Sunnycrest Senior Living

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk staff after explaining the purpose of the visit. Executive Director Melanie Washington was present to assist with LPA's requests throughout the visit. An initial complaint investigation visit took place on December 19, 2023. LPA requested and obtained records maintained at the facility for three current residents along with the December billing records for the full census and individual billing records for resident R1. One staff interview and one resident interview were conducted during the visit. During the present visit, LPA requested the full census and reviewed four more resident records. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, January 22, 2024 · control 22-AS-20231213110026

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk staff after explaining the purpose of the visit. Executive Director Melanie Washington was present to assist with LPA's requests throughout the visit. An initial complaint investigation visit took place on January 16, 2024. LPA requested and obtained records maintained at the facility for resident R1 along with copies of a prospective admission agreement drafted in anticipation of a facility-wide update of the admission packets following a change of ownership. One staff interview was conducted during the visit. During the present visit, LPA requested the full census and reviewed four more resident records. A total of six resident interviews were either conducted or attempted in addition to one staff interview. CONTINUED ON FORM LIC9099-C UnsubRead the full finding— CDSS inspection report, January 22, 2024 · control 22-AS-20240116104221

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced and met with Executive Director Melanie Washington for the purpose of delivering the findings into the above allegations. LPA explained the reason for the visit and reviewed the allegations. On September 21, 2023, LPA initiated the 10-day complaint investigation for the complaint received on September 11, 2023. During the course of the investigation, LPA interviewed residents/staff and obtained pertinent documentation. The investigation revealed the following: It is alleged that the staff did not seek medical attention for the resident in a timely manner. Per review of the Progress Notes dated February 3, 2021 to September 23, 2023, there was no incident documenting a skin tear to the left arm that Resident #1 (R1) allegedly sustained from their dog on or before August 28, 2023. Three out of the four staff were not aware of the incident while one out of the four staff confirmed treating the resident however was unable to rRead the full finding— CDSS inspection report, December 20, 2023 · control 22-AS-20230911142552

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility by Business Office Manager Gail Blessum and explained the reason for the visit. Administrator Melanie Washington arrived during the visit. During the course of the investigation, LPA toured the facility and interviewed Administrator as well as reviewed and obtained pertinent documentation such as facility sketch. Regarding the allegations that facility gates are left unsecured and staff failed to provide a safe and comfortable environment for residents, the investigation revealed the following: Facility has 89 independent and assisted living residents. There are no memory care residents housed at the facility. LPA observed gates in question are designated exits on facility floor plan requiring the exits to be open and accessible at all times. LPA accessed all exit gates on the property whichRead the full finding— CDSS inspection report, June 26, 2023 · control 22-AS-20230622114349

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility and met Resident Care Director Brenda Bravo, L.V.N. and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with staff. LPA Velazquez also reviewed and obtained copies of facility records. During the course of the investigation the following was revealed. LPA Velazquez reviewed and obtained copies of facility, staff, and resident records. The records reviewed included Resident Face Sheets, Physician’s Reports, Sunnycrest Senior Living Level of Care Assessments, and Staff Training Records. LPA Velazquez also conducted interviews with residents and staff. 14 of 14 individuals interviewed provided conflicting statements and could not corroborate the above allegations. Regarding the allegation: Staff do not meet residents toiletingRead the full finding— CDSS inspection report, June 17, 2023 · control 22-AS-20230605160431

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility, met with Executive Director (ED) Melanie Washington and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also obtained copies of facility and resident records. During the course of the investigation the following was revealed. LPA Velazquez conducted interviews with residents and staff. LPA also reviewed facility and resident records. The records reviewed included Identification and Emergency Information, Preplacement Appraisal Information, Admission Record, Admission Orders, Sunnycrest Level of Care Assessments CA, Physician Communication Notes for Resident (R) #1, and R1's Hospital After Visit Summary for dates August 8, 2021 - September 10, 2021. UnsubstantiatedRead the full finding— CDSS inspection report, June 9, 2023 · control 22-AS-20220914144627

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced initial 10 day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA Velazquez was allowed entry into the facility and met with Executive Director (ED) Melanie Washington. On today's visit LPA Velazquez reviewed and obtained copies of facility and resident records. LPA Velazquez also conducted interviews with residents and staff. At 12:12 PM LPA Velazquez observed a side gate next to the handicap parking area was properly secured and LPA was not able to gain entry into the facility courtyard from this gate. At 2:54 PM LPA Velazquez along with ED Washington conducted a tour of the exterior physical plant to check all of the facility doors that lead to the exterior of the facility. The one gate in question was self-closing and self-latching and was properly secured. During the course of the investigation LPA Velazquez reviewed facility and reRead the full finding— CDSS inspection report, May 12, 2023 · control 22-AS-20230508113248

