Ladera Sunrise Care Home

Type of visit: Annual/Random

On 09/03/26, at 9:45am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annually required inspection visit to Ladera Sunrise Care Home. LPA was met by Raymond Obialor, Caregiver, and later by Kelechi Eronobi, Administrator, and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents over the age of 60. The facility has an approved hospice waiver for six (6) residents. Currently the facility has (4) residents. The facility’s annual fees are current. The facility is a one-story structure located in a residential neighborhood. The facility consists of three (3) resident bedrooms, three and a half (3.5) bathrooms, living room, dining room, kitchen, laundry area, attached garage, and an outside shaded patio area. At 10:20am, LPA and staff toured the facility. There are no bodies of water or firearm/ammunition on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, and adequate storage for resident personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The shower was free of mold/mildew, there was adequate lighting, and sufficient toiletries that were accessible to residents. A comfortable temperature is maintained in the facility. Report Continued On LIC809-C LPA observed the facility to be clean, sanitary, and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to residents. The kitchen was inspected and there is enough perishable and non-perishable food available for the residents. All food items were stored properly. The water temperature measured 107.1F degrees. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked with manual. The fire extinguishers were charged and last inspected on 08/05/2026. The smoke/ carbon monoxide detectors were operable. The last fire/emergency drill was conducted on 09/01/2026. The facility’s administrator’s certificate (6076731740) was valid from 05/13/2025 through 05/12/2027. The facility’s liability insurance was valid from 11/14/2025 through 11/14/2026. LPA conducted a review of (4) resident records, (8) staff records and reviewed the facility disaster plan. LPA observed that residents had the following documents in their file: Appraisal/Needs And Service Plan, Admission Agreement, Physician Report, Identification And Emergency Information, Personal Rights, and Consent Forms. Staff records were complete with required documents and training. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) resident medication administration records, and medication, and did not observe any discrepancies at the time of visit. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients. LPA observed that sanitizing stations were in common areas and restrooms. LPA observed that the facility had the required postings, posted throughout the facility. LPA advised the facility to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues. The inspection tool was not available on the inspection; LPA used a manual RCFE paper inspection tool. Technical difficulties in FAS. This was a required annual inspection; not annual/random. No deficiencies were cited during this inspection visit. An exit interview was held, and a copy of this Facility Evaluation Report was provided to Kelechi Eronobi, Administrator.the state’s words, verbatim · CDSS document, Sep 3, 2026

Allegation investigated: Due to staff neglect, resident sustained multiple pressure injuries

