Sunrise Assisted Living of Danville

Allegation investigated: Questionable death Staff are not meeting the needs of the residents Staff do not have planned activities for the residents Staff are not meeting the residents hygiene needs Staff is not present for a significant amount of time

On 4/16/2026 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews with facility staff, witnesses and complainant. Documents including but not limited to: R1’s admission agreement, physician’s report, care plan, Residents' UIRs, admissions agreement, LIC 602, emergency ID, care notes, bath logs, care plans, sample of Staffs' trainings, certifications, all disciplinary actions related to care from 1/25- 4/25, personnel forms LIC 501, duty statements, Staff roster, Resident Roster, Facility Staff Schedule from 1/2025- 4/2025 were reviewed. report continues on LIC9099-C Unsubstantiated Pg 2 On the allegation Questionable death the following was found: On 03/14/2025, R1 received assistance from S1 at 0410 hours. At 0610 hours, R1 pressed their pendant. S1 responded within three minutes and eight seconds. R1 was found in their apartment after an unwitnessed fall. S1 promptly called 911. This was R1’s only fall while living at the facility. It was reported by R1 that they tripped getting out of bed to go to the bathroom and struck their head on a piece of furniture. The department received a certified copy of R1’s death certificate on 4/11/2025 that stated that R1 died on 03/15/2025 and the cause of death was listed as an intracranial hemorrhage, pathological fall, and paroxysmal atrial fibrillation. Interviews with Senior general Manager revealed that the facility advised R1s family in February 2025 that they believed R1 should be moved to memory care however this recommendation was declined. Therefore, the allegation Questionable death is Unsubstantiated. On the allegation Staff are not meeting the needs of the residents the following was found: On 6/25/2025 R2- R4 were interviewed. R2 stated that their experience at the facility has been “wonderful.” and added that the facility staff are the “nicest” people they have ever been in contact with. R2 states that they are checked on four to five times a day and that facility staff are “in and out of the room constantly.” R2 states that if they need the facility staff’s assistance, they can pull the cord in the bathroom or press the pendant that they wear around their neck. R2 states that they once “accidentally” pressed their pendant, and the facility staff responded within “five minutes.” R3 and R4 also had similar positive experiences at the facility. LPA also observed that the facility had up to date needs and service plans for requested residents and were aware of their needs. Therefore, the allegation Staff are not meeting the needs of the residents is Unsubstantiated. Report continues on LIC9099-C Pg 3 On the allegation Staff do not have planned activities for the residents the following was found: During the course of the investigation the LPA made multiple visits to the facility. On all occasions LPA observed residents engaged in activities being led by care partners and or Activities directors in the common area. LPA also observed activities calendars posted in common areas throughout all subsequent visits. LPA interviewed R5 and R7 who both mentioned activities such as Bingo and Blackjack. LPA observed that the activities available were of variety and crafted to meet the needs of residents therefore the allegation Staff do not have planned activities for the residents is Unsubstantiated. On the allegation Staff are not meeting the residents hygiene needs the following was found: LPA conducted interviews, reviewed files, and made observations. R2-R4 where interviewed as well as R5 and R7. All residents interviewed expressed that their needs are being met at the facility. LPA observed that residents hygiene appeared good and observed residents with clean clothes, hair, and bodies. LPA was unable to identify a resident whose hygiene needs were not being met Therefore the allegation Staff are not meeting the residents hygiene needs is Unsubstantiated. Report continues on LIC9099-C Pg 4 On the allegation Staff is not present for a significant amount of time the following was found: During the course of the investigation the LPA made multiple visits to the facility. LPA conducted interviews, reviewed files, and made observations. LPA observed adequate staffing during all visits. LPA also interviewed R5 who stated that, “staff check on them during shift changes but not periodically during the day unless they push their button. States that they will check if there is out of the ordinary behavior like not coming down for bingo.” R7 states that, “staff come and checks on them around shift changes. States that they do not want staff to check on them anymore than they already do.” A review of staff schedules showed that staff is sufficient and present. Therefore the allegation Staff is not present for a significant amount of time is Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 16, 2026 · control 15-AS-20250407085728

Allegation investigated: Facility in disrepair Facility not following residents care plan Facility staff are making false claims