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation into the above allegation. LPA Velazquez was allowed entry into the facility and met with Executive Director Melanie Washington and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. During the course of the investigation the following was revealed: LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also reviewed and obtained copies of facility, resident, and staff records. The records reviewed included Resident (R) #1's Providence St. Jude Medical After Visit Summary, R1's West Anaheim Extended Care medical records, Resident Physician's Reports, Admissions Agreement, and personnel records for Staff (S) #1. Four of nine individuals interviewed confirmed S1 smelled of alcohol and displayed slurred speech while on the job. S1 is no longer employed by the faRead the full finding— CDSS inspection report, April 27, 2023 · control 22-AS-20220913103835

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation into the above allegation. LPA Velazquez was allowed entry into the facility and initially met with Vibrant Life Director Juli Sanchez and explained the purpose of the visit. Business Office Director Gail Blessum and Resident Care Director Brenda Bravo, L.V.N. arrived later to assist LPA with the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA also reviewed and requested copies of facility, resident, and staff records. During the course of the investigation the following was revealed: LPA Velazquez conducted interviews with residents and staff. LPA also reviewed facility, resident, and staff records. The records reviewed included Resident Face Sheets, Medication Lists, Physician's Reports, Sunnycrest Level of Care Assessments that describe how much care and assistance a resident requires, PreplacemenRead the full finding— CDSS inspection report, April 22, 2023 · control 22-AS-20220727153122

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility and initially met with Vibrant Life Director Juli Sanchez and explained the purpose of the visit. LPA also met with Business Office Director Gail Blessum and Resident Care Director Brenda Bravo, L.V.N. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA also reviewed and requested copies of facility, resident, and staff records. During the course of the investigation the following was revealed: LPA Velazquez conducted interviews with residents and staff. LPA also reviewed facility, resident, and staff records. The records reviewed included Resident Face Sheets, Medication Lists, Physician's Reports, Sunnycrest Level of Care Assessments that describe how much care and assistance a resident requires, Preplacement Appraisal Information, Staff TraiRead the full finding— CDSS inspection report, April 22, 2023 · control 22-AS-20220912082828

Licensing Program Analyst (LPA) Patricia Velazquez conducted a subsequent complaint visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility and met with Business Office Director (BOD) Gail Blessum and explained the purpose of the visit. Executive Director (ED) Melanie Washington arrived shortly after LPA's arrival to assist with the visit. On today's visit LPA Velazquez conducted interviews with resident and staff. LPA also reviewed and requested copies of facility and resident records. During the course of the investigation the following was revealed: LPA Velazquez reviewed and obtained copies of facility and resident records. LPA also conducted interviews with residents and staff. The records reviewed included a copy of the Direct Supply Products and Services Agreement dated December 16, 2022 for the purchase of a double convection oven, and a Clark Food Service Equipment invoice dated December 22, 2022 for theRead the full finding— CDSS inspection report, March 23, 2023 · control 22-AS-20221229121814

Licensing Program Analyst (LPA) Patricia Velazquez conducted a subsequent complaint visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility and met with Executive Director (ED) Melanie Washington and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA also reviewed and obtained copies of facility and resident records. During the course of the investigation the following was revealed: LPA conducted interviews with residents and staff. The records reviewed included Resident Physician's Reports, Preplacement Appraisal Information, Sunnycrest Senior Living Level of Care Assessments, Medication Lists, and Medication Administration Records. Nine of nine individuals interviewed provided conflicting statements and could not corroborate any of the above allegations. Two of two individuals interviewed stated the family of Resident (R) #1 requested R1's medicaRead the full finding— CDSS inspection report, March 23, 2023 · control 22-AS-20220728130902

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced initial 10 day complaint visit to investigate the above allegation. LPA Velazquez was allowed entry into the facility and met with Executive Director (ED) Melanie Washington and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and ED Washington and reviewed facility and resident records. During the course of the investigation the following was revealed: LPA Velazquez reviewed facility and resident records. Records reviewed included admission agreements, resident level of care assessments with service agreements, physician's reports, and Preplacement Appraisals. Per ED Washington the facility utilizes a level of care system that incorporates a point system. ED further stated the facility conducts a level of care assessment on each resident biannually or when there is a change of condition. Based UnsubstantiatedRead the full finding— CDSS inspection report, January 4, 2023 · control 22-AS-20221229150112

