Sunnyside Memory Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian conducted a required annual visit today. The LPA met with Licensee/Owner Allen Best. Currently there are no resident at the facility. Facility is fire cleared for a maximum capacity of twelve (12) non-ambulatory residents of which six (6) may be bedridden. Hospice Waiver is approved for six (6). LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control and disaster plan are adequate. LPA toured the physical plant areas with the Licensee at approximately 10:45. Facility is a one (1) story single family dwelling. Required postings observed posted in the dining area. BEDROOMS: There are total seven bedrooms for resident use; three private bedrooms and four shared bedrooms. There are no staff rooms – ‘awake night staff only’. RESTROOMS: There are three bathrooms for resident use. Hot water temperature was measured within required range in all three bathrooms, kitchen and laundry faucet (115.5*F-120*F). KITCHEN: Kitchen/dining area observed. Locked storage space available for knives and cleaning supplies in the kitchen and laundry area. Kitchen appliances were in operable condition. Supply of non-perishable food items for seven days observed at the facility during todays visit. Licensee will have perishable food supply upon resident admission. COMMON AREAS: The LPA observed common area to be clean and properly furnished at the time of the visit. The LPA observed the fire extinguisher to be fully charged. Smoke and carbon monoxide detectors were tested and functioned properly. The temperature is maintained at a comfortable level of 76 degrees F. Cleaning supplies and disinfectants are stored inaccessible. OUTDOOR SPACE: The backyard area is equipped with furniture for resident use patio furniture with umbrellas. There were no bodies of water noted. All pathways and exit routes were observed to be unobstructed. No citations issued. Exit interview conducted. Copy of today's report was provided.the state’s words, verbatim · CDSS document, Jun 29, 2026

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek conducted an announced Pre-Licensing Inspection to the above listed facility. Fire inspector, Richard Martinez was present to confirm the ambulatory status of all rooms within the building. Upon arrival LPAs and Fire Inspector met with Licensee, Allen Best and Administrator, Dana Anderson. Entrance interview conducted. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on 07/21/2023. A Fire Clearance was approved on 12/08/2023, however further clarification is needed regarding capacity designation. Fire clearance is approved for a maximum capacity of twelve (12), six (6) bedridden and six (6) non-ambulatory residents. Licensee plans to submit a hospice care waiver to CCL. The proposed physical plant is a one (1) story single family dwelling located in a residential neighborhood of Camarillo, CA. This facility will be housing residents with dementia. There are no client residing in the facility at the moment. This facility doesn’t have a staff room, facility will provide 24/7 care. Fire extinguisher is fully charged and recently purchased. Administrator will submit proof of purchase to LPA. Fire alarms/carbon monoxide detectors were tested individually between 9:50 A.M. and 10:20 A.M. and were functional at the time of the visit. Fire Inspector requested licensee to install a battery-operated smoke detector in the hallway leading to the laundry room. LPAs observed all required postings on the facility wall. Licensee shall revise their Emergency Disaster Plan and Infection Control plan once operation begins. Continued on LIC 809-C Continued from LIC 809 At 9:45 A.M. a tour of the physical plant was conducted and the following observed: BEDROOMS: The facility consists of seven (7) bedrooms, which Room #3, #4, #5 and #7 is for double occupancy. All bedrooms were equipped and supplied with appropriate furniture including but not limited to a bed, a chair, a night stand, a lamp and a chest of drawers, bedding, and linens. LPAs observed a door dividing room #4 into two separate rooms. LPAs explained that door shall be removed and requested that an updated floor plan be submitted to CCL prior to licensure. No client bedroom will be used as a public or general passageway to another room, bath, or toilet. There were no visible hazards or discrepancies observed. BATHROOMS: LPAs observed toilets and handwashing stations to be in operation condition. Solid waste containers are in good repair and have tight-fitting covers, hand bars and slip resistant mats. Water temperatures were measured in all residents’ bathrooms and measured within the required range of 105 degrees Fahrenheit