On 4/16/2026 at 11:25AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. During the course of the investigation LPA toured facility, conducted interviews, reviewed facility records, and resident records. report continues on LIC9099-C Unsubstantiated On the allegation Facility in disrepair LPA observed that in room 242 the pull cord in the bathroom was not working properly, alerting staff, or recording the alerts on the computer system. However at the time of the visit the facility and Maintenance were actively working to resolve the issues. During the annual inspection LPA was also made aware that they were continuously testing that particular rooms call button. LPA also interviewed S3 who cooperated that the facility was aware of the pull cord issues and was continuously testing it. Pull cord is now fully operational. Therefore the allegation is Unsubstantiated. On the allegation Facility not following residents care plan LPA reviewed a sample of residents care plans and care notes and observed that all residents care plans are being followed. LPA interviewed residents who all expressed that they are happy with the level of care they are receiving. LPA was unable to identify a resident who's care needs are not being met and their care plan is not being followed. Therefore the allegation is Unsubstantiated. On the allegation Facility staff are making false claims LPA conducted interviews and reviewed records. LPA was unable to cooperate that a care partner was instructed to make false claims in regards to the function of the call button in room 242. LPA did observe that there was not an alert recorded in the computer system for the alleged incident however LPA interviewed S2 and S3 and reviewed text messages and phone call logs. LPA did not observe any communications on the alleged date to the staff on duty and was unable to obtain any additional information from the reporting party to support the allegation therefore the allegation is Unsubstantiated. Although the allegation 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. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 16, 2026 · control 15-AS-20260112112454

Type of visit: Case Management - Incident

On 04/16/2026 at 10:15 AM, Licensing Program Analyst (LPA) A. Gomez conducted a case management as a result of a self reported incident on 3/24/2026. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. It was reported that on 3/20/2026 at approximately 4:19PM R1 was found outside in the facility parking lot and stated that they were going for a walk. Staff were notified and redirected R1 inside. LPA reviewed R1s careplan and physicians report prior to the incident and observed that R1 did have a dementia diagnosis however their physicians report stated that they could leave unassisted. LPA observed that R1's careplan also did not note that R1 required assistance leaving. However Sr General Manager, Abbie Apolinario and Resident Care Director (RCD) Kimari Pinkney were both aware of R1's seemingly declining cognitive abilities and had requested an updated 602. LPA advised facility that in the future if there is conflicting information observed on residents physicians reports they should call and verify the information with the doctor right away. R1 no longer resides at the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct an Annual Continuation on this date starting at 9:00AM. LPA met with Resident Care Director, Kimari Pinkney and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 9:10am, LPA reviewed 6 residents records. At 11:00 am, LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT ON 12/08/2025: During inspection of the med-tech cart LPA observed medications not stored in their original container for R1 and R9 LPA observed soiled bedding with an odor in R6's room LPA observed PRN medication in memory care in R8's room and prescription and PRN medications in R7's room Observed dangerous items in R10's room (ie. 2 Knives, windex) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 8:00AM. LPA met with Sr General Manager, Abbie Apolinario and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 10:00 AM, LPA toured facility with Sr General Manager, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 109.3, 113.6, 111.9 and 107.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 34 degrees F and freezer temperature is maintained at 0 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 8/12/2025 . First aid kit was observed to be complete. Fire drill was last conducted on 11/27/2025. report continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: During inspection of the med-tech cart LPA observed medications not stored in their original container for R1 and R9 LPA observed soiled bedding with an odor in R6's room LPA observed PRN medication in memory care in R8's room and prescription and PRN medications in R7's room Observed dangerous items in R10's room (ie. 2 Knives, windex) LPA will return to review files and conduct interviews. LPA will cite for the deficiencies listed above upon return. No deficiencies cited at this time Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 8, 2025

Type of visit: Case Management - Other

On 12/2/2025 at 10:20AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a case management visit to deliver an immediate exclusion letter. LPA met with Resident Care Director, Kimari Pinkney and explained the purpose of the visit. During visit, LPA hand delivered the immediate exclusion letter for S1 to Resident Care Director. Resident Care Director states that S1 no longer works at the facility. No deficiencies are being cited on this date.the state’s words, verbatim · CDSS document, Dec 2, 2025

