Stonehaven Senior Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not safeguard resident's personal belongings.

On 6/18/2025, Licensing Program Analyst (LPA) R Bruce arrived at the facility and met with Administrator Jay Cee Sanderson for the purpose of investigating and delivering findings on the above complaint allegation. Allegation: Staff did not safeguard resident's personal belongings. This was in regards to R1's personal cell phone that went missing in April, 2025. There are conflicting stories regarding when and how it was lost. Staff did look diligently for the phone and remembered seeing it with her however, it has not been located. Interviews also revealed conflicting information regarding communication between family, staff and resident regarding the loss. The investigation revealed through interviews that although the above allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview conducted, report signed and copy of this report provided for fthe state’s words, verbatim · CDSS document, Jun 18, 2025 · control 24-AS-20250609125641

Allegation investigated: Facility did not provide resident with an admissions agreement Staff did not communicate with responsible party regarding resident's care

On June 3, 2025, Licensing Program Analyst (LPA) R Bruce met with Administrator, JayCee Sanderson, Administrator for the purpose of delivering findings regarding the above allegations. Facility did not provide resident with an admissions agreement: Documentation and file review revealed that a copy of the Admission Agreement was provided to the family and resident upon entry in July, 2024 and subsequent requests for the same document were provided. Staff did not communicate with responsible party regarding resident's care: This was in reference to the medication the resdient is taking. Staff provided a prescription list when requested by family and facility doctor has been available to provide information. Resident does not have capacity to understand medical needs or course of treatment but information has been provided to family. Based on investigation which included file review and staff interviews, the preponderance of evidence standard has not been met and it was determined that tthe state’s words, verbatim · CDSS document, Jun 3, 2025 · control 24-AS-20250602095556

Allegation investigated: Staff do not ensure that residents' dietary needs are met Staff do not serve residents food of good quality

On June 3, 2025, Licensing Program Analyst (LPA) R Bruce met with Administrator, JayCee Sanderson, Administrator for the purpose of delivering findings regarding the above allegations. Staff do not ensure that resident's dietary needs are met: Investigation revealed that special dietary needs are documented, monitored and honored. Staff do not serve residents good quality food: The food is delivered and coordinated with outside companies: Sysco and US Foods and meets the regulatory standards. The resident's are also offered alternative choices if what is offered is not to their liking. During the course of this investigation LPA reviewed facility documentation relevant to the complaint investigation, as well as conducting inspection of the kitchen, and conducting interviews of residents during the meal service, as well as staff. Based on investigation the preponderance of evidence standard has not been met and it was determined that the above allegations regarding food service are UNFOthe state’s words, verbatim · CDSS document, Jun 3, 2025 · control 24-AS-20250507095653

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not assisting resident with medical appointments

On January 8, 2025, Licensing Program Analyst (LPA) R Bruce met with Administrator, JayCee Sanderson for the purpose of delivering findings regarding the above allegation. During the course of this investigation LPA reviewed facility documentation relevant to the complaint investigation, including resident file and medical records. Staff and family interviews were conducted. It was determined that the above allegation regarding not assisting resident with medical appointments is UNFOUNDED and Community Care Licensing is therefore dismissing the complaint. The evidence from the investigation indicated that due to the client's dementia/alzhiemers she makes numerous unwarranted requests to go to the hospital/doctor. Her new roommate was not aware of the repetitive behavior and called in the complaint on behalf of the client. Interview with client's daughter aligned with the above information and the client's medical history. A copy of this report was provided to the Administrator via emaithe state’s words, verbatim · CDSS document, Jan 8, 2025 · control 24-AS-20250108083721

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee does not ensure that residents have records of medical assessments prior to acceptance Licensee does not ensure that a record for each resident is maintained at the facility Licensee does not ensure that faucets at the facility deliver hot water Licensee does not ensure that residents' medications have a signed order from a physician on file Licensee does not ensure that care staff have received required training

