condition which poses an potential health, safety, and personal rights risk to residents in care.

Official plan of correction

The Licensee agrees to submit a written declaration to maintain compliance with this regulation at all times to LPA by POC due date.

Deadline recorded: Nov 19, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87217(a)

Regulation authority

CCR

What the official deficiency says

Safeguards for Resident Cash, Personal Property, and Valuables (a) … a resident incapable of handling his own cash resources, as documented by the initial or subsequent appraisal, … cash resource shall be safeguarded in accordance with the regulations in this section. This requirement is not met as evidence by: Based on observation, interview and record review the Licensee did not comply with the section cited above in that the Licensee did not safeguard R1’s monies by cashing checks without reappraising R1 and did not notify R1’s payee of R1’s no longer in the facility which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

The Licensee agrees to submit a written declaration to maintain compliance with this regulation at all times to LPA by POC due date.

Deadline recorded: Nov 19, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.58(a)(5)

Regulation authority

CCR

What the official deficiency says

(a) The department may deny an application for a license or may suspend or revoke a license issued under this chapter upon any of the following grounds and in the manner provided in this chapter: (5) Engaging in acts of financial malfeasance concerning the operation of a facility, including, but not limited to, improper use or embezzlement of client moneys and property or fraudulent appropriation for personal gain of facility moneys and property, or willful or negligent failure to provide services for the care of clients. This requirement is not met as evidence by: Based on observation, interview and record review the Licensee did not comply with the section cited above in that the Administrator engaged in financial malfeasance by securing R1’s rent and personal monies while R1 was not in care which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

The Licensee agrees to submit a written declaration to pay R1’s payee to LPA by POC due date. All payments made in total of $10795 shall be paid R1’s payee no later than 6 months from today’s date.

Deadline recorded: Nov 19, 2021. A deadline is not proof that correction was completed.