Sunshine Assisted Living - The Cottage

Type of visit: Case Management - Deficiencies

On 07/01/2026 licensing program analyst Marisa Chiarelli arrived at the facility unannounced for a case management visit. LPA Chiarelli met with Anthony Faulkner and explained the purpose of the visit. Following an annual inspection conducted on 06/11/2026 LPA Chiarelli was informed that Anthony Faulkner wanted to become the new administrator for Sunshine assisted living - The House (sister facility #45003002). Anthony would be replacing the previous administrator Maria Boulangger Falla who is no longer working at the facility since April 2026. It was determined that Anthony's administrator certificate is expired. Several topics were discussed One deficiency is being cited as of today's visit. Exit interview conducted copy of report and appeal rights given to the administrator.the state’s words, verbatim · CDSS document, Jul 1, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(d) · Plan of correction due date: Jul 15, 2026

87412(d) Personnel Records. The licensee shall maintain documentation that an administrator has met...the recertification requirements in Section 87407, Administrator Recertification Requirements. The licensee did not comply with the section above as evidenced by: Record review and the administrator does not have a current and renewed administrator certificate. Which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 1, 2026

Plan of correction: Administrator will complete the administrator recertification process and obtain a up to date administrator certificate. Administrator will submit proof of correction to LPA by POC due date.

Type of visit: Required - 1 Year

On 06/11/2026, Licensing program analyst (LPA) Marisa Chiarelli arrived to the facility unannounced to conduct a one year required inspection. LPA Chiarelli met with administrator Anthony Faulkner and explained the purpose of the visit. LPA Chiarelli and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured included but not limited to, residents bedrooms, bathrooms, and kitchen. In the areas toured no immediate health, safety, or personal rights violations were observed. Staff and resident files were reviewed. Medication is kept in a locked room. LPA Chiarelli reviewed two residents medications. The common area was clean, odor-free and in good repair. All bedrooms had required furniture, bedding, and lighting. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Sharps are kept in a locked drawer. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke and carbon monoxide detectors are all in working order. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. No firearms are on premises. Two deficiencies are being cited on today's inspection refer to 809-D pages and one technical assistance. Exit interview conducted and copy of report left with administrator.the state’s words, verbatim · CDSS document, Jun 11, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On July 28, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Anthony Faulkner, and explained the purpose of the visit. LPA and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. Areas toured include but are not limited to: common areas, resident bedrooms, common restrooms, and courtyards. LPA observed all resident bedrooms to have all the required furnishings. LPA observed the kitchen to be clean and organized. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed all sharps to be stored in the kitchen which is kept locked with a code. The facility has a daily menu and calendar of events which are posted for residents to view. LPA observed three fire extinguishers which were last inspected in May 2025. LPA observed three smoke detectors and four carbon monoxide detectors which were last inspected in July 2025 and found to be in working order. LPA observed the facility disaster logs and found the facility to be conducting drills quarterly. LPA observed the first aid kit was was complete and ready for emergency use. LPA reviewed a total of four residents' files and four staff files. One of four resident files were missing record of a tuberculosis test. One of four staff files was missing first aid certification. Two of four staff files were missing record of a tuberculosis test and one staff file was missing record of a LIC 503 (Health Screening). Deficiencies were cited from Title 22 Regulations and or the California Health and Safety Code. An exit interview was conducted and a copy of this report, LIC 809-D, and Appeal Rights were discussed and provided to Anthony Faulkner, Administrator.the state’s words, verbatim · CDSS document, Jul 28, 2025

Allegation investigated: Facility staff do not provide food to meet resident’s restricted food dietary needs Facility staff illegally evicted resident

On July 24, 2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Administrator Anthony Faulkner and explained the purpose of the visit. During the investigation process, interviews and a review of records were initiated. LPA investigated the allegation, “Facility staff do not provide food to meet resident’s restricted food dietary needs.” Based on interviews it was indicated that R1 was offered multiple food options during meals. Interviews stated that R1 was given food to meet R1's dietary needs and R1 would decline food when R1 did not like the food provided. Staff stated that R1 was given other food options and made sure R1 did not skip a meal. LPA could not corroborate the allegation. ---- Continued on LIC9099-C ---- Unsubstantiated LPA investigated the allegation, “Facility staff illegally evicted resident.” Based on interviews conducted and record review, it was indicated that R1 moved voluntarily from the facility. Facility staff had candid discussions with R1's representative regarding R1’s desire to move. It was also learned that the facility did not issue any eviction notice to R1. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 24, 2025 · control 59-AS-20250425115517

Allegation investigated: Staff tested a resident in care without permission Staff did not keep the facility free of bed bugs Staff did not safeguard a resident's personal belongings

