Sunshine Care Home

Type of visit: Required - 1 Year

On May 15, 2026, Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit at the facility for the purpose of completing the annual inspection. LPA Haddadin was greeted and granted entry by Administrator (AD) Aiko Asis. The facility is a single-story residence consisting of four bedrooms and two restrooms. The approved capacity is six non-ambulatory residents, of whom one may be bedridden. Hospice care may be provided for up to two residents. At the time of the visit, there were two residents in care. LPA conducted a comprehensive interior inspection and found the facility to be clean, safe, and sanitary. Resident bedrooms were appropriately furnished with a bed, clean linens, a chair, closet space, and adequate lighting. An adequate supply of extra linens and hygiene products was available for residents. Restrooms were stocked with soap and paper towels, and the hot water temperature measured 105.3 degrees Fahrenheit in both bathrooms. Hallways and walkways were clear of obstructions. Chemicals and toxins were secured in the garage and under the kitchen sink. Knives and sharps were secured in a locked kitchen cabinet. Medications were centrally stored in a locked kitchen cabinet and were inaccessible to residents in care. The first aid kit was located in the kitchen and contained the required components. {***CONTINUE 809C***} The fire extinguisher was fully charged, with the pressure gauge arrow within the green zone, and the service tag indicated it was last serviced on August 4th, 2025. Staff tested the smoke detectors and carbon monoxide detectors during the visit, and all units were operational. The facility also maintained a two-day supply of perishable food items and a seven-day supply of non-perishable food items. LPA toured the exterior grounds and found the perimeter and outdoor walkways to be free of obstructions and safety hazards. A shaded outdoor seating area with outdoor furniture was available for resident use. The perimeter gate was self-latching and opened properly to allow for safe evacuation if needed. No bodies of water were observed on the premises. LPA reviewed two resident files, associated medications, and two staff files. No discrepancies were observed, and all reviewed files contained the required documentation. Facility operational logs indicated that the facility was current with required quarterly fire drills. The most recent fire drill was conducted on March 6, 2026. The administrator’s certificate expires on November 8, 2027. Based on observations made during today’s visit, no deficiencies are being cited under Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Aiko Asis, and a copy of this evaluation report was provided on-site.the state’s words, verbatim · CDSS document, May 15, 2026

Type of visit: Prelicensing

Licensing Program Analyst Pre-Licensing Visit Report On May 9, 2025, Licensing Program Analyst (LPA) Samer Haddadin conducted an announced pre-licensing visit at the facility. LPA Haddadin was greeted by and granted entry by Administrator Aiko Asis. The facility is a single-story residence with four bedrooms and two restrooms. It is approved for a maximum of six non-ambulatory residents, of whom one may be bedridden, and hospice care may be provided for up to two residents. During the visit, LPA Haddadin toured the facility and inspected the physical plant. This included, but was not limited to, testing all smoke detectors, verifying hot water temperatures in all two restrooms, and testing audio devices at all exits. The hot water temperatures ranged from 106.8 to 108.9 degrees Fahrenheit, and all smoke detectors were found to be operational. The fire extinguisher was charged and had a current inspection date of March 5, 2025. LPA Haddadin also inspected the exterior of the facility and noted the absence of any bodies of water. The facility provides sufficient outdoor space for resident activities. All emergency exits were checked and found to be clear and free of obstructions. An inspection of the facility's food supply revealed a seven-day supply of non-perishable food on hand. The administrator stated that a two-day supply of perishable items would be maintained once residents are in care. Knives and cleaning supplies were securely stored in a separate cabinet in the kitchen. LPA Haddadin observed that the PUB 475 notice was posted in the required 20" x 26" size, and visiting hours were also posted. Confirmation was obtained that the administrator possesses a current administrator certificate, which expires on November 8, 2025. Component III of the licensing process was conducted with the Administrator. Medication storage and a First Aid Kit were inspected. The First Aid Kit contained all required components, and medication storage was locked and inaccessible for residents. All required department postings were observed to be displayed near the entrance. The Administrator was informed that the final application approval would be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted, and a copy of this report was provided to the Licensee.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Joselito Asis CEO/ Aiko Asis Administrator Interview Method: Telephone interview On April 11, 2025, Applicant/Administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Apr 11, 2025