Sunrise of Oceanside

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Case Management to continue the annual inspection started on 4/13/2026. LPA was greeted by, identified herself to, and explained the purpose of the visit with Business Office Coordinator Vanessa Gomez. Executive Director Kimberly Malaspina arrived during the visit. The facility has a licensed capacity of 136 non-ambulatory residents, 20 of which may be bedridden and has a hospice waiver for 20 residents. The facility has an approved fire clearance for delayed egress in the facility's memory care. The Administrator for the facility is Kimberly Malaspina and their certificate was valid and current. During visits on 4/13/2026 and 4/16/2026, LPA inspected a random sampling of resident rooms and bathrooms, common areas, kitchen, and outside space. No bodies of water or secured perimeter were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed locked storage for resident medications and hazardous and/or toxic chemicals, both of which were stored separately from food supplies. According to Kim Malaspina, no firearms or weapons are stored on the premises. LPA observed a minimum supply of 2-days of perishable food and 7-days of non-perishable food. The refrigerator and freezer temperatures were kept within requirements. Staff present at the facility had a criminal background clearance and association. LPA reviewed multiple resident and staff records. No deficiencies were cited on today’s date. An exit interview was conducted with Executive Director Kimberly Malaspina, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Executive Director Kimberly Malaspina. During today's visit, LPA reviewed facility records and observed residents in care. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. No deficiencies were cited on today's date. An exit interview was conducted with Executive Director Kimberly Malaspina, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 13, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to provide guidance and consultation. LPA was greeted by, identified herself to, and explained the purpose of the visit with Executive Director Kimberly Malaspina. During today’s visit, LPA spoke with Executive Director Kimberly Malaspina and Resident Care Director Anthony Bawalan in order to provide guidance regarding regulation changes, reappraisals, eviction procedures, reporting requirements, and observation of residents. LPA also reviewed and obtained copies of facility records. No deficiencies were cited on today’s date. An exit interview was conducted with Executive Director Kimberly Malaspina and Resident Care Director Anthony Bawalan, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Mar 19, 2026

Allegation investigated: Lack of supervision resulted in resident on resident abuse with serious injury

On 10/7/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Administrator, Kimberly Malaspina and explained the purpose of the call. Regarding the allegation of Lack of supervision resulted in resident on resident abuse with serious injury, Reporting Party (RP) stated that a resident (R1) took an unwitnessed fall that led to R1s hip breaking. RP mentioned that another resident (R2) pushed R1. During the investigation, staff members were interviewed, and records were reviewed. page 1 of 2 Unsubstantiated Staff that were interviewed were present in the memory care on 12/17/2024 during the AM shift. While providing assistance to another resident, S1 saw R1 on the ground in the adjoining living room. S1 got additional assistance from S2 who was also assisting with the other resident. S2 asked resident R1 what happened. According to S2, R1 said, “R2 pushed me,” and pointed to R2. Both staff were the only direct care staff in the area at the time and acknowledged R2 was by R1 in the living room. There is no video surveillance inside the facility. R1 was assessed by facility staff. Emergency services were called and transported R1 to the hospital for evaluation. For the records that were reviewed, both R1 and R2 have neuro cognitive disorders. R1 was noted as independent with mobility and transferring. R2 is noted as not having any inappropriate or aggressive behavior. While R1 sustained an injury while in care, there is no evidence that either R2 had inappropriate or aggressive behavior, and that additional supervision was needed to prevent a resident-on-resident altercation. There is no corroborating evidence that a lack of supervision resulted in R1 being pushed by R2 resulting in injury. Based on interviews, observations and records review, the department has determined that 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. Report is reviewed and copy is provided. page 2 of 2the state’s words, verbatim · CDSS document, Oct 7, 2025 · control 08-AS-20241218141448

