Sunrise at Sterling Canyon

Allegation investigated: Staff not supervising resident resulting in multiple falls and injury/injuries

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent visit at this facility to further investigate the above allegation. LPA met with Reminiscence Coordinator Debbie Gutierrez and explained the reason for the visit. LPA conducted physical plant tour at 11:46 AM, requested copy of facility documents relevant to the investigation at 12:00 PM, reviewed records between 12:00 PM to 1:45 PM. It was alleged that Resident #1 (R1) had fallen on 08/07/20 and 08/08/20 and sustained a skin tear behind R1's ear. LPA's record review on 03/04/23 between 12:01 PM to 2:00 PM and today between 12:00 PM to 1:45 PM revealed that R1 had an infected wound on right foot since 04/14/20, became infected and continuously deteriorating. On 04/17/20, R1 was brought to hospital for further evaluation and eventually had the foot amputated on 05/11/20 and returned to the facility on 05/13/20. Upon R1's return, R1 was put on Home Health service for R1's wound. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099-C) Further review also revealed that from the time R1 returned to the facility, R1 was re assessed and put on higher level of care and provided assistance with but not limited to, mobility, dressing, grooming and toileting. R1 was even put on a 1:1 companion for 72 hours upon return based upon the recommendation of the facility staff. R1 had a physician's order to use a hospital bed dated 05/07/20. Further review also revealed that on the Halo rail was checked by maintenance on 08/10/20. LPA's interview with staff on 03/04/23 between 10:00 AM to 12:00 PM, revealed that from the time R1 was adjusting to current medical status (amputation) and confused most of the time so R1 kept on sitting on the edge of the bed like R1 used to prior to amputation, which made R1 slide from the bed and fall on the floor bottoms first. Further interview with staff revealed that due to this behavior of R1, a fall mat was placed beside R1's bed and eventually the Halo rail so R1 had something to hold on and avoid falling on the floor. Based on the information gathered during this and prior visit, the facility put all the necessary protocol to prevent or alleviate the chance of R1 from falling, the allegation therefore is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Mar 18, 2023 · control 31-AS-20200810160037

Allegation investigated: Facility is understaffed

This is an amendment of the report dated 11/02/21 to put additional information on the report. Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to investigate further the above allegation. LPA met with Executive Director Tammy Berry and explained the reason for the visit. LPA conducted physical plant tour at 9:45 AM, requested facility documents relevant to the investigation at 10:05 AM and conducted interviews with residents between 10:30 AM and 1:20 PM. It was alleged that the Facility is understaffed and often the residents are not being checked up on. LPA's interview with fourteen (14) residents or more than 10% of the current census on 08/24/21 between 10:30 AM to 2:00 PM and today between 10:30 AM to 1:20 PM revealed that eleven (11) out of fourteen (14) residents believe that there is sufficient staffing at the facility and they being checked regularly and get sufficient care from the staff. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) LPA's interview with staff on 07/01/21 between 10:00 AM and 2:38 PM and 08/24/22 between 10:30 AM to 2:30 PM revealed that eight (8) out of ten (10) staff believed that they have sufficient staff to care for the residents. Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 28, 2022 · control 31-AS-20210630101236

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Panushkina conducted an Annual Required visit and inspection of the facility. LPA met with a Business Office Coordinator and explained the reason for the visit. Infection Control: Upon entrance, staff took LPA’s temperature and was asked to sign-in the visitor’s log. Facility has sufficient PPE supplies for more than 30 days. Staff were observed wearing proper face masks. At 11:20am, LPA toured the facility and observed the following: The facility is a large 2 story building with a Memory Care Unit. In the main entrance of the building there is a cafe that is a self-serving refreshment and snack area with seating. The main living room has seating and a grand piano for entertainment. Food Inspection: Kitchen and dining area are located on the ground floor of the facility. LPA observed there was sufficient stock of one week non-perishable foods and two days perishable food. Kitchen was observed to be sanitary and free of pests. Smoke detectors/carbon monoxide are hardwired and located throughout the facility. Fire alarms are program to dispatch the Fire Department. Therefore, LPA obtained paperwork for the last fire alarm inspection which was conducted on 10/13/21. Fire extinguishers were observed to be charged with a service date of 04/18/22. Common Areas: Common areas consists of front lobby sitting area, activity rooms, in Assistance Living, and Memory Care Unit. All areas were properly furnished and sanitary with sufficient room for residents to lounge. Facility also has a beauty salon located on the ground floor. Laundry area is located on a second floor of the facility. Facility has two MedTech rooms, one is located inside the Memory Care Unit and the second room is on an Assisted Living side. LPA observed both rooms inside the Memory Care Unit and the second room is on Continue on LIC809-C an Assisted Living side. LPA observed both rooms were kept locked and inaccessible to residents in care. Resident Rooms: Facility consists of 86 rooms. Rooms consists of single or shared occupancy. A random selection of bedrooms was toured both in Memory Care and Assisted Living. All bedrooms were properly furnished and had appropriate bed linens. Rooms were observed to be sanitary. Bathrooms: Bathrooms were toured and observed to be clean and properly stocked with towels and soap. Nonskid mats and grab bars were observed in all bathrooms. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records were reviewed for proper documentation. Outside: LPA toured the outside area of the facility. LPA observed two private patios with appropriate outside furniture and shaded area for residents. During the time of the inspection, LPA observed activities being conducted with Memory Care residents and Assisted Living residents No deficiencies cited. Exit interview conducted. Report signed and delivered.the state’s words, verbatim · CDSS document, Sep 27, 2022

