Angels Sunrise Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Friday July 24, 2026, to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (6) and staff (2) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA and Administrator Alpesh toured the facility together to ensure the health and safety of residents in care. The following areas were inspected: resident bedrooms, bathrooms, kitchen, laundry room, garage and backyard. Facility was clean and well organized. Facility was current on fire drills. Facility had a fully stocked first aid kit. All required postings were observed. All chemicals and knives were kept locked and inaccessible to residents. LPA obtained a copy of the of current liability insurance. Exit interview conducted. No deficiencies cited. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 24, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday March 12, 2026 to conduct a case management visit regarding an incident that was reported to the Department on 2/24/2026. LPA met with staff Parsila and explained the purpose of the visit. LPA interviewed R1 regarding the incident. Additionally, LPA reviewed R1's facility file. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 12, 2026

Allegation investigated: Facility staff fail to manage residents’ incontinence Facility staff fail to provide nutritious meals at reasonable mealtimes Staff not provided sleeping accommodations Resident bedding not maintained as clean and in good condition

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday December 23, 2025, to conclude a complaint investigation regarding the above allegations. LPA met with Administrator Alpesh and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator and staff. LPA toured the facility and inspected resident beds. LPA learned the following: meal times are as following: breakfast at 6am, lunch at 12pm, and dinner between 5pm and 6pm. Per staff, if a resident does not want to eat a meal at the described time, it will be saved and offered to them at a later time. LPA inspected the fridge and pantry and saw a variety of perishable and nonperishable foods, including fruit, meat, and vegetables. Per the Administrator and staff, there is awake staff on the NOC shift. There is no bed or staff quarters provided. All staff interviewed stated that NOC shift staff are awake. LPA interviewed staff who stated that residents are changed every 2 hours and/or as needed. LPA observed all resident beds to have appropriate bedding. Bedding appeared clean and did not have an odor. There was additional bedding stored at the facility to be used, if needed. Unsubstantiated Based on information obtained during the investigation, LPA finds the allegations to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Exit interview. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 23, 2025 · control 59-AS-20251121132658

Allegation investigated: Facility is storing expired food in the facility

Observations of the kitchen and food storage areas indicated that facility had expired foods that were being served to the residents in care. On 07/22/2025 LPA observed expired milk in the fridge and expired canned goods in the pantry. Interviews conducted with S1 and S2 indicated that there was expired food available for resident consumption. Staff stated that administrator had gone through all the food in the fridge and cabinets to remove all expired foods. Therefore, the allegation that staff are serving expired food to residents in care is substantiated. Based on observation and interviews conducted, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached 9099-D page. Appeal rights provided. Exit interview conducted. Substantiated Allegation: Personal Rights During the investigation LPA reviewed R1’s 602 which indicated the resident is experiencing sundowning symptoms including confusion and disorientation. On 10/02/2025 LPA interviewed R1 in their bedroom. R1 stated that they had been yelled at in the facility, but could not remember who yelled at them. R1 also stated that they had been pushed in the facility, but could not remember who pushed them. LPA also interviewed R2, who stated they have not heard any yelling or seen another resident being pushed. R2 stated that staff does not yell or gets physical with the residents. S1 denied this allegation and reported that residents are treated with dignity and respect. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Allegation: Facility is not posting an accurate staffing schedule During the investigation interviews with S1 were conducted. S1 provided the LIC500, which accurately showed who was working and at what time. LIC500 showed that at least (1) staff has a first aide certificate at all times. LIC500 showed there are at least (2) staff during the day. S1 stated that if a staff member calls out S1 fills in for the day. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis.the state’s words, verbatim · CDSS document, Oct 14, 2025 · control 59-AS-20250721130754

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(a) · Plan of correction due date: Oct 15, 2025

87555 General Food Service Requirements (a) The total daily diet shall be of the quality...necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This poses an immediate health and safety risk to residents in care. This was not met as evidenced by: Observation of multiple expired food items in kitchen and pantry shed that was being served to clients in care.the state’s words, verbatim · CDSS document, Oct 14, 2025

Plan of correction: Licensee will conduct an audit of all food that is available to clients in care to ensure food is not expired. Licensee will send a statement of understanding regarding regulation to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensed Program Analysts (LPAs) Graham Gunby and Bethany Mirlohi arrived at the facility unannounced and met with Administrator, Alpesh Kumar, to conduct a case management visit. On 10/02/2025 LPA Gunby visited the facility to investigate a complaint, during this time the following deficiencies were observed: Administrator Qualification: Current administrator certificate is outdated Incomplete Resident Records: LPA observed incomplete required records Violation of Personal Accommodations and Services: While interviewing a resident, staff used their personal bathroom for other residents Deficiencies cited on LIC809-D. Appeal Rights provided. Exit interview conducted.the state’s words, verbatim · CDSS document, Oct 14, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Oct 28, 2025