Allegation investigated: Staff are not providing adequate food service to residents Staff did not ensure the kitchen was kept clean Staff are not following infection control procedures Staff are not effectively communicating with residents

On 9/4/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver complaint findings. LPA explained the purpose of the visit to Assisted Living Coordinator, Sonya Currie. In reference to the above allegations: On 7/14/ 2025 LPA collected outbreak notifications sent to residents and families and interviewed S2. LPA also observed the kitchen clean and observed the food to be of satisfactory quality. S1 and S2 sampled the food and stated that it was good. Report continues on LIC9099-C Unsubstantiated On 8/27/2025 LPA spoke to Sr General Manager, Abbie Apolinario and received emails of correspondences with Local public health dated 6/27/2025. During the investigation LPA also observed that the facility followed their infection control procedure regarding outbreaks and notified the appropriate parties in a timely manner. According to records observed residents and responsible parties were notified of the potential outbreak on 6/25/2025 and received an additional update on 7/1/2025. At the time of the potential outbreak there were no confirmed cases of Noro Virus however the facility implemented infection control procedures as a precaution. On 9/4/2025 LPA interviewed R1, R2 and R3 regarding the facilities food quality. All residents expressed satisfaction with the quality of the food served. Therefore the above allegations are unsubstantiated. Although the allegation 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. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 4, 2025 · control 15-AS-20250701091409

Allegation investigated: Staff did not provide proper care to resident Staff did not provide detailed monthly billing invoices of costs and charges to resident's responsible party Staff did not give refund to resident's responsible party

On 8/8/2025 at 1:00PM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Memory Care Director, Leslie Guerrero and explained the purpose of the visit. During the investigation, LPA conducted interviews, toured facility, and reviewed files. LPA obtained copies of R1's incidents reports, eviction letter, care plans, and billing statements. Report Continues on LIC9099-C Unsubstantiated For the above allegations the following was found: On 6/5/2025 LPA interviewed S1, S2, and S3. S1 and S2 both stated that they worked with R1 at some point during their stay. Both staff were knowledgeable of R1's behaviors, conditions, and daily needs. Both staff expressed that R1 had wandering behavior and that it got to a point of R1's family hiring an outside companion because staff were unable to provide 1:1 care to R1 to ensure their safety. LPA also observed that R1 had a complete and updated care plan. LPA was unable to identify where care was not adequately provided. During the investigation LPA obtained detailed billing information for R1's stay however LPA could not confirm or confirm if the family received a copy because there were no correspondences available regarding billing statements being sent. However LPA spoke with the Business Office Coordinator who states that billing statements are included as a part of the package when eviction notices are issued. LPA observed an eviction notice dated 10/22/2024. Upon evaluation of the billing statement LPA observed that resident was admitted in July of 2023 with a daily room rate of $189, medication level 1 of $25 per day, and level 2 care of $72 per day. On 1/1/2024 the rate increased to $207 per day for the room and $27 per day for level 1 medication assistance. According to the billing statement R1's rent was typically not paid on time so late fees were also assessed. The detailed bill shows that there is a remaining balance of $9,288 still owed to the facility, therefore it appears that no refund is do. Therefore the above allegations are Unsubstantiated. Although the allegation 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. Exit interview conducted and a copy of report provided.the state’s words, verbatim · CDSS document, Aug 8, 2025 · control 15-AS-20250130154001

Type of visit: Case Management - Health Checks

On 4/8/2025 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of a priority 1 complaint. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 115, 117.1 and 110.8 degrees F in random bathrooms. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Refrigerator temperature was observed at 40 and Freezer was measures at 0 degrees F. Resident's medications were kept locked in the med room. Smoke detectors are interconnected with the sprinkler system. Carbon monoxide detector observed. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 3/14/2025. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 8:00AM. LPA met with Resident Care Director, Jeffery Jackson and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 10:00 AM, LPA toured facility with Resident Care Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 117.6, 115.8, 116.4 and 109.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 35 degrees F and freezer temperature is maintained at -15 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 1/25/2025 . Emergency Disaster Plan was last posted on 2/1/2024. First aid kit was observed to be complete. Fire drill was last conducted on 11/29/2024. At 8:50AM, LPA reviewed 6 residents records. At 9:30pm, LPA reviewed 6 staff records and 6 of 6 staff are fingerprint cleared. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 29, 2025