On 03/13/2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Edidha McCullrugh and explained the purpose of the visit. During the investigation process, interviews and a records review were initiated. LPA investigated the allegation, “Staff tested a resident in care without permission.” Based on interviews conducted, staff stated they asked residents for permission to be tested for an infectious disease. LPA interviewed R1 and resident stated she gave permission to facility staff to test resident for COVID-19. ---- Continued on LIC9099-C ---- Unsubstantiated LPA investigated the allegation, “Staff did not keep the facility free of bed bugs.” Based on interviews and observation of facility records, it was stated the facility had a bed bug issue in the past and a local pest control company was contracted to provide monthly services. Records indicated the last bed bug infection was in December of 2024 and the pest control company has performed services monthly since then. The facility has no current issue with bed bugs and the local pest control company will continue to provide monthly services at the facility to spray for pests every month. LPA investigated the allegation, “Staff did not safeguard a resident’s personal belongings.” Based on interviews and record review, staff members indicated they did not have any concerns regarding the safeguarding of resident’s personal belongings. Interview with R1 stated she did not have any concerns regarding safeguarding her personal belongings. LPA observed R1’s wheelchair that was lost and later found in R1’s room during the time of interview. R1 stated the wheelchair had been moved to another room but later brought back to R1 when found. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 13, 2025 · control 59-AS-20250218111654

Allegation investigated: Facility failed to address resident's health and medical care needs during their stay from 02/2024 until 08/2024. Resident's dietary needs were not met.

On 11/07/24 Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09/09/24. LPA Gurriere met with Lisa Fennel, Administrator and explained the purpose of the visit. Facility failed to address resident's health and medical care needs during their stay from 02/2024 until 08/2024. During the interview process, the administrator and seven staff persons were interviewed. It is noted that the previous administrator has resigned from her position and the new administrator was in training when the resident (Resident 1) was residing at the facility. The resident was not interviewed as he has since moved. In addition, documents were obtained to include the Physician’s Report, the Individual Program Plan (IPP), Preplacement Appraisal, Medications List and Service Plan. Unsubstantiated During the investigation, it was reported that the resident was not seen by the podiatrist to have his toenails clipped. It was stated by all staff that the podiatrist came to the facility once a month to address podiatry needs. It was reported that the podiatrist came to the facility on short notice and those residents that were present had their podiatry needs met. The resident (Resident 1) attended day program five days a week and therefore did not meet with the podiatrist. When interviewed, staff reported that they did not see the resident’s toenails to make the recommendation for him to see the podiatrist. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated. Resident's dietary needs were not met. During the interview process, the administrator and seven staff persons were interviewed. It is noted that the previous administrator has resigned from her position and the new administrator was in training when the resident (Resident 1) was residing at the facility. The resident was not interviewed as he has since moved. In addition, documents were obtained to include the Physician’s Report, the Individual Program Plan (IPP), Preplacement Appraisal, Medications List and Service Plan. During the investigation, documents were reviewed to include the Physician’s Report, the IDP and the Service Plan. Of those three documents there was nothing to indicate that the resident was on a “Special Diet.” On the Physician’s Report the physician checked “No special diet,” and on the Service Plan it states, “No assistance with meal reminders or feeding support.” continued The cook stated that she was advised by the family to ensure that the resident received healthy meals to include low carbohydrates, fruit, and veggies. The cook stated that she provided a lunch box for the resident five days a week when he went to his day program and that she gave him a sandwich, fruit, and veggies each day. Other staff interviewed advised that they were not aware of a special diet that they were to monitor. It was indicated that the family requested that the resident be provided with healthier foods, due to his edema, such as vegetables rather than “junk food” to include not having various types of potato chips; however, there was nothing written in the resident’s file to state that he was on a special diet. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 7, 2024 · control 59-AS-20240909092208

Allegation investigated: Staff do not provide adequate food service to residents.

On 08/27/2024 Licensing Program Analyst Boyles made an unannounced visit to the facility and met with administrator. The purpose of this visit was to deliver the results of a complaint investigation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to administrator. Unsubstantiated LPA investigated, “Staff do not provide adequate food services to residents”. LPA interviewed the resident who reported that they receive three meals a day and snacks when requested. LPA reviewed the residents needs and services plan, 602 and IPP which indicate that the resident is a “picky eater” but has no documented dietary restrictions. LPA interviewed the administrator who reported that the resident does not have a diagnosis which would require a specialized diet. LPA interviewed a family member to the resident, who reported that when the resident moved into the facility that the facility would accommodate the residents desire to have alternative to the menu but has since changed the process for facilitating substitutions for meal time.the state’s words, verbatim · CDSS document, Aug 27, 2024 · control 59-AS-20240723135631

Type of visit: Required - 1 Year

On 06/20/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Chad Young, and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed two residents who are using oxygen and did not have the proper signage posted on the outside of the residents room. Areas toured include but are not limited to: common areas, resident bedrooms, shower rooms and common restrooms. LPA observed all resident bedrooms to have all the required furnishings, proper lighting and windows with screens. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lid. LPA observed the temperature in the building to be appropriate for the weather. LPA observed the kitchen to be clean and organized. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 113 degrees F. LPA observed four (4) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the emergency disaster plan to be complete but not updated or reviewed since 2021. The facility was unable to provide documentation that the emergency disaster drills were conducted over the last 12 months. LPA observed the first aid kit was was complete and ready for emergency use. LPA reviewed a total of six (6) residents' files and five (5) staff files. The resident files did not contain doctors orders in the files for the residents who have half bed rails. Four of the resident files reviewed had half bed rails and no order from a doctor in the file. The employee files contained all of the required documentation. Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Several topics were discussed. An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.the state’s words, verbatim · CDSS document, Jun 20, 2024