Staffing, personnel, and training
Cited in 3 reports, with 4 deficiencies in total.
SUNSHINE CARE HOME FACILITY LLC
2976 FLEETWOOD DRIVE, San Bruno CA 94066
6 bedsLatest official report Feb 24, 2026Licensed
Additional info
- Telephone
- (650) 720-1441
- Licensee
- SUNSHINE CARE HOME FACILITY LLC
- Administrator
- ROXANNE EDUARTE
- Contact
- ROXANNE EDUARTE
- License first date
- Jan 31, 2023
- License effective date
- Jan 31, 2023
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 10 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- Feb 24, 2026
- Most recent deficiency
- Jan 20, 2026
2 later reports, from Feb 3, 2026 through Feb 24, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 150 San Mateo County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 8 reports for this facility: 6 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 10 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 18
- Type A deficiencies
- 10
- Type B deficiencies
- 8
- Substantiated complaints
- 0
- Repeated topics
- 4
More than the typical 4
3 in the last 12 months
Well above the typical 4
9 in the last 12 months
Well above the typical 1
6 in the last 12 months
Well above the typical 2
3 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Fire safety and emergency preparedness
Cited in 2 reports, with 5 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Hazardous items and storageType A
- 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) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed knife and chemicals were unlocked and accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and the plan shall include staff re-education. The completion date of the re-education shall be no later than 1/28/2026. The plan shall also include what is the plan that the administrator/licensee shall develop to ensure this does not happen again. The administrator/licensee will provide a copy of the plan to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 did not have a health screen in the personnel file which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The administrator/licensee will develop a plan to ensure S1 completes a health screen and the completion date shall be no later than 1/28/2026. The plan shall also include what is the plan that the administrator/licensee shall develop to ensure this does not happen again. The administrator/licensee will provide a copy of the plan to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2 did not complete their annual training which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance. The plan shall include the completion date of the annual training for S1 and S2 and the date shall be no later than 1/28/2026. The plan shall also include what is the plan that the administrator/licensee shall develop to ensure this does not happen again. The administrator/licensee will provide a copy of the plan to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance. The plan shall include the completion date of the self-medication administration training for S2 and other staff who assists with medication. The completion date of training shall be no later than 1/28/2026. The plan shall also indicate what is the plan that the administrator/licensee shall develop to ensure this does not happen again. The administrator/licensee will provide a copy of the plan to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(b)
- Regulation authority
- HSC
What the official deficiency says
(b) A facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2 did not complete their annual training which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance. The plan shall include the completion date of the annual training for S1 and S2 and the date shall be no later than 1/28/2026. The plan shall also include what is the plan that the administrator/licensee shall develop to ensure this does not happen again. The administrator/licensee will provide a copy of the plan to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2, R3 and R4 did not have an updated reappraisals which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/28/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance. The administrator/licensee shall provide a copy of an updated reappraisal for R2, R3, and R4 and a copy of the plan of correction to CCL by 1/28/2026. The plan of correction shall indicate what is the plan to ensure this does not happen again.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed emergency drills were not completed accordingly, they were completed in Jan 2025, May 2025 and Dec 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/28/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and the plan of correction shall indicate what is the plan to ensure this does not happen again. The administrator will provide a copy of the plan of correction to CCL by 1/28/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(d)
- Regulation authority
- HSC
What the official deficiency says
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in as the facility was not able to provide proof that the emergency disaster plan was reviewed annually which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/28/2026 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and will provide proof that the emergency and disaster plan was reviewed. The plan of correction shall also indicate what is the plan to ensure this does not happen again. The administrator/licensee will provide a copy of the plan of correction to CCL by 1/28/2026.
Plan of correction recorded
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(c)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by:87405 Administrator - Qualifications and Duties (c) Failure to comply with all licensing requirements pertaining to certified administrators may constitute cause for revocation of the license of the facility. Based on observation, and record reviews, the facility has recieved several same citations during the annual inspections on 1/2024, 12/2024 and 1/2026 Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility has received several same citations during the annual inspections on 1/2024, 12/2024 and today's inspection which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2026 Plan of Correction The Licensee shall develop a plan of correction to ensure the administrator is educated and qualified to carry-out and to implement all the licensing requirements. The Licensee will provide a copy of the plan of correction to CCL by 1/21/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: based on observation, record review and interview, the administrator acknowledged that 2 out of 6 resident's file did not have a copy of the reapprasials Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in based on observation, record review and interview, the administrator acknowledged that 2 out of 6 resident's files did not have a copy of the reappraisals which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/30/2024 Plan of Correction The administrator/licensee will provide a plan to ensure all resident files are complete and readily available to staff and licensing staff. The administrator/licensee will provide a copy of the plan to CCL by 12/30/2024
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)
- Regulation authority
- CCR
What the official deficiency says
87412 Pesonnel Records (c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: based on records review, observation and interview, training records are missing from personnel records for 4 out of 4 staff members and the administrator acknowledged this observation and stated that training will be provided to LPA/CCL by the end of the day. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on records review, observation and interview, training records are missing from personnel records for 4 out of 4 staff members and the administrator acknowledged this observation and stated that a copy of the training records will be provided to LPA/CCL by the end of the day. which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/30/2024 Plan of Correction The administrator/licensee will provide a plan to ensure all staff training records are maintained in the personnel records and will provide a copy of the plan to CCL by 12/30/2024.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on record review, observation and interview, 5 out of 6 residents have bedrails by the head of the bed without a physician's order which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/24/2024 Plan of Correction The administrator will provide a plan in writing to ensure a physician's order is obtained, date it will be obtained and provide a copy of the order on that date to CCL. The administrator will provide a copy of the plan to CCL by 12/24/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide any documentation to proof that drills were conducted per the regulation which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/18/2024 Plan of Correction The administrator/licensee will conduct a drill immediately and provide staff training sign-in sheet to CCL along with a plan to ensure drills will be conducted accordingly moving forward.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as sharps in the kitchen were not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/18/2024 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and in-service staff.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 1 out of 4 residents did not have an admission agreement and 4 out of 4 residents did not have a pre-placement appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/24/2024 Plan of Correction The administrator/licensee will ensure all the admission agreement and pre-admission appraisals are completed and provide a copy to CCL by 1/24/2024.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) 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, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 4 residents did not have documents to proof that this process has been completed which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/24/2024 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 1/24/2024.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(g)(2)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: S1, S2 and new administrator are not associated with the facility. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S1, S2 and new administrator are not associated with the facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/18/2024 Plan of Correction The administrator will provide a plan by 1/18/2024 to ensure all staff are associated with the facility and will provide proof in one week that staff are associated.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87217(b)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Safeguards for Personal Property and Valuables Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 4 residents did not have proof that facility has documented their personal property and valuables which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/24/2024 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and provide a copy of the safeguards personal property and valuables form (LIC613) to CCL along with the plan by 1/24/2024.
Plan of correction recorded
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology