Sunrise of Orange

Type of visit: Required - 1 Year

On July 7, 2026, Licensing Program Analyst (LPA) Taylor Simerly and Licensing Program Manager (LPM) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA and LPM met with Benito Del Toro Executive Director. LPA and LPM explained the purpose of today’s visit. The facility is licensed to serve (139) elderly adults ages 60 and above, of which (139) can be non-ambulatory and (10) bedridden. Approved for delayed egress. The facility has an approved hospice waiver for (10). Currently the facility has (99) residents. Facility has 1-building with 3 stories, 92 rooms with each room having its own bathroom, and additional common bathrooms and common areas. The memory care unit is the entire first floor and part of the third floor with delayed egress on all doors. There are 2 courtyards with patio covers for the residents, with additional terraces, with equal amounts of space allocated to memory care residents and assisted living residents. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. LPA Simerly and LPM Iniguez and the executive director toured the physical plant. There were no bodies of water or obstructions on the premises. LPA and LPM inspected residents’ bedrooms and bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 112°F to 118°F, and the room temperature ranged from 76°F to 79°F. During the visit, LPA Simerly and LPM Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there were sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 7/7/26. A review of (6) residents' service files and (7) staff personnel files was conducted. LPA reviewed (5) Medication Administration Records (MARs) and found no discrepancies. LPA and LPM reviewed the administrator’s certificate on file that is valid from July 30, 2024 to July 29, 2026. LPA and LPM observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance was provided to LPA and LPM. Facility Annual Fees current. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies; therefore, no citations were issued at this time. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Benito Del Toro, Executive Director.the state’s words, verbatim · CDSS document, Jul 7, 2026

Allegation investigated: Staff dispensed an unprescribed supplement to residents without their knowledge.

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an investigation from a complaint received in our Regional Office. LPA was granted entry and met with Benito Del Toro, Executive Director (ED) and explained the purpose of the visit. It is alleged that a staff member dispensed an unprescribed supplement, Melatonin, to memory care residents without their knowledge. LPA reviewed two of two resident records, Resident #2 (R2) and Resident #4 (R4), which include: the Identification/ Emergency Information forms, Physician's Reports, Appraisal Needs and Services Plans and Medication Administration Records (MAR) from April 2025. Per Physician's Reports, both R2 and R4's primary diagnoses are dementia. MAR records show R2 does not receive Melatonin but R4's records show Melatonin is prescribed and given by staff. Records do not show a discrepancy of any additional medications (Continued on LIC 9099-C) Unfounded (Continued from LIC 9099) being given to R2 or R4. Interview of staff stated if additional Melatonin was given, it would not be documented in the MAR. LPA interviewed twelve of twelve staff members regarding the allegation. Three of twelve confirmed overhearing the former employee stating they would give additional Melatonin to R2 and R4; but none of the three staff members witnessed this. Nine of twelve staff members were not aware of the allegation and denied it happened. The staff members mentioned in the allegation are not employed with Sunrise of Orange. LPA spoke to three of three witnesses. One witness overheard the allegation but did not witness it. Two of two witnesses denied the allegation. LPA interviewed seven of seven residents in Memory Care, including R2 and R4. Three of seven residents denied the allegation that they were given Melatonin without their knowledge. Three of seven residents could not answer the question and LPA attempted to interview one of seven residents; who was napping. Based on LPA observations, record review and interviews, the allegation that Staff dispensed an unprescribed supplement to residents without their knowledge, is Unfounded. The allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Executive Director, Benito Del Toro and a copy of this report, and LIC 811, was provided to the facility.the state’s words, verbatim · CDSS document, Oct 13, 2025 · control 22-AS-20250428091348

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced case management health and safety visit for the purpose of following up on a self-reported incident report received in the Orange County Regional Office (OCRO) on September 04, 2025, regarding Resident #1 (R1). LPA Tirre met with Administrator (AD) Benito Del Toro and explained purpose of the visit. During inspection LPA Tirre and AD Del Toro toured facility. LPA observed residents participating in activities and eating breakfast as well as relaxing in bedrooms. Facility seemed to be in good repair, cleanly and no obstructions in hallways or common areas. LPA did not observe any Health and Safety issues. LPA Tirre toured Resident 1’s apartment and observed no clutter or obstruction of pathways in room or restroom. LPA Tirre interviewed Administrator Benito Del Toro, Resident Care Director (RC) Crystal Vital and Reminiscence Coordinator Shay Porter via telephone. R1 was not present in facility and was unable to be interviewed. LPA Tirre requested and reviewed copies of R1’s Physician’s Report dated 10/22/2024, Needs and Service Plan with fall prevention plan included dated 6/6/2025, progress note updated 9/4/2025, Assessment dated 10/11/2024, Preplacement Appraisal dated 10/25/2024, Order Summary Report, Staff Schedule for Memory Care and resident roster. Administrator was advised that incident needs further investigation. Facility to provide updates to department. LPA Tirre conducted exit interview with Administrator Benito Del Toro and copy of report was provided.the state’s words, verbatim · CDSS document, Sep 5, 2025

Type of visit: Required - 1 Year

On May 2, 2025 Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Executive Director (ED) Luis Rodriguez was present to assist with the facility inspection on today's date. The facility is licensed for One hundred thirty nine (139) Non Ambulatory residents of which Ten (10) residents may be bedridden with approved hospice waiver for ten (10) residents. Currently, there are Five (5) Hospice residents present during today’s visit. Facility is a three story building with 93 units combined in both Assisted Living and Memory Care. At around 11:40 AM, LPA Tirre conducted a tour of the physical plant accompanied by Executive Director Luis Rodriguez, and the following was observed: Rooms which were inspected observed to be furnished Beds and bedding supplies were in operational condition, lighting was provided, and storage for the Resident’s personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 112.8 to 116.7 degrees F. A comfortable temperature of 71 degrees F. was maintained in the facility.. Residents were observed relaxing in common areas, eating in the dining room, and relaxing in common areas as well as relaxing in bedrooms. Memory care residents were observed engaged in eating lunch in dining area. The kitchen was inspected, and facility has required two (2) day perishables and seven (7) days non-perishable foods as well as supply of emergency food and water. Kitchen area was maintained with cleanliness. LPA Tirre observed facility refrigerator and freezer to be operational and met regulatory CONTINUED ON 809C requirements Storage areas for sharps objects and cleaning supplies were stored and not accessible to residents. Facility has multiple fire extinguishers. During today’s visit eight (8) fire extinguishers were observed to be fully charged and mounted. A review of the Medication Records Administration (MAR) was conducted, and LPA’ observed the records are in compliance. The medications were inaccessible to residents, centrally stored and maintained in compliance. All pathways, doorways, and emergency exits were observed to be free of obstruction. There were no bodies of water observed anywhere on the property. During the visit, LPA observed the facility's infection control practices. LPA’ observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted. LPA observed facility has a supply of Personal Protective Equipment (PPE). LPA observed First Aid Kit was maintained. A working landline phone was operational. Facility has operating smoke detectors and audible alarms which LPA observed Smoke alarms and carbon monoxide detectors were last serviced on 1/21/2025. The last fire drill was conducted on 4/29/2025.. LPA observed evacuation chairs located on top story stairwells. During today’s visit a review of eight (8) residents (R1-R8) service files and five staff (S1-S5) personnel files revealed to be complete. The facility has the current administrator's certification on file for Luis Rodriguez #70033677 Expiration 10/27/2025. No deficiencies during this inspection visit. An exit interview was conducted with Executive Director Luis Rodriguez, and a copy of the report was provided.the state’s words, verbatim · CDSS document, May 2, 2025

Type of visit: Required - 1 Year

On today’s date, Licensing Program Analysts (LPA) Rosie Quiroz and Rose Ruppert conducted an unannounced visit for the purpose of conducting an annual required evaluation. LPAs were greeted upon entry to the facility by front desk concierge. LPAs met with Executive DIrector (ED) Bryan Reamer-Yu and Crystal Vital, Resident Care Director (RCD) and explained the purpose of the visit. Bryan Reamer-Yu has an Administrator certificate with expiration date of August 25, 2024 . The facility is licensed to provide services to residents age range 60 and over, (139) Non-ambulatory, of which 10 may be bedridden. Approved for delayed egress, and has a hospice waiver for (10) ten residents. There are currently two (2) residents receiving hospice care services. Between 9:25am-1:00pm, LPAs reviewed ten (10) resident files and ten (10) personnel files. LPAs along with (ED) Bryan Reamer-Yu and (RCD) Crystal Vital toured the interior and exterior of facility premises including memory care and Assisted Living area. The required two (2) day perishable and seven (7) day non-perishable food supply was observed. Toxic substances were locked and inaccessible to residents. LPAs observed cooking areas to be maintained with cleanliness. LPAs observed facility refrigerator and freezer to be operational and met regulatory requirements. Resident bathrooms were observed to have working sinks, faucets and flushing toilets. LPAs tested hot water temperatures in resident bathrooms which ranged between 118.0 degrees- 118.7 degrees Fahrenheit. Grab bars and non-skid mats were also observed in resident bathrooms. Personal hygiene items for resident use were observed in each bathroom. LPAs observed all resident rooms to have required linens, furnishings, and adequate lighting. All linens and furnishings were clean and in good repair. Smoke alarms and carbon monoxide detectors were last serviced on 4/9/2024. The medications were inaccessible to residents, centrally stored and maintained in compliance. All pathways, doorways, and emergency exits were observed to be free of obstruction. There were no bodies of water observed anywhere on the property. PPE stored in storage room located in the second floor area. CONTINUED ON LIC 809-C PAGE.... CONTINUED...While conducting facility inspection and resident interviews, LPAs pulled chord in Resident 7(R7) bedroom area at 2:51pm. At 2:58pm, LPAs inquired about call light response system to R7's bedroom area, ED Reamer-Yu verified no response indicating there was a system in place alerting staff of call light pendants. At 2:58pm, LPAs observed call light for Resident 11 (R11) had been pressed at 2:14pm with no response time. LPAs interviewed R11 who indicated "I pressed the call light 40 minutes ago and no one came by, my wife went to go look for someone but no one came and I wanted to go to bible study." This was verified with ED Reamer-Yu present. (SEE LIC 809-D) LPAs observed staff answer facility telephone which verified a working telephone was maintained at the facility. Regulatory required postings were observed in multiple places throughout the facility. The Facility was operating within the allowed capacity. Fire extinguishers were charged, mounted throughout the facility and last serviced 7/12/2023. Facility indicated Pest Control services facility monthly, last serviced on 4/10/2024. LPAs verified that fire/disaster drills are conducted monthly and on each shift. Last fire drill was conducted on 4/10/2024. The Emergency exit plans were posted and available for reference throughout the facility. Residents were accorded clean and comfortable accommodations. LPAs observed Laundry area on all floors with funcitonal and operational washers and dryers. Based on the observations made during today’s visit, the facility is being cited per Title 22, Division 6, of California Code or Regulations. An exit interview was conducted with ED Bryan Reamer-Yu. A copy of today's report, LIC 809-D, Appeal rights and LIC 858 and LIC 859 pages were provided at exit.the state’s words, verbatim · CDSS document, May 13, 2024