Sungarden Villa VI

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Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with staff, Sharon McNeil, and Kim Fortaleza. Administrator Designee, Russelle Robinson, arrived at 2:20 pm. LPA stated the reason for today's inspection was to follow up on recent incident reports submitted for resident (R1), who was hospitalized last on July 7, 2026. LPA observed (4) residents watching television in the common area and (2) residents were resting or talking with visitors in their rooms. The Ombudsman, and outside health personnel, visited during today's inspection. LPA reviewed several documents and incident reports from the last month where (R1) had a fall in their room, due to being restless and agitated, and not sleeping well at night and having a Urinary Tract Infection. (R1) was prescribed Trazadone 25mg, on June 4, 2026. to help with sleeping, but was not consistently effective. (R1) was admitted to hospice on July 7, 2026, upon discharge from the hospital and is doing well with the medication adjustments and not as agitated as prior to being hospitalized. (R1) returned from the hospital on July 7, 2026, very sedated, but was still able to get up and fall in their room, due to being very unsteady from the medications administered at the hospital. Hospice evaluated (R1), and no intervention were needed. The Ombudsman observed (R1's) room appeared to be set up with good interventions, including for fall preventions. (R1) conversed with LPA, the Ombudsman and staff during today's inspection. (R1) stated they are not in pain and are enjoying being at the facility. LPA observed (2) bandages on their right arm from old skin tears from previous falls. LPA toured the facility and observed all residents in their rooms and common areas and did not observe any health or safety, or personal rights violations. The facility took appropriate action in sending (R1) out for medical evaluation on multiple occasions. There are no deficiencies issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Jul 14, 2026

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to a Post-Licensing inspection. LPA met with caregiver, Stephanie Jaucian, and stated the reason for today's inspection. Administrator Designee arrived shortly, around 2:20 pm. LPA was advised there is currently (1) resident at the facility, and the resident moved in on February 17, 2026. LPA observed a visitor departing at the start of the inspection. The administrator, Curtis Robinson, arrived at 2:45 pm. LPA and the Administrator toured the interior and exterior of the facility including the common areas, (6) private resident bedrooms, (2) resident bathrooms, (2)staff rooms and a bathroom, kitchen, and laundry area. LPA observed the facility to be clean, in good repair and odor free. There is sufficient 2+ day perishable, including fresh produce, and 7+ day perishable supply of food. LPA observed the (1) resident to be comfortably resting in their room. LPA reviewed the resident's file and staff files. All files are organized and contain current documents, including staff training. There is a table/chairs outside on the patio. There are no obstructions to any exit doors. All exit doors have auditors alerts when opened. All postings are visible in the common area. LPA requested a copy of the current liability insurance. There are no deficiencies issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 27, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced for a scheduled Pre-Licensing inspection at 10:00 and met with Administrator, Curtis Robinson and Board Member, Arminder Takhar. The location is not currently licensed and there were no residents present. The facility is approved for (6) non-ambulatory residents, (1) of whom may be bedridden in room #3. All other rooms are approved for (1) non-ambulatory resident each. The home is newly remodeled. LPA, Administrator, and the Board Member toured the interior and exterior of the facility including the common areas, (6) private resident bedrooms, (2) resident bathrooms, (2)staff rooms and a bathroom, kitchen, and laundry area. LPA observed the facility to be clean, in good repair and to have sufficient lighting throughout. The bathrooms have the necessary grab bars, skid-resistant flooring, and soap. All (6) client rooms are furnished with the required furniture and have closet space also. LPA observed sufficient dishes, flatware and cooking pans in the kitchen, and some perishable and non-perishable food on hand. Sharps, toxins and medications are locked in/near the kitchen. Additional toxins are secured in the laundry room. Hot water measured 105*F in the kitchen and the inside temperature measured 68*F. Fire extinguishers were last serviced on 1/9/2025, and the smoke/monoxide alarms are working, including any fire doors. There are (2) complete First Aid kits and sufficient linens/towels/blankets and flashlights/night lights, and resident games/activities. There is a large patio area and one unlocked exit gate outside. A patio set with umbrella was purchased and will be brought over this week. There are alarms on each exit door. Residents will use a pendant button that is centrally monitored in the kitchen. Required postings are visible in the common area. Land line to be installed this afternoon. Resident files and staff files are prepared and organized. Comp III was completed during today's inspection. Pre-Licensing is complete and this facility has no deficiencies. LPA to notify the analyst in the applications bureau. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Oct 22, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participant: Curtis Robinson, Owner/Administrator Interview Method: Telephone interview On 10/10/25, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/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, 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, Oct 10, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participant: Arminder Takhar, Owner Interview Method: Telephone interview On 10/9/25, applicant participated in COMP II. Identification of the applicant was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant 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's understanding of 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, Oct 9, 2025