Sunrise at Yorba Linda

Allegation investigated: Staff do not ensure resident receives bathing assistance Staff do not ensure resident is provided clean linen Staff do not ensure resident is kept in clean clothing at all times Resident developed pressure injuries while in care Staff do not ensure resident's room is kept free of mal odors Staff do not ensure resident's room is kept in clean and sanitary conditions

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met with Executive Director (ED) Tyler Hawk. Regarding allegations, Staff do not ensure resident receives bathing assistance and Staff do not ensure resident is provided clean linen, the following was revealed: Complaint alleges staff did not ensure Resident 1 (R1) received bathing assistance and was provided with clean linen. During the course of the investigation, interviews were conducted with five facility residents, five staff, and one witness. During interview, R1 was unable to confirm or deny allegations. Three of five residents interviewed stated they are routinely assisted with bathing and can request additional bathing assistance at their leisure, and their linen is changed at least once a week and more frequently if needed. One of five residents interviewed was unable to confirm or deny allegations. (Cont. LIC9099-C) Unsubstantiated During interview, five of five staff stated residents are provided with bathing assistance based on their individual care plan and preferences, and clean linen is provided at least once a week and as needed for each resident. During interview, R1’s responsible party, Witness 1 (W1) stated R1 routinely receives assistance with bathing. Per W1, R1’s clothing and linen is washed by staff once a week and a supply of clean linen is available in R1’s bedroom. Regarding allegations, Staff do not ensure resident is kept in clean clothing at all times and Resident developed pressure injuries while in care, the following was revealed: Complaint alleges staff did not ensure R1 was kept in clean clothing and R1 developed pressure injuries. During the course of the investigation, interviews were conducted with R1, three staff, and one witness. During interview, R1 was unable to confirm or deny allegations. During interview, Staff 1 (S1) stated they provide direct assistance to R1 with activities of daily living. Per S1, R1 does not usually request to be changed, however, S1 will change R1’s clothing if they observe it to be soiled. S1 denied R1 having any pressure injuries. During interview, facility nurses, Staff 2 (S2) and Staff 3 (S3) denied ever witnessing R1 in soiled clothing and denied R1 developing any pressure injuries while in care. During interview, R1’s responsible party, W1 denied ever witnessing R1’s bedding or clothing to be soiled. W1 stated R1 had acquired a sore prior to being admitted to the facility and stated the sore was treated by a facility nurse. W1 was unable to identify facility nurse who treated R1’s sore and stated they had no knowledge of any other pressure injuries. Regarding allegations, Staff do not ensure resident's room is kept free of mal odors and Staff do not ensure resident's room is kept in clean and sanitary conditions, the following was revealed: Complaint alleges staff did not ensure R1 room was kept free of mal odors and in clean and sanitary conditions. During the course of the investigation, interviews were conducted with five facility residents, five staff, and one witness. During interview, R1 was unable to confirm or deny allegations. Three of five residents interviewed stated their room is in clean and sanitary condition and denied having any housekeeping concerns. One of five residents interviewed was unable to confirm or deny allegations. During interview, five of five staff stated all facility areas, including R1’s room, are kept free of mal odors and are in clean and sanitary conditions. During interview, R1’s responsible party, W1 stated they visit the facility every Sunday to see R1 and stated they had no concerns pertaining to mal orders or the cleanliness of the facility. (Cont. LIC9099-C) Based on information gathered, the Department did not find sufficient evidence to support the allegations, “Staff do not ensure resident receives bathing assistance, Staff do not ensure resident is provided clean linen, Staff do not ensure resident is kept in clean clothing at all times, Resident developed pressure injuries while in care, Staff do not ensure resident's room is kept free of mal odors and Staff do not ensure resident's room is kept in clean and sanitary conditions”. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are Unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jul 24, 2026 · control 22-AS-20240325151048

Allegation investigated: Resident was neglected and lack of supervision.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above as well as to deliver findings to the facility. LPA was greeted and granted entry by facility staff after introducing himself, stating the purpose of the visit and stating the allegation under review. The initial complaint investigation visit was conducted remotely on January 20, 2021 due to COVID-19-related restrictrictions in place at the time. During the remote visit, licensing staff spoke to Maria Domingo, Executive Director and requested copies of pertinent documents regarding resident R1 to be delivered via email. Additional email follow-up was conducted with facility staff during the investigation. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 Regarding the allegation that Resident fell due to lack of care and supervision, the following has been concluded: Based on the resident records provided by facility staff and reviewed during the investigation, R1 was admitted to the facility on May 28, 2019. At the time of admission, R1 was assessed to be ambulatory, with a primary diagnosis of Atrial fibrillation, hypertension, chronic kidney disease III, macular degeneration. R1 was assessed to be able to manage their own medication at the time and no indication of Mild cognitive impairment or dementia were noted at the time. Regular updates to R1's plan of care are noted based on changes in condition. For example, as of February 2020, R1 was placed on medication management. Per the physician orders reviewed, R1 had a PRN order for Albuterol which was documented to be administered regularly due to recurring shortness of breath. On or around January 12, 2021, R1 sustained an unwitnessed fall resulting in lacerations to the head which resulted in a call to the paramedics and evaluation at the hospital. R1 tested positive for COVID-19 while at the hospital and was placed on isolation as required upon being readmitted to the facility. As a result of the fall and COVID-19 diagnosis, recurrent follow-up assessments were conducted in the weeks that followed. Per incident reports submitted as well as charting notes reviewed, no other fall incidents occurred during R1's admission at the facility. R1 eventually passed while under hospice care in January 2024. The documentation reviewed fails to sufficiently evidence that inadequate supervision was being provided to R1 which would have resulted in the fall reported in January 2021. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Jan 5, 2026 · control 22-AS-20210114172609