Allegation investigated: Staff are not meeting a resident's showering needs while in care

On 1/8/2025 at 12:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegation. LPA met with Assisted Living Coordinator, Maria Salonga and explained the purpose of the visit. During course of the investigation, LPA conducted interviews with facility staff, and R1. Documents including but not limited to: R1’s care plan(s), bath log from 10/23- 9/24, and internal point system records were obtained. LPA interviewed R1, Assisted Living Coordinator, and Resident Care Director. Report continues on LIC9099-C Unsubstantiated LPA interviewed R1, who stated they are bathed every Monday and are satisfied with their bathing schedule. Additionally, the Resident Care Director was interviewed and explained that the only times R1 missed a bath were when they refused or were unavailable due to hospitalization. The Assisted Living Coordinator corroborated this, noting that R1's bath schedule was changed in December 2023, from 5 times a week to once a week. LPA reviewed two care plans. The care plan dated 10/09/2023 indicated that R1 preferred to be bathed daily. However, the care plan dated 10/19/2024 reflected that R1 preferred to shower once a week on Monday evenings. LPA was also provided with a "PointClickCare" document showing that, as of 12/04/2023, R1's bath schedule was reduced to once a week. Further review of the bath log revealed a total of 90 documented baths for R1 between October 2023 and September 2024. During this period, R1 refused baths 7 times and was unavailable on 3 occasions. Although the allegation 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.the state’s words, verbatim · CDSS document, Jan 8, 2025 · control 15-AS-20240328092708

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 12:00pm. LPA met with Executive Director, Kirsten Korfhage and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 3:10pm, LPA toured facility with Executive Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 115.2 and 110.3 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 36 degrees F and freezer temperature is maintained at -13 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 10/14/2023 . Emergency Disaster Plan was last posted on 10/20/2023. First aid kit was observed to be complete. Fire drill was last conducted on 12/27/2023. At 12:40pm, LPA reviewed 5 residents records. At 3:25pm, LPA reviewed 5 staff records and 5 of 5 staff are fingerprint cleared. REPORT CONTINUES ON 809C The Following Deficiencies were observed: At 1:42PM during facility tour LPA observed unlocked full sharps disposal container in R5's room in closet on the floor. ED had med-tech dispose of bin. Deficiency Cleared. Between 1:45PM and 2:03PM during facility tour LPA observed Virex cleaner, scissors, and prescription powder in R1's apartment . LPA also observed scissors and whiskey in R3's apartment. ED removed all items from residents apartments clearing the deficiency. At 3:30PM during staff file review LPA observed that S4 does not have a health screen or TB test on file. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 2/01/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 pages) Liability Insurance Current Administrator’s Certificate The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 11, 2024

Type of visit: Case Management - Deficiencies

On 10/19/2023 at 9:20am, Licensing Program Analysts (LPAs) A Gomez and L. Francisco arrived unannounced to conduct Case Management regarding an AWOL incident report received for Resident 1(R1) on 9/27/2023 visit. LPAs met with Kirsten Korfhage, Executive Director (ED), and explained the purpose of the visit. Incident report was for an AWOL for Resident (R1). Executive Director (Ed) self- reported that At about 2:45pm on 9/20/2023 R1 was not in their apartment. Community staff looked for R1 but they were not found. During community sweep it was identified that R1 had signed themself out of the community. ED drove to R1’s home and found that R1 had been picked up by R1’s neighbor who brought R1 back to the community. During record review, LPAs observed that physician's report dated 9/14/2023 stated that R1 cannot leave the facility unassisted. LPAs collected the following documents during visit: R1's Physicians Report The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to submit proof of corrections (POCs) by plan or correction due dates and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Executive Director. Exit interview conducted. Appeal Rights and copy of this report provided.the state’s words, verbatim · CDSS document, Oct 19, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Oct 26, 2023

87468.2 ADDITIONAL PERSONAL RIGHTS OF RESIDENTS.... (a) In addition to the rights listed in Section 87468.1, ...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: based on record review, licensee did not comply with the section cited above. R1’s physician report states that R1 is not able to leave the facility unassisted which poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Oct 19, 2023

Plan of correction: By POC date, Administrator agrees to review regulation and conduct training with staff, and to submit proof to CCLD.