On 07/20/2026 around 1:00 PM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent unannounced visit to deliver findings. LPA met with the Administrator Kelechi Eronobi. The investigation consisted of the following: On 11/13/2025 The investigation included a tour of the facility. The Department collected: Register of Facility Residents, Resident (R1–R2) records. Register of clients, a pressure ulcer/decubitus sore prevention and care training handout, weekly staff schedule. On 01/07/2026 The Department conducted interviews with Staff S1–S4 and one witness (W-2) and attempted to interview R2, R3, and R4. And collected additional records for R1 and R2. Including mobility support and comfort training, pressure ulcer care plan, pressure ulcer bedsore prevention care plan, hospice plan of care for resident R2, 30-day feeding/meal intake log for R1–R2, repositioning logs dated from 05/01/2025 through 11/10/2025 R1, and physician’s report for R1. Please see report continuation on (LIC9099-C) Substantiated The investigation revealed the following: Regarding the allegation “Due to staff neglect resident lost weight”. Interviews conducted revealed the following: 4 out of 4 staff disagreed with the allegation S4 noted that R1’s decreased food intake appeared related to advanced age. 1 witness agreed (W1), and 1 witness disagreed (W3). S3 stated that R1 began refusing food and required blended meals. Records review revealed the following: Hospital records dated 11/10/2025 document that R1 had decreased appetite and appeared underweight, with a recorded weight of 101 lbs. and pureed diet intake ranging from 30% to 50% during the hospitalization. Based on the evidence gathered, interviews conducted, and records reviewed, although the allegation “Due to staff neglect resident lost weight” may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this complaint report was given to the Administrator. On 02/27/2026 the Department reviewed hospital records dated from (11/10/2025–11/14/2025). The investigation revealed the following: Regarding the allegation “Due to staff neglect, resident sustained multiple pressure injuries it is being alleged that resident sustained multiple pressure injuries due to staff not turning R1. Interviews conducted revealed the following: 4 out of 4 staff disagreed with the allegation. 2 Witnesses agreed (W1- W2) with the allegation Witnesses (W3) disagreed. W4 last visited R1 on 10/18/25, and (S1) declined further services. The Department attempted to interview R2, R3, and R4 but the residents could not provide interviews due to their inability to verbally communicate. R1 was not in the facility and as a result was not interviewed. Record reviews revealed the following: The facility’s register of clients indicates R1 was admitted into the facility on 06/30/2024, and the physician’s report from that date documents no pressure injuries. R1 later developed a Stage 3 sacral ulcer by May 2025 while on hospice, with wound care notes continuing through 10/19/2025. Advance Wound Care Specialist notes home visit orders show ongoing wound care treatment through 10/19/2025, R1 was last noted to have a Stage 3 sacral pressure injury as of the 10/19/2025 progress note. From 10/20/2025 until R1’s hospitalization on 11/10/2025, facility records show no professional wound-care, home health, or hospice services were provided. Department records indicate that on 11/17/2025, it was reported that on 11/09/2025 (R1) was observed to be severely malnourished and was found with multiple wounds on body. It was also reported that wound care services had stopped due to unpaid copays. Cedars Sinai Marina Del Rey Hospital records dated 11/09/2025 revealed R1 being hospitalized with multiple community acquired pressure injuries, including a Stage 4 sacral ulcer with exposed muscle and bone, and unstageable pressure injuries to both hips and both knees. Plastic surgery performed sharp excisional debridement of the sacral ulcer down to muscle and fascia after consent from the healthcare proxy, and wound care staff recommended local wound care, offloading, and continued treatment. R1 was also diagnosed with sepsis secondary to a urinary tract infection, maintained on a pureed heart healthy diet, and was determined to require skilled nursing placement for ongoing wound care and rehabilitation. Based on interviews conducted and records reviewed, the facility staff failed to ensure R1’s wounds were properly cared for by not ensuring that wound care was provided for approximately one month, during which R1’s wounds progressed to stage four. The preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. Please see report continuation on (LIC9099-C) This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8. A citation is being issued on the attached (LIC-9099D). An immediate civil penalty is being issued; please see (LIC421IM). At this time, a additional civil penalty determination is pending in reference to The Welfare and Institutions Code Section 15610.67 which defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” An exit interview was conducted, and plans of corrections were developed with Administrator. And a copy of this report and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Jul 20, 2026 · control 11-AS-20251112145542

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a)(1) · Plan of correction due date: Jul 21, 2026

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition...specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on records and interviews, the licensee retained R1 in care despite R1 having a Stage 4 sacral pressure injury. This violation posed an immediate health, safety, and personal rights risk to people in care.the state’s words, verbatim · CDSS document, Jul 20, 2026

Plan of correction: Licensee agreed to submit a written Plan of Correction to LPA Jose Anguiano at Jose.Anguiano@dss.ca.gov within 24 hours of receipt of this report.