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. This poses a potential health and safety risk to residents in care. This requirement is not met by: Administrator not having an updated and valid Administrator Certificatethe state’s words, verbatim · CDSS document, Oct 14, 2025

Plan of correction: Administrator will complete certificate classes and submit proof of training. In addition, Administrator will submit a receipt of documents sent to Administrators Certificate Bureau. Administrator will submit proof to CCLD by 10/28/2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a)(c) · Plan of correction due date: Oct 21, 2025

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This poses a potential health and safety risk to residents in care. The requirement is not met by: Based on record review of several resident records that were incomplete and unsigned.the state’s words, verbatim · CDSS document, Oct 14, 2025

Plan of correction: LPA observed an incomplete admission agreement. Administrator will submit the full filled out admission agreement by 10/21/2025 to CCLD by fax or email.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(c) · Plan of correction due date: Oct 21, 2025

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall .... The facility shall be large enough to provide comfortable living accommodations and privacy for the residents:(C)No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met by: Based on observations of staff using a private residents bathroom, for all residents.the state’s words, verbatim · CDSS document, Oct 14, 2025

Plan of correction: Licensee/Administrator is to review Regulation 87307 and provide the Department with a signed statement that it is understood. Statement is to be submitted to CCLD by 10/21/2025 via fax or email.

Type of visit: Required - 1 Year

On 07/25/25 Licensing Program Analyst (LPA) Graham Gunby arrived unannounced at the facility to conduct a required 1-year annual inspection. LPA met with Administrator, Alpesh Kumar, and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident rooms, bathrooms, kitchen, dining room, common areas, and back yard. LPA observed medications, cleaners, and sharps to be locked and inaccessible to residents. The residence was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA conducted a file review of five (5) resident files and three (3) staff files. Resident and staff files had all the required documents present in files. No deficiencies cited. Exit interview conducted and a copy of the report was emailed to Administrator.the state’s words, verbatim · CDSS document, Jul 25, 2025

Type of visit: Post Licensing

Licensing Program Analysts (LPA) Graham Gunby and Cheyenne Ratajczak arrived unannounced to conduct a post-licensing inspection. LPAs met with administrator, Alpesh Kumar, who arrived at 11:30am. LPAs and Administrator conducted a tour of the interior of the facility and inspected the physical plant, kitchen, bedrooms, bathrooms, laundry area, and backyard area. LPA observed the facility to be clean and in good repair. There is a pool on the property that is locked and inaccessible to the residents. There is sufficient furniture and lighting throughout the facility. LPA observed required 7 day non-perishable and 2 day perishable food. LPA observed locked medications, knives and toxins to be inaccessible to residents. LPA observed four (4) resident files and three (3) staff files to be organized and complete. LPA requested the liability insurance. LPA observed all required documents to be posted in entry. Exit interview conducted. No deficiencies cited at this time.the state’s words, verbatim · CDSS document, Oct 23, 2024

Type of visit: Case Management - Licensee Initiated

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday October 1, 2024 to conduct a case management visit. LPA met with Administrator Alpesh. This visit is to confirm the change of facility layout and fire clearance. On Monday September 30, 2024, the facility was approved to have 4 private nonambulatory rooms and one shared room, of which bedroom #4 is approved for bedridden. LPA verified that the updated facility sketch is posted at the facility. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Oct 1, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday July 25, 2024 to conduct an announced prelicensing visit. The Compliance and Regulatory Enforcement Tool was used during today's inspection. This facility has a fire clearance for 5 nonambulatory and one bedridden. Facility has all required postings in the main entryway. LPA toured the facility with Administrator Alepsh. The following areas were inspected for compliance: kitchen, backyard, resident rooms, resident bathrooms, common areas, and garage. Facility has a current fire extinguisher and a full first aid kit. Medications will be kept locked in the laundry room. Cleaning chemicals and knives/sharps will be kept locked and inaccessible to residents. Component III has been waived. The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.the state’s words, verbatim · CDSS document, Jul 25, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): zero COMP II Participants: Alpesh Kumar Interview Method: Telephone interview On July 15, 2024, 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 following areas: 1. Facility operation: License type, client/resident populations, advertising 2. Pool usage, activities, medication storage 3. General provisions/ prelicensing inspection readinessthe state’s words, verbatim · CDSS document, Jul 15, 2024