to 120 degrees Fahrenheit at the time of the visit. KITCHEN: Appliances and fixtures appeared clean and functional. At the time of the visit, LPAs observed a sufficient amount of dining and cookware. Perishable food will be supplied once license is approved. Administrator is aware that food supply shall accommodate a maximum capacity of twelve (12) residents and facility staff for seven (7) days. Sharps and knives will be stored in locked kitchen cabinet. Medication will be stored in a locked cabinet. Facility will properly document medication on the Centrally Store Medication and Destruction log. There were no visible immediate hazards observed. Water temperatures measured within the required range of 105 degrees Fahrenheit to 120 degrees Fahrenheit at the time of the visit. Continued on LIC 809-C Continued from LIC 809-C COMMON AREAS: These include the Family Room, Living Room and Dining Room. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Facility has enough space to store clean common linen items such as bed sheets, towels, pillowcases, and mattress pads. LPAs observed night lights in all hallways and passages. Facility has an auditory signal system in place at the time of the visit. Facility is equipped with a fire door to enhance safety and prevent the spread of fire and were working properly at the time of the visit. Posters were observed all throughout the facility including personal rights notice, and information about how to report a compliant to CCL. LPAs did not observe the ombudsman poster. Licensee will contact the Long-Term Care Ombudsman agency to obtain one. Administrator will use extra cabinets to store facility’s first aid kit, emergency food and water supplies, non-perishable food, and hygiene products. LPAs observed a working phone available for residents use whenever needed. OFFICE ROOM/LAUNDRY ROOM: LPAs observed a computer, printer an office desk. Here is where staff and residents’ files will be kept. Additionally, LPAs observed a washer and a dryer machine, a locked cabinet where cleaning supplies and detergents will be stored. SURROUNDING GROUNDS: Garden and yard are easily accessible to residents, and they are sufficient in size, comfortable and appropriately equipped for outdoor use. There was a shaded area with proper furniture for outdoor use. LPAs observed two side gates. Sufficient space to accommodate outdoor activities for residents. There were no bodies of water on the premises. At the time of the visit, LPAs did not observe hand railings alongside the entire ramps, Licensee stated that handrails will be installed in about 2 weeks. This project shall be completed before licensure. Additionally, LPAs observed a planter blocking emergency exit in front of Room #5, licensee will remove planter and keep exit free of obstruction. GARAGE: Facility does not have a garage. LPAs inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. Continued on LIC 809-C Continued from LIC 809-C COMPONENT III ORIENTATION: A Component III Orientation was conducted with the Administrator during today's visit. The following needs to be completed/Photos sent to LPA prior to licensure:  Picture showing door in room #4 has been removed  Picture of planter blocking emergency exit has been removed  Smoke detector test in the hallway leading to the laundry room  Installation of handrails along the entire ramps  Ombudsman poster  Provide an updated facility sketch (LIC 999)  Fire extinguisher’s purchase receipt. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. A copy of the Licensing Report was issued.the state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Valeria Conway conducted an announced pre-licensing visit to the above noted facility. The LPA met with Administrator, Dana Anderson and Licensee Allen Best. This is a new facility. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on 07/21/2023. A Fire Clearance was approved for a maximum capacity of six (6) non-ambulatory residents and six (6) bedridden residents on 12/08/2023. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. There are no staff rooms – ‘awake night staff only’. The proposed physical plant is a one (1) story single family dwelling located in a residential neighborhood of Camarillo, CA. At 9:40 A.M., A tour of the physical plant was conducted and the following observed: The facility named above is currently not in compliance. LPA reviewed with the Licensee and Administrator the required modifications that shall be completed prior to pre-licensing approval. Once the Licensee has completed all discussed projects, the LPA will schedule a follow-up visit to verify compliance. Exit interview.the state’s words, verbatim · CDSS document, Oct 28, 2024