Type of visit: Case Management - Other

On 08/22/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a Case Management to the facility listed above. The visit is a Case Management due to the facility appearing on the annual list when not requiring an annual. LPA Gibbs spoke with LPM Coronel who said to indicate the type of visit as a Case Management. LPA met with Administrator, Kelechi Eronobi, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) non-ambulatory residents over the age of 60, with an approved hospice waiver for six (6). There are currently three (3) residents residing in the facility. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of 3 resident bedrooms, 3 1/2 bathrooms, living/common room/ dining room (open concept spacing), kitchen and attached garage. The garage has a washer, dryer, and is used for storage. All walkways around the facility were observed clean, clear and free of debris, hazards and obstructions. There were no bodies of water observed on the premises. Bedrooms LPA inspected the resident bedrooms and observed they have the required furniture including beds, dressers, night stands, chairs, and ample storage space for resident’s personal belongings. LPA observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an adequate supply of linens, in good repair. Bedrooms were observed with ample lighting. Bathrooms LPA observed the bathrooms meet Title 22 Regulations. The showers have non-skid mats and secured safety handrails. All bathrooms were observed operational. LPA observed an adequate supply of hygiene products available for resident use. LPA observed an adequate supply of towels, hand towels, and wash cloths in good repair. Kitchen The kitchen was observed clean and sanitary. All appliances were observed operational. LPA observed a 2-day supply of perishable foods and a 7-day supply of non-perishable foods. LPA observed an ample supply of cookware, dishware, and cutlery. LPA observed sharps secured in a locked drawer and are inaccessible to residents. LPA observed an ample supply of cleaning supplies secured in a locked cabinet under the kitchen sink and are inaccessible to residents. Common Areas LPA observed the facility appropriately furnished during the time of visit. The living room has a sectional couch and four (4) recliners available for resident use. LPA observed games, activities, and crafts on shelves in the living room. LPA observed the dining area has a large table and chairs to accommodate all residents. LPA observed all walkways and hallways in the facility are clean, clear, and free of hazards and obstructions. All rooms and hallways were observed with ample lighting. Safety LPA observed the smoke detectors and carbon monoxide detectors are operational. The facility has a working land line telephone. LPA observed 2 fully charged fire extinguishers last serviced on 12/05/2024. The First Aid kit had all the required items and a current manual. LPA observed all exits are marked with an EXIT sign. LPA observed all required postings posted in the facility. Medications LPA observed Centrally Stored Medications secured in a locked cart and are inaccessible to residents. LPA observed medications in their original packaging. Infection Control LPA observed in the entrance is a sanitizing station that consists of a visitor sign in log, thermometer, and hand sanitizer. LPA observed a 30- supply of Personal Protective Equipment (PPE) stored in the garage. LPA observed required infection control signs posted throughout the facility. During today’s visit LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator Kelechi Eronobi, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 22, 2025

Type of visit: Prelicensing

On July 28, 2025 Licensing Program Analyst (LPA), Deborah Lee conducted an announced visit to the facility for the purpose of conducting a pre-licensing evaluation. An application was submitted to CCLD, for opening a new Residential Care Facility for the Elderly (RCFE). Fire clearance approved for capacity of 6 non-ambulatory residents on May 21, 2025. LPA met with Kelechi Eronobi, Applicant and explained the purpose of today’s visit. LPA and Applicant toured the physical plant(inside and outside). Overview of Facility: Facility is a single-story home located in a residential neighborhood. Entry way of the home is clear and free of debris and obstruction. There are 3 resident bedrooms, 3 1/2 bathrooms, living/common room/ dining room (open concept spacing), kitchen and attached garage that houses the washer and dryer and will be used for storage space. The Resident's bedrooms are spacious and easily accommodate the resident furnishings. LPA observed that there are no bodies of water on the premises. Page 1 of 3 The shaded area and outdoor passageways, walkways, driveways, steps and patios are free from obstruction. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility Client Bedrooms: Bedrooms 1-3 have working lights, working windows with no bars. The residents room will be shared rooms. Bathrooms: All Bathrooms have a working toilet, wash basins and shower, and observed to be clean, safe, and sanitary. LPA observed adequate lighting throughout the entire facility. Linens & Hygiene Supplies: Extra linens are available to residents when need and located in closet within the common area. Living/common room is fully furnished with sectional sofa and mounted TV. There is adequate space for residents in care. Kitchen is clean and sanitary with appliances that are operational. LPA observed a 7-day supply of non-perishables foods. LPA observed the area where sharps and cleaning solutions will be locked and inaccessible to the Residents in care. The dining area is equipped with a 4 seated dinning set. Facility has a lanline phone for emergencies. There are 2 fully charged fire Extinguishers last service on 12/5/24 located in the kitchen area and entryway of the home. LPA observed all required postings: See something say something, resident rights, resident counsel, emergency disaster plan, facility sketch and exit signs. Page 2 of 3 Resident/Staff files: LPA observed that there is a confidential storage area where staff and resident files will be kept. Located in closet near common area. Medications: LPA observed that there is a locked centralized area where resident medications will be stored. Located closet near common area. Smoke Detectors: Facility smoke detectors/carbon monoxide detectors are hardwired and interconnected. They were tested and operable. Water Temperature: Tested at 107.5_degrees F. There are no corrections needed. Component III: Conducted during today’s Pre-Licensing visit. A copy of report provided to applicant Kelechi Eronobi Page 3 of 3the state’s words, verbatim · CDSS document, Jul 28, 2025