Sunrays Board & Care

Type of visit: Required - 1 Year

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of completing an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by care giving staff. LPA explained the purpose of the visit and Administrator (AD) Raymond Tinio was notified via telephone, AD arrived shortly afterword in order to assist with the annual visit. LPA began a tour of the facility and observed the following. AD Raymond Tinio has a valid Administrator certificate valid from September 24,2024 through September 23, 2026. The facility is a one storied home with a total of five bedrooms, four of which are resident rooms and one of which is for live in staff. The facility is equipped with two bathrooms, and an attached two car garage. LPA observed the kitchen area to be clean and free of mildew and debris. LPA observed a microwave, refrigerator, dishwasher, and a gas stove located in the kitchen area. All appeared to be in good repair and tested operational. LPA observed the facility to have a two day supply of perishable food and a seven day supply of non-perishable food. LPA observed all toxins and sharps to be locked away and inaccessible to residents in care. LPA observed all resident rooms to be large enough to walk about freely, and be free of any obstructions, hazards, and toxins. LPA observed all resident rooms to have all required furnishings such as a chair, a lamp, a chest of drawers, a bed, clean linens in good repair; meaning no strains or tears, and enough storage space to store personal belongings. LPA observed all resident restrooms to be clean and free of debris and mildew. LPA observed all water faucets and toilets to be operational. LPA observed restrooms to have all required furnishings such as grab bars, slip resistant floor matts, and a shower chair. Hot water temperature tested between 113.4 and 114.1 degrees Fahrenheit. CONTINUED ON LIC809-C LPA observed all fire extinguishers to be fully charged and have an updated service tag attached to it. LPA observed all smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed first aid kit to have all required items such as scissors, tweezers, adhesive tape, bandages a thermometer, and a first aid manual. LPA conducted a tour of the outside of the facility, and observed the following. LPA observed the backyard to be large enough to participate in outdoor activities upon resident request. LPA observed an outdoor shaded sitting area, and for the backyard to be free of any debris and large obstructions blocking the exit routes. The side doors were observed to be self latching an unlocked. LPA reviewed two staff files and four resident files. All resident files had all required documents. Staff training was not up to date and documented correctly a deficiency was issued on today's date. LPA reviewed medications with AD and per LPA review all medications are being documented correctly and being administered per physicians orders. Based on today's observations deficiencies will be issued per title 22 chapter 6 division 8 of the California Code of Regulations. An exit interview was conducted with AD and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 12, 2026

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #3 (S3) Silverio Madriaga and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 2:45PM, LPA and S3 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 5-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 2 staff and 2 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the one staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 107 degrees F in the resident bathroom. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 1:45PM, LPA reviewed 3 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 3 residents. Facility does not handle resident money. During the inspection, LPA and S3 observed the following: based on documents and interview, S3's health screening was from 2018 before they were hired and S3 stated they do not have a new health screening; based on documents, the last documented emergency disaster drill was conducted approximately 5 months ago and not quarterly; and based on documents and interviews, S3's last first aid certificate is years expired and S3 has not renewed it. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Sep 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit to the facility to complete the required Annual inspection. LPA Haley met with Licensee/Administrator Raymond Tinio and toured the facility. The facility has a capacity of 6, of which 6 can be non-ambulatory and 1 may be bedridden. The facility has a Hospice waiver for 6. The facility telephone number 714.723.0169. Structure: The facility is one level structure with four bedrooms. Currently one bedroom is vacant and one bedroom is being shared by a husband and wife. Kitchen: Clean and organized. Sharps locked in a drawer. A perishable food supply was observed in the refrigerator and freezer. Non-perishable food supply was observed in the cabinets. Stove/Appliances: There’s one stove with 4 burners and a warmer, a refrigerator, dishwasher, washer, and dryer. All appliances are clean and operational. Toxins: All cleaning supplies and chemicals are locked under the kitchen sink. Medications, First-Aid Kit: Resident medications are stored in a locked cabinet in the kitchen. There’s a first aid kit with all the required elements on a stand right below the sign in book as soon as you walk in the front door. Resident & Staff Files: The Resident and Staff Records are kept locked in a desk drawer in the office area in between the living room and kitchen areas. Bedrooms: Resident bedrooms were clean, organized and were in compliance with regulation guidelines. Bathrooms: There are two bathrooms and both bathrooms have a working toilets, wash basin and shower. Grab bars were tightly secured to the wall. Hot Water: Hot water was measured in the range of 105 - 107.1 degrees F. Continued on LIC809C Hygiene Supplies: The facility has an adequate supply of hygiene items on hand. Linens, Hygiene, Emergency Supplies: Additional linens for each resident are stored in a closet right next to the front door. Emergency Evacuation Drills: The most recent evacuation drill was conducted April 12, 2024, and are conducted quarterly for all staff. Medication Review: There are currently four residents in the facility and medication was reviewed for 2 of 4 residents. Resident File Review: A file review was completed for all four residents. Staff File Review: 4 staff files were reviewed during the visit. Garage: The garage is used to store facility items. Walkways are free of obstruction. A washer and dryer was observed. Some of the items being stored in the garage are walkers, wheelchairs, N95 mask, and a few old mattresses. Backyard: Clean, organized and walkways are free of obstruction. There are two tables with chairs under a shaded patio. Side exit gates are self-closing and self-latching. Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors and the carbon monoxide detector tested operational. There’s a fully charged fire extinguisher mounted on the wall in the office area. Misc (P&I): N/A. The facility does not manage any of the resident’s money. Activities, Recreation, Reading Material, etc: Exercises and ball toss are the primary activities. There is a bingo game and the facility celebrates resident birthdays. Citation(s) & TV/TA: No citations of technical violations will be issued as a result of todays inspection. Exit Interview: Exit interview was conducted, and a copy of this report were provided to Licensee/Administrator Raymond Tinio and Administrator Macrina Jabonero.the state’s words, verbatim · CDSS document, Jun 13, 2024