Sunny Side Care Home

Type of visit: POC

On 4/17/2026 at 1:00 PM Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of the visit was to conduct a case management visit regarding citations that were issued to the facility on 03/24/2026. LPA spoke over the phone with the facility licensee/administrator Mohamed Massaquoi and explained the purpose the visit. The current census is 6 with 2 facility staff present. On 3/24/2026 the facility was issued (2) citations, due to the POCs not being corrected within the time-frame provided to the licensee during the previous visit. The following citations were reissued to the facility as these deficiencies pose a potential health and safety risk to residents in care. The deficiency cited under Title 22 Regulation 87465(a)(6) has not been cleared. Licensee did not comply with the terms of the POC by POC due date. The deficiency cited under Title 22 Regulation 87465(h)(5) has not been cleared. Licensee did not comply with the terms of the POC by POC due date. As a result of this POC visit, the facility is not in compliance with Title 22 Regulations, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted over the phone with the licensee and a copy of these LIC 809 reports, LIC 809-D page, Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Apr 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(5) · Plan of correction due date: Apr 20, 2026

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. Based on facility observation the licensee did not comply with the section cited above in 3 out of 3 resident medications which poses an immediate health and safety risk to residents in care. LPA observed 3 residents medications transferred from the original container to alternative storing methods.the state’s words, verbatim · CDSS document, Apr 17, 2026

Plan of correction: Licensee agrees to remain in compliance with Title 22 regulation 87465 at all times. Licensee will review methods with pharmacy and residents for storing medications (ex: bubble packs). Licensee will preform staff re-training on the topic of Medication Administration, and provide proof of training to LPA by 04/20/2026 via email at shakaricka.hughes@dss.ca.gov.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(6) · Plan of correction due date: Apr 20, 2026

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: During review of residents medications for (R1) and (R2) LPA observed the Medication Administration Record (MAR) incomplete for 4 days. Which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 17, 2026

Plan of correction: Licensee agrees to remain in compliance with Title 22 regulation 87465 at all times. Additionally, licensee will preform staff re-training on the topic Medication Administration for all facility staff by 04/20/2026