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Resident Care Director (RCD), Anthony Bawalan. . Today’s visit was in response to the death of Resident #1 (R1), which licensee self reported. It was reported that R1 passed away on May 5, 2025 at the hospital. LPA briefly toured the facility, performed a welfare check on residents in care, interviewed staff, and obtained copies of pertinent facility records. Additional information may be needed and further visits and or telephone calls. No deficiencies were observed or cited on this date. An exit interview was conducted with Anthony Bawalan RCD, to whom a copy of this report, and the Licensee/Appeal Rights LIC 9058 (03/22) were provided to the Director, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, May 13, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to complete the annual inspection from 4/7/2025. LPA was greeted by, identified herself to, and explained the purpose of the visit with Executive Director Kimberly Malaspina. The facility is licensed for a maximum capacity of 136 non-ambulatory residents, 20 of which may be bedridden in any room. The facility has a waiver for 20 hospice residents. The facility also has approval for delayed egress for the facility's memory care. During today’s visit, the facility had a census of 73 residents. The Administrator for the facility is Kimberly Malaspina and their certificate was valid and current. During visits on 4/7/2025 and 4/25/2025, LPA toured the facility and inspected a random sampling of resident rooms, common bathrooms, kitchen, common areas, and outside space. No bodies of water were observed on the premises. LPA observed the delayed egress to be operational. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 111.7, 115.0, 115.0, 115.4, 115.9, 116.8 and 118.4 degrees Fahrenheit across random sampling of resident rooms and common bathrooms. The facility’s internal temperature was measured at 71, 72, and 76 degrees Fahrenheit across the facility. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Kimberly Malaspina, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and labelled. Continued on LIC809-C page… LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 37 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, initial medical assessment, updated annual reappraisal, documents regarding safeguarding personal property and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. LPA provided consultation and guidance regarding reporting requirements and dementia regulation changes. No deficiencies were cited on today’s date. An exit interview was conducted with Executive Director Kimberly Malaspina and Resident Care Director Anthony Bawalan, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 25, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced plan of correction visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Executive Director Kimberly Malaspina. The purpose of the visit was to document the clearance of the POC for the deficiency issued on 4/7/2025. On 4/7/2025, the licensee was issued a deficiency with a correction due date of 5/7/2025. During today’s visit, LPA Borunda verified that the licensee corrected the deficiency regarding medication management and storage. Therefore, the deficiency 87465(h)(2) is corrected. LPA provided Executive Director with a letter of Deficiency Cleared. An exit interview was conducted with Executive Director Kimberly Malaspina, whose signature below confirms receipt of a copy of this report, the Letter of Deficiency Cleared and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Resident Care Director (RCD) Anthony Bawalan. The facility is licensed for a maximum capacity of 136 non-ambulatory residents, 20 of which may be bedridden. The facility has a waiver for 20 hospice residents and has a fire clearance for delayed egress in the facility's memory care. During today’s visit, the facility had a census of 73 residents. During today's visit, LPA toured the facility, reviewed facility records, and observed residents in care. During the facility tour, LPA observed four loose pills on the counter in Resident 1's (R1) private bathroom. [RCD was provided with LIC811 Confidential Names to identify R1] LPA checked R1's medicine cabinet and bathroom drawers and discovered multiple medication and supplement bottles. A interview with RCD Bawalan revealed that R1 was receiving medication management and the facility was centrally storing R1's medications. Additionally, review of R1's medical assessment dated 2/25/2025 revealed that R1 was unable to store their medications. RCD removed the medication and supplement bottles from R1's room and relocated them to the locked medication room during the visit. Therefore, a deficiency was cited for medication storage and noted on the attached LIC809-D page. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. An exit interview was conducted with RCD Anthony Bawalan, whose signature below confirms receipt of a copy of this report, the LIC811 and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 7, 2025