Type of visit: Required - 1 Year

On September 10, 2025, at 8:45AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Executive Director (ED) Tyler Hawk and explained the purpose of the visit. The facility is licensed to operate for ten (10) ambulatory, eighty-three (83) non-ambulatory, of which ten (10) may be bedridden, and have a hospice waiver for fifteen (15) residents. Facility is approved for delayed egress. The facility is a two-story building, which consists of the following: seventy-eight (78) resident units, eight (8) office rooms, eighty-four (84) bathrooms, waiting area, casino room, bistro area, activity room, cinema room, dining room, hair salon room, gym, kitchen, underground parking garage, and two outdoor covered patio area. LPA Kim toured indoor and outdoor of the physical plant with ED Hawk. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, refrigerator, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following bedrooms were inspected in Assisted Living: Resident Room 102, Resident Room 107, Resident Room 117, Resident Room 202, Resident Room 222, and Resident Room 229. The following bedrooms were inspected in Memory Care: Resident Room 2, Resident Room 9, Resident Room 12, and Resident Room 16. Evaluation Report Continues on LIC 809-C Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 110.8 degrees F and 117.6 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, Emergency water, and Emergency supplies are stored in the storage room in parking garage. A working telephone (714) 693-5368 and tablet for videoconferencing technology both remain available for resident use. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. Fire/Safety drills are conducted monthly and last conducted on September 9, 2025. The facility has twenty-six (26) fire extinguishers that were charged, and they were all serviced on November 20, 2024. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of resident files (R1-R10), staff files (S1-S8), and medication and medication administration records that were all in order and complete. LPA conducted interviews with seven (7) residents and seven (7) staff. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Executive Director Tyler Hawk.the state’s words, verbatim · CDSS document, Sep 10, 2025

Type of visit: Required - 1 Year

On September 11, 2024 at 8:00AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Maintenance Coordinator (MC) Louie Placencia. MC Placencia called Executive Director (ED) Tyler Hawk and ED Hawk stated they would arrive to join the physical tour. LPA Kim explained to MC Placencia and ED Hawk the purpose of the visit. ED Hawk could not remain for the entire visit and Business Officer Coordinator (BOC) Cristine Taylor would sign at the end of the visit. The facility is licensed to operate for eighty-three (83) non-ambulatory, of which ten (10) may be bedridden, and have a hospice waiver for fifteen (15) residents. Facility is approved for delayed egress. The facility is a two story structure, which consists of the following: seventy-eight (78) resident bedrooms, eight (8) office rooms, eighty-four (84) bathrooms, waiting area, casino room, bistro area, activity room, cinema room, dining room, hair salon room, gym, kitchen, underground parking garage, and outdoor covered patio area. LPA Kim toured indoor and outdoor of the physical plant with MC Placencia. ED Hawk joined the tour around 9:30am. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, refrigerator, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following bedrooms were inspected: Resident Room 101, Resident Room 105, Resident Room 116, Resident Room 117, Resident Room 202, Resident Room 217, Resident Room 219, Resident Room 223, and Resident Room 247. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105.0 degrees F and 118.7 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C Due to technical error with the wrong signature date for LPA, this report was amended with the correct signature date. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, Emergency water, and Emergency supplies are stored in the storage room in the parking garage. A working telephone (714) 693-5368 remains available. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. The facility last conducted a Fire/Safety Drill on August 14, 2024. The facility has twenty-six (26) fire extinguishers that are charged and they were all serviced on October 25, 2023, smoke detectors, and carbon monoxide detectors were operable. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of nine (9) resident files (R1-R8), ten (10) staff files (S1-S10), and medication and medication administration record were all in order and complete. LPA conducted nine (9) staff interviews. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Business Office Coordinator Cristine Taylor.the state’s words, verbatim · CDSS document, Sep 11, 2024

Allegation investigated: Staff prevent reident from making/receiving phone calls.

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA arrived at the facility was greeted by receptionist and granted entry. LPA met with Tyler Hawk, Executive Director and explained the nature of today’s visit. Findings are based upon this investigation which included a tour of the physical plant of the facility and interviews conducted. It is alleged that staff prevent resident from making/receiving phone calls. Interviews conducted with 6 of 6 residents indicated that they make phone calls from their own personal cell phones, or they can use the facility phones. Residents stated that they get assistance with phone calls when they need it and they have never had an issue with not being able to make calls. Residents indicated that if they can’t get call on their personal cell phone that family member call the front desk to be able to talk to them. Interview with 1 of 1 witness stated that they are aware that assistance is provided to resident R1if they Continued on LIC9099-C Unsubstantiated need to make a phone call. Witness indicated that they have received calls from R1 when R1 needs to speak to them. Witness indicated that they are not sure how R1 makes the call if assisted or not but none the less they have received calls from R1 from their personal cell phone. Interviews with 2 of 2 staff indicated that R1 at times presses pendent to call for assistance and ask the staff to dial the numbers to make calls. Staff indicated that if R1 request not to receive calls or to speak to a caller that staff do not force R1 to speak to the caller. Staff indicated that there are times when R1 does not want to talk to anyone and makes that very clear to staff and staff indicated that R1 has that right to refuse calls. LPA toured the physical plant of the facility and observed R1 on their cell phone making a call and a care staff was in their room with them. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Apr 3, 2024 · control 22-AS-20240329162449