Type of visit: Required - 1 Year

On 03/24/2026 at 9:45 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA Hughes met with the facility designated administrator Mohamed. The current census is 4 with 1 facility staff. This facility is a single story building licensed to serve (2) ambulatory and (4) non-ambulatory residents. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 120.4 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in the kitchen area and was last serviced on 03/05/2026. LPA observed the facility has a public telephone in the kitchen area and the facility has the required posters posted. Facility thermostat was observed at 74 degrees Fahrenheit. LPA observed toxins and sharp knives in the kitchen area kept locked and inaccessible to residents. Continuation 809-C LPA checked medication storage and found medication to be locked away and inaccessible to residents. LPA reviewed 2 out of 4 residents medications and the medication administration record (MAR) was observed incomplete as the record was not signed by facility staff for (4) consecutive days. The first aid kit was checked and contained the required components. LPA requested resident and staff files for review. LPA reviewed 4 out of 4 resident files and they were complete. LPA reviewed 2 staff files, and it was complete. LPA reviewed staff criminal record clearances, and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared. The following documents will be email to LPA by 03/26/2026 (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (3) LIC 610 Current Emergency Disaster Plan (4) Proof of Current Liability Insurance (5) LIC 500 Current Personnel Report As a result of this annual visit, the facility is not in compliance with Title 22 Regulations, and the deficiencies can be found on the LIC 809-D page. An exit interview was conducted and a copy of these LIC 809 reports, LIC 809-D pages, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Mar 24, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a plan of corrections visit. LPA Moleski spoke with facility administrator Mohamed Massaquoi over the phone and explained the purpose of the visit. Massaquoi said that staff member Sedella Longmore could sign this report in his absence. LPA Moleski conducted an annual inspection at this facility on 03/03/2025. During that visit, LPA Moleski issued four Type A citations which required immediate correction. During that visit, Massaquoi agreed to provide plans of correction to LPA Moleski by 03/04/2025. Massaquoi followed up on one citation regarding fire clearance, but did not provide anything further to LPA Moleski until 03/10/2025. On this date, Massaquoi provided LPA Moleski with training records regarding a citation for accessible cleaning solutions dated 03/04/2025. However, a staff member, who should have been associated to this facility's roster by 03/04/2025 was not associated until 03/10/2025. Additionally, Massaquoi had agreed to send LPA Moleski a photograph of a lowered water temperature reading by 03/04/2025, but on 03/10/2025, Massaquoi sent LPA Moleski a photograph of a water temperature reading of 123 degrees, which is still above the 120-degree threshold required by 22 CCR. LPA Moleski is hereby assessing civil penalties for failure to correct two citations. These civil penalties accrue in the amount of $100 per day per citation between 03/05/2025 and today's date, 03/10/2025, totaling $600 each. An exit interview was held with Longmore. Appeal rights and a copy of this report were left with Longmore.the state’s words, verbatim · CDSS document, Mar 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Mohamed Massaquoi and explained the purpose of the visit. Upon arrival, LPA Moleski observed two staff members present (S1-S2). S1 said they had been working at this facility for one week. Massaquoi said that S1's start date was Wednesday, 2/26/25. LPA Moleski reviewed Guardian records and observed that S1 was associated to this facility as of 3/1/25, but was not cleared prior to that date. S2 said that they had been working at this facility for three years on an on-call basis. LPA Moleski reviewed Guardian records and observed that S2 was not associated to this facility. LPA Moleski reviewed five resident files (R1-R5) and one staff file (S2). S1 did not have a personnel file. Massaquoi said he was still working on completing S1's file. Massaquoi said that S2's personnel file was located at another facility. Massaquoi left and returned with S2's file, which was missing several required elements. R1 moved in as of 3/2/25. R1 did not have a medical assessment [LIC 602] on file prior to admission. R1's pre-placement appraisal was partially completed, and indicated that R1 is non-ambulatory, but did not include an appraisal of R1's health history, mental condition, or any social factors. The partially completed pre-placement appraisal was not signed by R1 and/or R1's responsible parties, but was signed by Massaquoi. R2's pre-placement appraisal was signed by all parties, but was signed on 2/27/25, one day after their admission date of 2/26/25. R4, who was admitted on 2/18/25, did not have any pre-placement appraisal on file. Additionally, R4's LIC 602 did not include any tuberculosis test results or the results of a chest x-ray. LPA Moleski reviewed four residents' LIC 602s (R2-R5). As previously mentioned, R1 did not have an LIC 602 on file. R2-R5 all had LIC 602s which identified them as non-ambulatory. [continued on 809-C] R1's pre-placement appraisal, which was signed by Massaquoi, identified R1 as non-ambulatory. LPA Moleski also observed R1 using a wheelchair during this visit. This facility has a fire clearance which permits admission of no more than four non-ambulatory residents. None of these non-ambulatory residents are permitted to reside within bedroom #3, according to this facility's fire clearance. LPA Moleski toured the facility with Massaquoi and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 76 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 131 degrees Fahrenheit, which is not within the required range of 105 and 120 degrees. While touring the facility, LPA Moleski observed multiple cleaning solutions left in unlocked cabinets in resident bathrooms, including cleaners which contained bleach. LPA Moleski asked Massaquoi for the residents' centrally stored medication records. Massaquoi was not able to produce centrally stored medication records which included start dates or dates that prescription orders were filled for any resident. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed one staff member (S2) and one resident (R4). This facility is hereby cited per 22 CCR Sections 87202(a), 87355(e)(3), 87457(c)(1)(A), 87458(a), 87458(c)(1), 87412(a), 87465(a)(6), 87303(e)(2), 87309(a)(1). An immediate civil penalty in the amount of $500 is hereby assessed due to a violation of fire clearance. Civil penalties for violations of criminal record clearance are assessed in the amounts of $100 per day worked without criminal record clearance/association per staff member. Civil penalties are assessed for a maximum of five days worked by S2 and three days worked by S1 [2/26/25 - 2/28/25] prior to clearance/association. Combined, all civil penalties assessed during this visit total $1,300. An exit interview was held with Massaquoi. Appeal rights and a copy of this report was left with Massaquoi.the state’s words, verbatim · CDSS document, Mar 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Mohamed Massaquoi and explained the purpose of the visit. LPA Moleski reviewed two resident files (R1-R2) and three staff files (S1-S3). R1 has a colostomy, according to R1's LIC 602s. LPA Moleski did not observe a current record of care in R1's file for the colostomy, or documentation from a physician that the colostomy wound was healed, or documentation from a physician that R1 was able to manage colostomy care needs independently. Massaquoi said that R1 manages care of the colostomy independently, and said that the wound is healed. Massaquoi said there was no current record of care or other current physician's documentation regarding R1's colostomy. LPA Moleski reviewed medication administration records (MARs) for R1 and R2 for the month of April 2024. LPA Moleski observed that signatures in these MARs were complete through to April 9, 2024. Signatures for medication administrations between April 10 and April 16, 2024, were absent. Massaquoi said that S1 had been providing medication assistance during this time period, but did not sign because S1 has not been trained on medication administration. LPA Moleski reviewed S1's file and observed no training documentation present. LPA Moleski toured the facility with Massaquoi and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 71 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 120 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. [continued on 809-C] LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked drawer for the storage of medication. LPA Moleski observed a locked drawer for the storage of knives. A cabinet below the facility's kitchen sink was unlocked. The lock was broken and not functional. LPA Moleski interviewed one staff member (S1) and two residents (R1-R2). This facility is being cited per 22 CCR Sections 87411(d)(4), 87611(b)(1-3) and 87309(a). An exit interview was held with Massaquoi. Appeal rights and a copy of this report were left with Massaquoi.the state’s words, verbatim · CDSS document, Apr 16, 2024