Allegation investigated: Resident has sustained multiple falls while in care

At 9:30am, Licensing Program Analyst (LPA) Angela Panushkina made an unannounced subsequent visit to finish investigation into the allegation above. LPA met with an Executive Director and explained the reason for the visit. It is alleged that Resident #1 (R1) had multiple falls while in care resulting in injury. LPA made the initial complaint visit on 08/04/2022. On that day LPA conducted interviews with Executive Director, Reminiscence Coordinator, Assistant Living Coordinator, 3 staff members and 12 residents. LPA also reviewed R1’s facility file and obtained copies of pertinent documents relevant to the investigation. Interviews with an Executive Director, Reminiscence Coordinator, Assistant Living Coordinator, 3 out of 3 staff, during the initial visit, revealed that R1 used to independently leave the facility, purchase alcohol and hide it in their room. Once the facility found out about this issue, all alcohol bottles were removed from R1’s room. Interviews also revealed that the facility is monitoring R1’s alcohol intake by following R1’s Doctors’ order and having someone accompany R1 when they leave the facility. Continue on LIC9099-C Unsubstantiated Interviews with nine (9) out of twelve (12) residents, revealed that the facility staff checks them frequently (every 2 hours) and they feel very safe living in this facility. In addition, LPA conducted an interview with R1’s Power of Attorney (POA) on 08/05/22 and was informed that R1 used alcohol all the time and became addicted. Interview with POA revealed that during the fall incident, R1 was intoxicated. POA stated: “I don't think Sunrise has caused anything. The facility does a great job and I don't blame them at all." Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Exit interview conducted and copy of report emailed to the Administrator.the state’s words, verbatim · CDSS document, Sep 14, 2022 · control 31-AS-20220728144526

Type of visit: Required - 1 Year

At 10:25 am Licensing Program Analysts (LPAs) Angela Panushkina and Shira Stamps conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by staff who granted access to the facility. LPAs met with Administrator, Tamara Berry. A physical tour was conducted at 10:45 am and observed the following: Infection control: LPA reviewed the facility mitigation plan (approved on 4/20/21) to make sure licensee was following current infection control recommendations. Upon arrival, staff took LPAs temperatures and was asked to sign-in the visitors’ log and were asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. Team observed some trash can throughout the facility to not have fitted lids. Team requested that lids be placed on all trash cans to protect from cross from contamination. Food Inspection: At 11:24am Team observed there to be sufficient supply of two day perishable foods and one week of non-perishable food supply. Food storage and preparation areas are clean and inaccessible to pests. LPAs observed the emergency food supply with a shelf life of 10 years. Team also observed sharp objects being locked and inaccessible to residents in care. Smoke detectors/carbon monoxide are hard wire and tested yearly by the local Fire Department. LPA requested a copy of the report at 11:00am. Resident rooms: All residents bedrooms were properly furnished, had sufficient lighting and appeared to be clean and had appropriate bedding. Rooms were kept in a comfortable temperature between 64°F and 72°F. Continue on LIC809-C At 11:30am the team inspected the memory care unit. The egress systems and staff response time was tested. The egress system was found to be operational. Three staff members responded in a timely manner. Bathrooms: The hot water temperature, in various bathrooms, was measured within regulation from 111.3°F -116.5°F. LPA observed appropriate hand washing signs posted in each bathroom, grab bars and non-skid mat. Laundry service: At approximately 11:08 am, LPA team toured through the first floor laundry area and observed cleaning products/chemicals inaccessible to residents. At 11:21am the team toured the 2nd floor laundry area and observed cleaning products/chemicals inaccessible to residents. Medications: Team observed 2 medication carts to be locked and inaccessible to persons in care. Outside areas: At 11:40am LPAs toured the outside area of the facility. LPAs observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water. LPAs requested LIC 500, Facility License, and Resident Roster, No deficiencies issued. Exit interview conducted and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Oct 14, 2021

Allegation investigated: Residents are left in soiled diapers Residents are not being provided medication

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA met with Executive Director Tamara Berry and explained the reason for the visit,. LPA conducted physical plant tour at 9:55 PM. Requested facility documents relevant to the investigation at 10:30 AM and conducted interview with residents and staff between 10:30 AM to 2:30 PM. Regarding the allegation that Residents are left in soiled diapers, LPA's with the Executive Director on 07/01/21 at 1:50 PM, Assisted Living (AL) Coordinator today at 1:41 PM today and three (3) lead care staff both AL and Memory Care (MC) units, revealed that there was no report of any resident who was left in soiled diapers in either AL or MC units. LPA's interview with three (3) care staff confirmed that they did not have nor witness any resident who was left in soiled diapers. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) Regarding the allegation that Residents are not being provided medication, LPA interview with the Resident Care Director on 07/01/21 at 10:00 and today at 11:00 AM, revealed that she did not receive any report that a resident missed or not being provided a medication. She admitted however, that there was some delay in some cases but there was no resident missed any medication. LPA's interview with three (3) medication technician on 07/01/21 between 10:45 AM to 2:00 PM, confirmed that they did not miss any medication to any resident but delays from the allowed medication time frame were inevitable but on a very limited basis. LPA's interview with eight (8) residents also revealed that they always have their medication regularly and on time. Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Aug 24, 2021 · control 31-AS-20210630101236

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.