Sunrise Care Home

Type of visit: Annual/Random

On 8/31/2026 at 2:00 pm, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Nancy Tayag and explained the purpose of the visit. The administrator currently holds a certificate (#7035689740) that expires on 12/18/2027. The facility’s fire clearance was approved for six (6) residents, six (6) may be non-ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5 ) total bedrooms which four (4) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and two (2) day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 2/9/2026. First aid kit was observed to be complete. Emergency disaster plan was last reviewed on 4/23/2026. The emergency disaster drill was last conducted on 7/15/2026. Continue to LIC809C. Continued from LIC809. LPA reviewed five (5) resident records and two (2) staff records. LPA reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/7/2026: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report Emergency Disaster Plan The following deficiency was observed: At 2:45 pm, LPA observed that R1 did not have a completed pre admission appraisal. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Nancy. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Aug 31, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(c)(1) · Plan of correction due date: Sep 7, 2026

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed...(1) The appraisal shall document, at a minimum: This requirement is not met as evidenced by: Based on record review the Licensee did not comply with the section cited above in not completing R1's pre admission appraisal upon admission which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 31, 2026

Plan of correction: By POC date, the Administrator agrees to complete R1's pre admission appraisal and send a self certification letter to CCLD.

Allegation investigated: Staff put up full bed rails on resident's bed without Physicians orders Staff used bed rails as a restraint for resident

On 4/20/2026 at 9:30 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Nancy Tayag, Administrator and informed her the reason for visit. During investigation, LPA obtained and reviewed the following documents: Resident Roster and the LIC500 (Personnel Report). LPA also collected and reviewed the following documents for Resident (R1): Hospice Care Plan, LIC602 (physician's report), Appraisal Needs and Services Plan, and Physicians Order. LPA conducted an interview with Staff (S1). Continued on LIC9099-C. Unsubstantiated Continued from LIC9099. Allegation: Staff put up full bed rails on resident's bed without Physicians orders Finding: Unsubstantiated During record review and interview, LPA discovered that R1 was admitted to hospice care on 5/15/2025. LPA reviewed R1's hospice care plan dated 12/17/2025 on page 12 that it states, "Full bed rails with rail pads for safety" was ordered and approved for R1's care. LPA also reviewed two of R1's physicians order's. The first physicians order dated on 8/11/2025 orders "Full bed rails with rails pads for safety" and the second physicians order dated 4/13/2026 orders "Hospital bed with full rails with rails pads safety." Allegation: Staff used bed rails as a restraint for resident Finding: Unsubstantiated LPA observed that R1 is able to adjust themselves but receives assistance to get into their wheel chair. LPA observed that the full bed rails have a an adjustment tool that allows the rails to go down when R1 wants to get out of bed. Based on interviews and record review during visit, the allegations that Staff put up full bed rails on resident's bed without Physicians orders and Staff used bed rails as a restraint for resident was found to be unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit Interview conducted with Nancy and copy of this report provided.the state’s words, verbatim · CDSS document, Apr 20, 2026 · control 15-AS-20260414120543

Type of visit: Required - 1 Year

On 9/19/2024 at 9:00 AM, Licensing Program Analysts (LPA) Yasamin Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Nancy Tayag and explained the purpose of the visit. The administrator currently holds a certificate (#7035689740) that expires on 12/18/2025. The facility’s fire clearance was approved for six (6) residents, six (6) may be non-ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5 ) total bedrooms which four (4) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and two (2) day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 9/19/2024. First aid kit was observed to be complete. Continue to LIC809C. LPA reviewed five (5) resident records and three (3) staff records. LPA reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/18/2025: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 11, 2025

Type of visit: Required - 1 Year

On 10/04/2024 at 11:14 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Nancy Tayag and explained the purpose of the visit. At 11:45 AM, LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/19/2024. Emergency Disaster Plan was last posted on 01/12/2019. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 09/23/2024. At 12:55 PM, LPA reviewed 6 residents records and 4 staff records; all were complete. LPA also reviewed a sample of resident’s medications.Updated copies of the following documents were reviewed during the visit:LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 4, 2024