Licensing Program Analyst Michelle Reed arrived at the facility to deliver the findings of this complaint investigation. Upon arrival, LPA met with Concierge Pamela Brenner. Administrator Melanie Washington was in a meeting and met with LPA at approximately 2:30pm. On 9/24/22 R1's family discovered ants under R1's bedding covers, on her railing, and all around her bed. Staff were notified as family was leaving and stated that they would spray. The bed was sprayed with Raid by Staff #1. When family returned approximately 1.5 hr later, they found R1 in her room sitting in her chair. R1 had not been removed from the room and there were dead ants on the sheets, and there was a puddle of ant spray on the floor. The sheets had also not been changed. R1's family took R1 home for the rest of the weekend. R1's medications were given to the family for the days R1 would be gone. The medication given was incorrect. A double dose had been given. When LPA inspected the MAR there was no documentationRead the full finding— CDSS inspection report, December 1, 2022 · control 22-AS-20220927141158

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA identified herself and discussed the purpose of the visit with Executive Director, Melanie Washington. LPA interviewed staff members, residents and other witnesses and reviewed pertinent documents. The investigation revealed the following: R1 is a 93 year old who has resided at the facility since September 1, 2021. R1 is wheelchair bound and requires assistance for all transfers. R1 requires a two person lift. R1 requires the highest level of care (Level 6) for care and assistance according to R1’s admission agreement. R1 has been diagnosed with right side weakness, and Parkinson’s Disease. R1 had in recent years a hip fracture, multiple strokes and heart attacks. (Continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, October 13, 2022 · control 22-AS-20220228144922

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA met with Melanie Washington, Executive Director. During the investigation of the above allegations, LPA interviewed staff, witnesses as well as reviewed and obtained pertinent records. The investigation revealed that resident (R1) fell on the floor and sustained a laceration on her head on December 8, 2021. Facility staff dialed 911 emergency personnel and resident was taken to the hospital. LPA interviewed R1 who stated that staff responded to the call button when she fell on December 8, 2021. She further explained that she had pneumonia and was confused when she was admitted to the hospital after the fall. R1 further explained that she was independent last year and can bathe and shower herself. (Continued on LIC 9099c) UnsubstantiatedRead the full finding— CDSS inspection report, September 29, 2022 · control 22-AS-20211209094403

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA met with Melanie Washington, Executive Director. On November 18, 2021, LPA Chin interviewed four residents and two staff members. Heather Yost, Executive Director during that time and Resident Care Director stated that they have installed a new auditory call system on November 8, 2021 for the facility and they have had many issues with the new system. There were many times that the call system was not working properly. Heather Yost stated that she had the vendor who installed the auditory signal system come out and fix the problem numerous times. As a result of the auditory call system not working properly, staff were unable to respond to residents on a timely basis after the resident pressed the auditory call system. (Continued LIC 9099) SubstantiatedRead the full finding— CDSS inspection report, September 23, 2022 · control 22-AS-20211115103854

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA met with Melanie Washington, Executive Director. The investigation into the above allegations revealed the following: LPA interviewed Resident 1, Witness 1 (W1) and Witness 2(W2). LPA also reviewed photographs which showed two roaches inside the R1's room. The Building Director confirmed that the facility does have roaches at various locations and have sprayed several rooms. Witness 2 (W2) reported that R1's room was very dirty, the closet was off tract and the two slots on the blinds above the sliding door were missing. On August 24, 2022, LPA inspected R1's room and the carpet needed to be vacuumed. LPA observed resident's closet door was off the track and was difficult to open. Two slots were missing from the sliding door blinds. (Continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, September 23, 2022 · control 22-AS-20220823113818

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA met with Melanie Washington, Executive Director. On August 23, 2022, Staff 1 stated that she was passing out residents medications on the first floor. While in the diningroom, S1 said that she had three residents who were in their rooms on the first floor that have not received their medications. She left the medication cart with the laptop in the dining room. She took the three medications of the residents and proceeded to pass the medications. She entered R1's room and the Ombudsman Representative and R1 was also inside. The Ombudsman Representative asked S1 for the name of the resident she was giving the medications to, room number and what medications she was giving. S1 was unable to answer because she left the medication cart with the computer with the E-MARs and residents pictures in the dining room. Staff 1 stated that she beiRead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20220830115230

