Sunrise Assisted Living Of Carmichael

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Business Office Coordinator, Hazel Gober, to deliver complaint investigation findings regarding the above stated allegations. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. According to the facility’s Resident Handbill, resident (R1) moved into the care home on May 31, 2025. After Visit Summary and Physician Progress Notes, dated May 25, 2025, indicated that R1 was to begin taking Cefadroxil 500mg capsules for 7 days due to urinary tract infection (UTI). Interview with Executive Director (ED) Jessica Sanders, staff (S1), and witness indicated that R1 had 2 more days of medication to take upon ***********************************************Continued on LIC9099-C************************************************** SubstantiatedRead the full finding— CDSS inspection report, September 24, 2025 · control 59-AS-20250723110818

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Jessica Sanders, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews, made observations, and obtained documentation pertinent to the investigation. Interviews with the ED, Resident Care Director (RCD), Memory Care Director (MCD), and staff (S1, S2, and S4) indicated that resident (R1) was observed on May 16, 2025 to have what appeared to be fleas in their hair. R1 had a pet cat in their apartment. R1's progress notes indicated that their responsible party and the primary care physician's (PCP) office were notified. Interviews with ED, RCD, MCD, S1, S2, and S4 indicated that on May 17, 2025 it was determined by the facility nurse that R1 had head lice. Interviews with ED, RCD, MCD, S1, S2, and S4 indicated that other residents were checked for head lice and were not observed toRead the full finding— CDSS inspection report, July 23, 2025 · control 59-AS-20250519104944

on March 14, 2025. According to the SOC341, on March 11, 2025, the Senior Executive Director received a report from staff (S5) alleging that abuse had been reported to them from staff (S2) regarding resident (R1). S2 alleged that, during the AM shift, they witnessed staff (S1) forcefully grab R1's arms when assisting them onto the toilet on March 6, 2025. S1 had not reported the allegation to their supervisor at the time of the event. S1 was placed on leave pending an internal investigation. According to interview with the Senior Executive Director and documentation obtained, staff (S4) and staff (S6) conducted a head to toe skin check of R1 as well as all other residents residing in Reminiscence Care. All residents in Reminiscence Care have advanced stages of Dementia. S4 and S6 observed that R1 had a small bruise on their hand from a TB blood draw conducted that morning as well as some slight redness on their upper arm from the tourniquet. There were no other residents with any unusuRead the full finding— CDSS inspection report, March 20, 2025

Licensing Program Analyst (LPA) Angela Hood arrived at the care home unannounced today, 5/16/24, and met with the Terrace Club Coordinator, Abby Johnson, to deliver complaint investigation findings into the above stated allegations. During the course of the investigation, LPA conducted interviews, made observations, and obtained documentation pertinent to the investigation. LPA visited resident (R1) on 1/18/24 and 2/27/24. ************************************************Continued on LIC9099-C************************************************** Unsubstantiated— CDSS inspection report, May 16, 2024 · control 59-AS-20240119121758

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 1/24/24, and met with the Resident Care Director, Andy Pardede, to deliver complaint investigation findings into the above stated allegation. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. *********************************************Continued on LIC9099-C*************************************************** Unsubstantiated— CDSS inspection report, January 24, 2024 · control 59-AS-20231204110215

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 12/20/23, and met with Barbara Barron, Senior Executive Director, to deliver complaint investigation findings into the allegation that staff did not give resident's medication as prescribed. During the course of the investigation, LPA conducted 2 medication counts and obtained documentation pertinent to the investigation. Allegation: Staff did not give resident's medication as prescribed During a visit conducted on 10/25/23, LPA conducted a medication count for residents (R1, R2, & R3), comparing the residents' medication lists on file with medication centrally stored for the residents. LPA observed two (2) medications for R1 that were off count in relation to what was documented. One medication was over the amount documented and the other was under the documented amount. ********************************************Continued on LIC9099-C************************************************** SubstantiatedRead the full finding— CDSS inspection report, December 20, 2023 · control 59-AS-20230830171650

On 12/7/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke with Barbara Barron, Senior Executive Director/ Interum Administrator, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted interviews. LPA finds that the allegations cited above are substantiated. Staff violated resident's personal rights- Between R1’s admission on 11/30/22 and 3/7/23, R1 was regularly visited at the facility by a well known friend. On 3/8/23, an incident occurred at the facility where police responded to assess R1’s wellbeing. The Police determined that R1 was not being harmed by facility staff. R1’s Conservator requested, to the police officer, that the friend be escorted from the property. According to Sunrise Progress notes for R1, R1’s Conservator stated to the facility Executive Director (ED) that the Conservator would pursue a court order to limit the friend’s access to visit R1. During this investigation, the licensee was unable to pRead the full finding— CDSS inspection report, December 7, 2023 · control 59-AS-20230616114554

On 6/16/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Tania Langland to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. The investigation found that on 3/12/23, and altercation occurred between R1 and R2 in the memory care wing. Statements found that caregivers were not presnet at the onset of the altercation but responded when residents were heard yelling at one another. When staff arrived R1 and R2 were observed to hit each other. Staff reported R2 hit R1 in the shoulder. Residents were seperated and assessed to have no known injuries at that time. Increased supervision was put in place. At the time of the event, R1 and R2's responsible parties were not notified nor was a report submitted to licensing as required. Family of R1 did not observe injuries to R1 on 3/15/23. On 3/17/23, R1 was observed to have bruising to wristsRead the full finding— CDSS inspection report, June 16, 2023 · control 59-AS-20230328144325

On 6/16/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Director/ Administrator,Tania Langland, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Investigation found that on a unspecified date, staff were to have assisted R1 with weekly hearing aid battery replacement that was not done when it was discovered at a Dr. appointment that hearing aids were not working due to dead battery. This was substantiated by staff who were familiar with the event. Since the event, measures have been and continue to be in place to ensure that the incident is not repeated. LPA observation during several visits are that R1 is currently provided the assistance needed for their identified needs. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegationRead the full finding— CDSS inspection report, June 16, 2023 · control 25-AS-20230217081106

On 6/16/23, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings. The department reviewed staff records, facility records, hospital records, police report and conducted interviews. The department finds that facility met Tittle 22 requirements. It was reported that R1 was experiencing pain and discomfort. The licensee had reported the incident to R1's physician. Care and supervision was provided as directed. When abuse was reported, R1 was seen and examined by medical professionals with no signs of injury or abuse found. The incident was also self-reported to licensing. Local police investigated and found R1 unable to state concerns. The department found that statememts attributed to R1 as R1's allegations of abuse were not consistent with other diagnosis of severe limitations to articulate consistent of historically accurate events. UnfoundedRead the full finding— CDSS inspection report, June 16, 2023 · control 59-AS-20230307143144