Allegation investigated: Licensee did not issue a refund of pre-admission fees

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to open an investigation and deliver findings regarding the above mentioned allegation. LPA was greeted by, identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Resident Care Director Anthony Bawalan. Executive Director Melon Rivera arrived during the visit. During today’s visit, LPA toured the facility, observed residents in care, reviewed and obtained copies of facility records, and interviewed staff. LPA was away from the facility for approximately one hour between 12:15pm and 1:15pm. The Department's investigation consisted of interviews with staff and outside sources, records review, and a tour of the facility. It was alleged that the Licensee did not issue a refund of pre-admission fees. Continued on LIC9099-C page... Substantiated Interviews with staff and outside sources revealed that sometime in March 2024, Applicant 1 (A1) expressed interest in moving in to the facility and paid the facility a $2,000 pre-admission deposit to hold a spot at the facility. [Executive Director was provided with an LIC811 Confidential Names List to identify A1.] Interviews with outside sources revealed that sometime in April 2024, A1 decided not to move into the facility and requested a refund of the pre-admission deposit via telephone. Interviews with staff revealed that the pre-admission deposit is fully refundable prior to move in and individuals must request a refund in writing using a facility provided form. Interviews with staff revealed that facility staff had difficulty getting in contact with A1 to complete the paperwork, partially due to A1 living at another licensed facility. Staff stated during interviews that the facility mailed the refund paperwork to A1 on least two occasions with no response. Staff also stated that they reached out to the staff at the facility A1 was residing at and requested assistance to have A1 complete the refund paperwork with no response. Interviews with staff and outside sources revealed that sometime in May 2024, a staff member from the facility's sales department met with A1 in person to complete the refund paperwork. Review of the refund request forms for A1 revealed that the paperwork to refund for A1's pre-admission deposit was completed on 5/9/2024 and 5/22/2024. Review of an email to the facility's external billing department revealed that the facility submitted A1's refund paperwork to be processed on 6/5/2024. Staff and outside sources confirmed during interviews that staff did not complete a formal care assessment for A1 and A1 never took possession of an apartment at the facility. Review of A1's ledger report generated on 8/12/2024 revealed that A1 has not been issued a refund for the pre-admission deposit totalling $2,000. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. An exit interview was conducted with Executive Director Melon Rivera, whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Aug 12, 2024 · control 08-AS-20240805101045

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(5)(E)(1)(a) · Plan of correction due date: Sep 9, 2024

87507 Admission Agreements (g)(5)(E) Preadmission fees shall be refunded according to the following conditions (1) A 100 percent refund... shall be provided... if (a) the applicant decides not to enter the facility prior to the facility completing a preadmission appraisal. This requirement has not been met as evidenced by: Based on interviews and records review, the licensee did not provide A1 with a refund of the $2,000 pre-admission fee. This poses a potentional personal rights risk to 56 of 56 residents in care.the state’s words, verbatim · CDSS document, Aug 12, 2024

Plan of correction: Executive Director stated that the facility now has a Business Office Coordinator who is responsible for processing all refunds in-house. The refund for A1 is being processed and the facility will be mailing the refund via check to A1's residence via certified mail. Executive Director will provide tracking information confirming A1's refund to the Department by POC due date of 9/9/2024.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an announced Pre-Licensing visit. LPA was met by Applicants Jason Malone and Launa Moore and was granted entry into the facility. The purpose of today's visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. The fire inspection was completed on 2/27/2024 and the facility is approved for 136 non-ambulatory residents, 20 of which may be bedridden in any room, and delayed egress is approved in the facility's memory care on first and second floor. During today's visit, LPA toured the facility and inspected all common areas, outside spaces, and a sampling of resident rooms across the facility. The facility was found to be clean, safe, and in good repair with no pathway obstructions. Private and common resident bathrooms were observed to be clean and the toilets and showers were found to be in working order. The facility's water temperature in a sampling of resident bathrooms were measured at 110.8, 111.6, 117.1 and 119.5 degrees Fahrenheit. LPA observed locked storage areas where all hazardous and/or toxic chemicals were stored and secured. LPA observed locked storage for resident medications and files. Fire extinguishers were observed throughout the facility and found to be in compliance. A functioning carbon monoxide detector and smoke detectors were observed in the facility. No bodies of water were observed near or on the premises. LPA observed 7-day supply of non-perishable food and a 2-day supply of perishable food. Required postings were observed in a common area of the facility. LPA reviewed the applicant's Infection Control Plan and Emergency Disaster Plan. LPA conducted Component III with the applicant. The topics discussed were continuing operation requirements, record keeping/reporting, and physical plant compliance. Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the Applicant Launa Moore, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 4, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 136 Interview Method: Telephone interview On 4/3/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 3, 2024