On 11/04/2024, Licensing Program Analyst (LPA) V Gorban met with Administrator, Jay Cee Sanderson for the purpose of delivering findings regarding the above allegations. Allegation: Licensee does not ensure that residents have records of medical assessments prior to acceptance. During this investigation department reviewed facility records, interviewed staff and administrator. Based on records review the facility is under new Licensee since March of 2024. Based on records review and interviews resident (R1) medical assessment completed on 11/9/2020, R2 medical assessment completed on 04/10/2024, R3 medical assessment completed on 05/08/2023. When asked, the facility provided medical assessment for review. Allegation: Licensee does not ensure that a record for each resident is maintained at the facility. Based on records review and administrator and Licensee interview records are up to date. Department review requested records at the facility and was observed up to date. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 4, 2024 · control 24-AS-20240731160140

Allegation investigated: Staff inappropriately removed the CCL complaint poster

On October 9, 2024 Licensing Program Analyst (LPA) R Bruce met with Administrator, Jay Cee Sanderson for the purpose of delivering findings regarding the above allegation. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation, including resident files and medical records. A tour of the facility provided evidence that the 'See Something- Say Something' infromation poster was appropriately posted throughout the facility. As a result of the inspection, LPA determined the facility did not remove the required poster and has determined that the above allegation is UNFOUNDED and Community Care Licensing is therefore dismissing the complaint. Resident expressed concern that the facility was trying to ensure that no one could complain. While at today's visit, an additional poster will be positioned outside the resident's room so he can easily see it and utilize the complaint line when necessary. A copy of this report was provided to the Admithe state’s words, verbatim · CDSS document, Oct 9, 2024 · control 24-AS-20241007085706

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is in Financial Distress Reporting Requirements

On 10/18/23, Licensing Program Analysts (LPA) M. Yang and L. Padgett arrived unannounced to deliver findings on the above allegations. LPAs introduced self, stated the purpose of the visit, and met with Account Payable Beth Mueller. CEO Kristine Williams was called and unable to attend meeting. LPAs deliver findings via telephone. The Department conducted interviews and reviewed records regarding the allegations. The Department was informed by CDPH of the facility’s financial issues after the SNF closed. It was discovered that funds between the skilled nursing facility and assisted living were co-mingled and the assisted living was affected. Based on LPA’s observations and interviews which were conducted and record reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Under California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited. See citations on the attached LIC. 9099D. Exit interview wasthe state’s words, verbatim · CDSS document, Oct 18, 2023 · control 24-AS-20230421161225

Allegation investigated: Facility is going through a possible financial crisis

On 10/18/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Account Payable Beth Mueller. CEO Kristine Williams was called and unable to attend meeting. LPAs deliver findings via telephone. The Department conducted interviews and reviewed records regarding the allegations. The Department was informed by CDPH of the facility’s financial issues after the SNF closed. It was discovered that funds between the skilled nursing facility and assisted living were co-mingled and the assisted living was affected. Based on LPA’s observations and interviews which were conducted, and record reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The citation for this allegation was cited on complaint #24-AS-20230421161225 on 10/18/23. This substantiation is for the record. Exit interview was conducted and appethe state’s words, verbatim · CDSS document, Oct 18, 2023 · control 24-AS-20230703110052

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee does not ensure the facility is in good repair. Staff did not assist resident with a dressing change Staff threatened resident and did not treat resident with dignity or respect

An unannounced Complaint visit was conducted on the date & time indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with RCFE Operations Manager (OM) Kristine Williams & Program Director (PD) Phylicia Smith, & stated purpose of visit. Allegations reviewed with OM & PD. Facility toured. Resident rooms toured. Rooms appeared & smelled to be clean. Rooms were not observed to be dusty &/or dirty. Floors, walls, ceilings observed to be devoid of debris, significant dirt, or cobwebs. Hot water & AC operational. Incident review regarding dressing change. Care Givers are not allowed to change dressings, only MedTechs. No indication that a MedTech did not change the dressing. No evidence or knowledge of staff threatening or being overtly disrespectful to resident. The Department has investigated the above allegations & determined them to be Unsubstantiated. Exit review done with OM. Report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 22, 2023 · control 24-AS-20230822160113