SUNSET GARDEN

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in by not submitting R1's incident report after hospitalization on 9/2/25 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee to provide training to all care staff reviewing the Regulation: 87211 Reporting Requirements and how to properly fill out the LIC 624 form. Inservice Training to include the following information: Date of Training, Training Topics, Job Role, Staff Names and Signatures by POC due date of 11/21/25.

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 LPA's/Licensee observation, interview & record review, the licensee did not comply with the section cited above in walls in the bathroom #2 cracks needed to be repaired and backyard deck in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee agrees to fix both areas of concern and will submit pictures as proof of correction to CCL by POC due date of 11/21/25

Official classification

Type B

Official code

87303(f)

Regulation authority

CCR

What the official deficiency says

(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/Licensee observation and interview, the licensee did not comply with the section cited above in three garbage cans did not have lids which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee agreed to fix areas of concern and will submit pictures as proof of correction by POC due date to clear the citation.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/Licensee observation and interview, the licensee did not comply with the section cited above by not having at least a minimum supply of perishable foods for a minimum of two days which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee to immediately purchase a sufficient supply of perishable food; Licensee to purchase enough for six residents and all live-in staff-ensuring compliance with regulations and submit a written plan how they will ensure to have supply of perishable food moving forward by POC due date of 11/21/25.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/Licensee observation and interview, the licensee did not comply with the section cited above in by having flies in the kitchen area which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee will submit a written plan of action to be taken to terminate the insects issue. Plan to be submitted to CCL by POC date of 11/21/25

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 LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in vent in hallway requires cleaning, garbage bags with residents clothing outside, tripping hazard in resident room # 2, lights flickering in bathroom #1, Garbage cans in resident rooms require covers/lids, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction Licensee agreed to fix areas of concern and will submit pictures as proof of correction by POC due date to clear the citation.

Official classification

Type B

Official code

87219(i)

Regulation authority

CCR

What the official deficiency says

87219 Planned Activities (i) Facilities shall provide sufficient equipment and supplies to meet the requirements of the activity program…Special equipment and supplies necessary to accommodate physically handicapped persons or other persons with special needs shall be provided as appropriate. This requirement has not been met as evidence by: Based on observations, records review and interviews with the Licensee did not comply with regulation by not providing specialized activities to resident (R1) which poses a potential risk to health and safety of residents in care.

Official plan of correction

The licensee agrees to draft an updated monthly activity calendar implementing specialized activities as specified on the regulation for persons with mobility limitations. Licensee agrees to send a sample of updated activity calendar to CCL by POC due date to clear the deficiency.

Deadline recorded: Apr 19, 2024. A deadline is not proof that correction was completed.