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of delivering the findings on a complaint investigation. LPA met with Melanie Washington, Executive Director. On July 29, 2022, two responsible parties of R1 was visiting R1 at the facility. An evening shift agency Medication Technician, Staff 1, was giving R1 medications. The two family members noticed that R1 was being given the wrong medications. R1 was being given another resident's (R2)medications. Staff 1 was giving R1 Senna and Citalopram. LPA interviewed Staff 1 who stated that the R1 and R2's medications were switched accidently by facility staff inside the medication carts. S1 demonstrated to LPA on how R1 and R2's medications got switched. LPA observed the facility relies on giving medications based on labels of room numbers inside the medication carts. LPA also reviewed the medication list and reviewed R1 and R2 medications. It is unclear as to how many days that R1 may have been gRead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20220808092134

Licensing Program Analyst (LPA), Kathrina Chin made an unannounced visit to the facility for the purpose of a complaint investigation. LPA met with Executive Director, Melanie Washington. The investigation consisted of interviews with the facility Administrator, and reviewing and obtaining documentation. R1 was also interviewed. The following was determined: Resident 1 (R1) fell on November 9, 2021 and struck the back of her head on the end of her bed frame. It was reported that R1 fell three times the same day. Facility staff called 911 emergency personnel. Resident was sent out to UCI Medical Center. Prior to admission, resident came from a skilled nursing facility due to a fall. Resident 1 was interviewed and R1 explained that she fell a few times on due to weakness and balance issues. R1 explained that staff immediately called 911 emergency personnel after her fall. (Continued on LIC 9099C) UnfoundedRead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20211123111937

Licensing Program Analyst (LPA) Kathrina Chin made an unannounced visit to investigate the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director, Melanie Washington. The investigation into the allegation that staff did not provide resident records to resident's authorized person are the following: R1's responsible party has requested the August invoice multiple times by telephone calls and emails. The facility does not have a Business Office Director as of this time. Melanie Washington stated that on August 29, 2022 that R1's responsible party requested the August invoice and she emailed the invoice on August 31, 2022. (Continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, September 6, 2022 · control 22-AS-20220829170349

Licensing Program Analyst (LPA) Kathrina Chin made an unannounced visit to investigate the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director, Melanie Washington. LPA interviewed several staff members, and one witness. The investigation into the allegation that facility did not ensure that the facility was free from pests revealed the following: LPA toured the facility and interviewed two kitchen staff members. Staff 1 and staff 2 stated that they have observed several roaches in the kitchen area and the bathroom near the kitchen. Both staff indicated that they have informed a reception staff of the problem. LPA interviewed Witness 1 and who stated that one roach was observed in the middle of Bistro area of the facility on August 25, 2022. LPA interviewed Staff 3 who is the Building Services Director and he stated that he has seen roaches in several resident apartments and is aware of the issue. ( Continued on LIC9099C) SubRead the full finding— CDSS inspection report, September 1, 2022 · control 22-AS-20220830101636

Licensing Program Analyst (LPA) Kathrina Chin made an unannounced visit to investigate the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director, Melanie Washington. LPA interviewed several staff members, and one witness. The investigation into the allegations that the facility did not have a working telephone on the premises and back entrance to the faciity was unlocked and open at night are the following: Melanie Washington, Executive Director was interviewed and stated that the facility phones are cordless and a staff forgot to charge the telephones on August 25, 2022. Witness 1(W1) tried calling the facility on the evening of August 25, 2022 and no staff answered the telephones. The telephones were not working as the staff had forgotten to charge the telephones. (Continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, September 1, 2022 · control 22-AS-20220826102143

Licensing Program Analyst, Kathrina Chin made an unannounced visit to deliver the findings on the above allegations. LPA discussed the purpose of the visit with Andrea Nino, Business Office Director. During the course of the investigation, LPA toured the facility, interviewed staff, residents and witnesses, as well as reviewed and obtained pertinent documentation. An initial complaint investigation visit was made on June 24, 2022 and on that day, LPA met with Joan Johnson, Interim Executive Director and Chantelle Hudson, Nurse Consultant. On June 24, 2022, Joan Johnson, Interim Executive Director stated a Medication Technician from a Staffing Agency called out on June 19, 2022. As a result, there were approximately thirty-eight residents who missed their morning medications. Chantelle Hudson, Nurse Consultant provided a copy of the list of the thirty-eight residents who missed their morning medications including the list of medications that were missed. The Executive Director stated thRead the full finding— CDSS inspection report, June 30, 2022 · control 22-AS-20220621131606