Sunrise of Mission Viejo

Type of visit: Required - 1 Year

On April 27, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA explained reason for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted Resident Care Director Parminder Singh about the visit, who was able to assist with the inspection. The PUB475 "See Something, Say Something" poster was observed to be located near the front entrance. LPA observed the Administrator's Certificate for Maria “Tisset” Domingo, which expires on June 16, 2027. LPA toured the interior and exterior portions of the facility with Resident Care Director. The facility is a three-story structure and is licensed for 110 residents, 88 of which may be non-ambulatory, 15 may be bedridden, and a hospice waiver for 16. For this visit, there are a total of 86 residents in care, of which 11 are on hospice, 9 are on home health, and 3 are bedridden. LPA toured the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Restrooms were observed to be in good repair, toilets were operational and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be between 115.5 to 119.4 degrees Fahrenheit. Continued on LIC 809-C. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. The kitchen is inaccessible to residents in care. Fire extinguisher was charged, mounted and located in hallway and the kitchen. Fire extinguishers were dated and tagged on April 1, 2026. LPA observed that the most recent fire inspection conducted at the facility was held on April 1, 2026. LPA observed all the required postings in the reception area of the facility. Facility had back-up emergency food and water supply, located in the storage room in the first floor. LPA observed that First Aid Kit had all the required components. Medications and toxins were also observed to be locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards. No bodies of water were observed. Emergency disaster drill was conducted on March 4, 2026. LPA reviewed 8 resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents’ medication and medication records. LPA reviewed two staff files. All staff are background cleared and associated to the facility. For today's visit, no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Parminder Singh. A copy of this report was reviewed and provided at the end of visit.the state’s words, verbatim · CDSS document, Apr 27, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Hanna Gough conducted an unannounced case management incident inspection for the purpose of following up on an incident report submitted to the Orange County Regional Office. LPA was greeted and granted entry by staff and met with Executive Director (ED) Maria Domingo. The incident report was submitted to the regional office on May 1, 2025 stating that Resident #1s (R1) responsible party contacted the facility informing them that the resident stated that someone had “Dragged them to the bathroom”. Per the incident report a body check on R1 was made and no injuries were noted. R1 then stated to facility staff “They were being pushed in their wheelchair too fast so it felt like they were getting dragged”. LPA reviewed documents and interviews were conducted at the time of the inspection. LPA reviewed R1s physicians report which states that R1 has a diagnosis of dementia. During interviews with Staff #1(S1) and Staff #2(S2) it was revealed that R1 was unable to recall who the caregiver was that was pushing the wheelchair and when staff asked to elaborate on being dragged R1 stated they were “Being pushed in their wheelchair and it felt like they were being dragged”. S1 and S2 both informed LPA that they have noticed a pattern of sundowning behaviors with R1 and have informed the responsible party and physician of the change in behavior. S1 has set up a meeting with R1s responsible party to go over their plan of care due to R1s change in behavior along with aggressive behaviors that have been noted towards staff. S1 informed LPA that they had a voicemail of R1s responsible party stating that they, “May have used strong wording and that R1s state of mind may not have been at 100%,” when informing the facility of the incident. R1 is currently in the hospital due to swelling in both legs and confusion. Based on interviews and observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Executive Director Maria Domingo and a copy of this report was given at the time of the visit.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Samer Haddadin and Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by Staff #4. During today’s visit, LPA met with Maria "Tisset" Domingo, Executive Director (ED). The facility is a three-level building with an approved fire clearance of eighty-eight non-ambulatory with fifteen bedridden and are approved for a hospice waiver for sixteen. The Terrace floor is the Reminiscence Community and the first and second floors are Assisted Living. The facility currently has a census of eighty residents in care. During today’s visit, LPA Haddadin toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in four of four resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 108.9 and 119.9 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational. The fire extinguishers were charged and serviced on October 4, 2024. The facility’s last earthquake drill was conducted on April 3, 2025 and the fire drill was conducted on April 6, 2025. LPA Haddadin inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed residents dining for lunch in both the Reminiscence Community as well as Assisted Living. Residents do not have access to kitchen areas and sharps and knives are secured in the kitchen. (Continued on LIC 809-C) (Continued from LIC 809) LPA Ruppert observed medication storage and reviewed the centrally stored medications with Roana Cruz RN, Resident Care Director. Per review medications are being given as prescribed. LPA Haddadin observed the First Aid Kit which had all of the required elements and a First Aid manual. LPA Ruppert reviewed four of four staff training and fingerprint records and reviewed eight of eight resident records. LPA Haddadin interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA Ruppert confirmed that administrator has a current administrator certificate which expires on June 16, 2025. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Maria "Tisset" Domingo, Executive Director and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Jessica Cho, Edward Kim, Faith La, and Licensing Program Manager (LPM) Lourdes Montoya arrived at the facility unannounced for the purpose to conduct the Required 1 Year Annual Inspection. LPAs and LPM explained the purpose of the visit to Executive Director (ED) Tisset Domingo. The facility is licensed for 110 and maintains a hospice waiver of 17. As of today, the resident census is 91 of which 8 are receiving hospice care. At or approximately 9:34am, LPAs and LPM conducted a tour of the physical plant accompanied by the ED, and the following were observed: This is a three-story facility comprised of an Assisted Living (AL) on the 1st and 2nd floors, and Memory Care on the Terrace Level. LPAs inspected all common areas which includes but is not limited to: the public bathrooms, shared/private dining areas, storage/supply rooms, living room, Activity Rooms, Beauty Salon, laundry rooms, Housekeeping closet, Wellness Room, and Staff Break/Training Room. LPAs inspected ten resident bedrooms which had all the required elements with ample lighting. The residents’ personal bathrooms were checked. Toilets and water faucets worked properly, and the grab bars were secure. Showers were free of mold/mildew, and the non-skid mats were in place. The hot water temperature measured within the required range of 105-120 degrees Fahrenheit. LPAs inspected the kitchen and the dining area. Facility maintains ample supply of two-day perishables and seven-day non-perishables. LPA observed the emergency food and water in the storage room in the Terrace Level. The fire extinguishers were mounted, fully charged, and serviced on October 2, 2023 and October 26, 2023. The smoke detectors were last tested on April 26, 2023 by Johnson Controls and verified on the inspection report. LPAs toured the outside grounds. There were sufficient seating and shading for the residents, and the walkways were clear of hazards. All exit gates were self-closing and self-latching. LPAs reviewed ten residents’ files. No discrepancies noted. LPAs reviewed 10 staff files. No discrepancies noted. Interviews were conducted with ten residents and staff. The medications and the Medication Administration Records (MARs) were reviewed for five residents. No discrepancies noted. The following postings were reviewed and observed: Complaint Poster (PUB475) in the size of 8.5"X11", food menu, activities, client’s rights, and the Emergency Disaster Plan (LIC610D). In addition, facility maintains sufficient PPEs and first aid supplies. The following were advised: to maintain the PUB475 in the size of 20"X26" in the main entryway and to complete include identification of an assembly point(s) on the facility sketch in reference to the LIC610D. Based on the observations, no deficiency is being cited as per the Title 22, Division 6, Chapter 6 of the California Code of Regulations. Two Technical Violations (TVs) were issued. An exit interview was conducted with Executive Director Tisset Domingo, and a copy of this report including the LIC9099C and TVs were provided at the end of the visit.the state’s words, verbatim · CDSS document, Apr 19, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.