Sunrise of Rocklin

Allegation investigated: Staff did not ensure resident records were properly secured

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday July 14, 2026, unannounced to conduct a complaint visit regarding the above allegation. LPA met with Senior Executive Director Barbara and explained the purpose of the visit. LPA interviewed the Administrator regarding the allegation. LPA learned the following: On July 7, 2026, the front desk sent a mass email to all residents and families. Instead of an attachment regarding leadership coverage for the facility being sent, mistakenly an excel spreadsheet including resident names, apartment numbers, responsible parties, and responsible party contact information was sent. Once the mistake was discovered, Barbara sent a follow-up apology email and a request to delete confidential information. Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Exit interview conducted. A copy of this report and appeal rights were provided. Substantiatedthe state’s words, verbatim · CDSS document, Jul 14, 2026 · control 59-AS-20260707114703

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c) · Plan of correction due date: Jul 28, 2026

87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. This requirement was not met as evidenced by the facility providing confidential information via email to responsible parties. This poses an indirect threat to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Jul 14, 2026

Plan of correction: Facility will conduct training for all staff regarding confidential information. Administrator will provide sign in sheets, training records including materials provded to staff.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday March 11, 2026 to obtain further information regarding a death report that was submitted to the Department. LPA met with Vandhana and explained the purpose of the visit. LPA learned the following: R1 moved into the facility on 1/2/2026. R1 had previously lived another RCFE. R1 did have a history of falls at their previous facility. R1 had two falls while at Sunrise of Rocklin: 3/1/2026 and 3/2/2026. The fall on 3/1/2026 occurred in the hallway, unwitnessed. Facility nurse assessed the resident who did not present with any pain or injuries. Facility called the family who then refused to send the resident to the hospital. The fall on 3/2/2026 was witnessed by staff in resident's room. Resident was walking backwards and lost their balance. R1 did not hit their head on this fall. R1 was observed to be flushed, shaking, and weak on 3/3/2026. Resident was sent out to the hospital. R1 was expected to return on 3/5/2026 on hospice. R1 was diagnosed with a subdural hematoma. Per family, doctors were unsure if the subdural hematoma was from a previous fall or the recent unwitnessed fall. R1 however declined in the hospital and passed at 7am the same day. R1 was a resident in memory care. They were independent with mobility, toileting, eating, and able to effectively communicate. LPA obtained a copy of R1's care plan and physicians report. LPA requested a copy of R1's death certificate when available. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Mar 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday February 19, 2026 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (7) and staff (6) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA and Jessica toured the facility together to ensure the health and safety of residents in care. The areas toured included the following areas in memory care and assisted living: resident apartments, resident bathrooms, common areas, kitchen, and courtyard. Facility had current inspection tags on fire extinguishers. Water temperatures were within the required range. Facility had fully stocked first aid kits. All required postings were observed. Facility had full supply of PPE. Facility was clean and well organized. In the areas toured, there were no health or safety violations observed. LPA requested an updated LIC500, LIC610E, and current liability insurance by 2/28/2026. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Feb 19, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday February 19, 2026 to conduct a case management visit regarding an incident and death report that was submitted to the Department. LPA learned that R1 was found on the floor on 2/2/2026 next to their bed. Per R1, they went to the bathroom independently then lost consciousness. R1 was transferred to the hospital for evaluation. R1 was admitted to the hospital with a diagnosis of UTI and dehydration. While in the hospital, R1 developed pneumonia, developed a change in condition and passed away on 2/7/2026. LPA obtained a copy of R1's care plan and physicians report. Per the care plan, R1 was independent with dining and eating, continent of bowel and bladder, and independent with mobility. R1's care needs were last assessed on 11/30/2025. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Feb 19, 2026

Allegation investigated: Staff keeps facility doors locked 24 hours of the day.

LPA Parks arrived on Thursday October 9, 2025, to deliver findings for a complaint investigation regarding the above allegation. LPA met with Laurie and explained the purpose of the visit. Throughout interviews, LPA learned that all doors to the outside are alarmed. Residents can leave at any time. The receptionist is on duty from 7am - 7pm every day to assist visitors entering the building. Families were notified of the change via email on August 14, 2025. There is approximately a 15-30 second wait for the door to be opened. After 7pm, care staff are able to monitor the front door via camera. They have the ability to answer and unlock the door remotely. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility. Unfoundedthe state’s words, verbatim · CDSS document, Oct 9, 2025 · control 59-AS-20250827092958

Allegation investigated: Staff mismanaged residents’ medications. Staff spoke to residents in an inappropriate manner.

Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 07/03/2025 to complete and deliver findings to a complaint received on 07/26/2025. LPM and LPA met with Vandhana Devi and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unfounded Staff mismanaged residents’ medications. Throughout the course of the investigation, LPM and LPA interviewed staff and residents. Additionally, LPA reviewed electronic medication administration records (eMARs), medication orders, and resident records. All eMARs reviewed were complete. EMAR entries matched with current physician orders. Additionally, resident notes detailed communication with primary physicians regarding medications and medication changes. Based on LPAs interviews and review of documentation, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. Staff spoke to residents in an inappropriate manner. During residents’ interviews, residents stated that facility staff are meeting their care needs and did not express any concerns with privacy or dignity. Residents’ interviews indicated that staff were treating all residents with dignity and respect and did not express any issues. Three out of three resident’s interviews indicated their satisfaction with staff’s professionalism and did not express any issue with staff were being rough with their care or speaking to them in any inappropriate manner. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED. Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit meeting conducted. A copy of this report has been provided to facility.the state’s words, verbatim · CDSS document, Jul 3, 2025 · control 59-AS-20250627163447

Allegation investigated: Staff are not adequately addressing a scabies outbreak.

Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 07/03/2025 to complete and deliver findings to a complaint received on 03/03/2025. LPM and LPA met with Vandhana Devi and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unfounded Staff are not adequately addressing a scabies outbreak. Staff interviews indicated that they were following infection control guidelines per facility’s policy and there were no concerns in that area. The Department was unable to interview R1 due to R1 passing away on 03/24/2025. Record review indicated the resident was on hospice and the hospice nurse (S2) first noticed the skin irritation. Upon the discovery, S2 notified management, who elevated this situation to Public Health. Based on this information, it has been evaluated that facility staff followed infection control guidelines regarding this matter and there were no concerns, therefore this allegation was found to be UNFOUNDED. Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit meeting conducted. A copy of this report has been provided to facility.the state’s words, verbatim · CDSS document, Jul 3, 2025 · control 59-AS-20250225150318

Allegation investigated: Staff handles resident in a rough manner Staff speaks inappropriately to resident

Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 07/03/2025 to complete and deliver findings to a complaint received on 04/24/2025. LPM and LPA met with Vandhana Devi and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unfounded Staff handles resident in a rough manner. LPA conducted interviews with facility staff and a facility observation was done to investigate this allegation. Interviews indicated there has been no witnessed issues with staff members handling residents in a rough manner. During LPA visit on 04/24/2025, LPA conducted a tour of the facility. LPA observed staff to be engaging with residents and when assisting them it was in an appropriate manner. During the investigation process there was no information given indicating that facility staff handled residents in a rough manner. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED. Staff speaks inappropriately to resident. LPA interviewed four staff and three residents in care. LPA interviewed residents in which they stated staff do not yell at them or speak inappropriately to them. LPA interviewed staff and administrator in which they stated they have no observed staff talking inappropriately to residents. Staff interviews reflected that staff were treating all residents with respect and dignity and were not speaking inappropriately to any residents. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED. Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit meeting conducted. A copy of this report has been provided to facility.the state’s words, verbatim · CDSS document, Jul 3, 2025 · control 59-AS-20250417111921

Allegation investigated: Staff forced a resident to shower Staff handled resident in a rough manner

Licensing Program Analyst (LPA) Hiratsuka conducted this complaint visit. LPA interviewed staff and witnesses. The above incident did occur where two staff members approached a resident who will refuse showers and staff were caught attempting to force the resident into the shower with one holding the resident by the wrist and one holding the resident by the waist. A third staff member intervened and the other two staff members left the room. Resident did not sustain any injuries. Based on the above the allegation is substantiated. Based on the information obtained for the allegations above, the allegations are SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted with Senior Executive Direcotor Penny Zehnder and a copy of the report and appeal rights was provided. Substantiatedthe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 59-AS-20250324162310

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: May 9, 2025

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews conducted, two staff members attempted to force a resident to take a shower by holding the resident by wrist and waist. No injurie sustained. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Apr 24, 2025

Plan of correction: By 05/09/2025, the licensee shall submit a written plan of correction how they shall ensure staff know appropriate ways to approach residents and work with residents who refuse assistance with personal care.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst K. Hiratsuka, conducted this case management visit in response to complaint investigation 59-AS-20250324162310. The complaint was substantiated involved two staff attempting to force a resident to take a shower by holding the resident by the waist and wrist while leading the resident to the shower. A third staff member intervened and the other two left the room. The resident did not suffer any injuries. During the investigation, it was learned the facility did not report the incident to Community Care Licensing Division, local law enforcement, or the local ombudsman per Title 22 Regulation 87211(c) Reporting Requirements: Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1). They did not notify the responsible party either per Title 22 Regulations 87468.1(a)(8) Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. The following deficiencies are cited as per Title 22 Regulations. Appeal rights given, exit interview conducted.the state’s words, verbatim · CDSS document, Apr 24, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(c) · Plan of correction due date: May 9, 2025

Reporting Requirements: Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Welfare and Institutions Code Section 15630(b)(1). This requirement is not met as evidenced by: Based on interviews conducted, the faciltiy did not report suspected abuse of a resident. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Apr 24, 2025

Plan of correction: By 05/09/2025, the licensee shall submit a written plan of correction how they shall ensure staff follow reporting requirements per Title 22 Regulations.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87468.1(a)(8) · Plan of correction due date: May 9, 2025

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. Based on interviews conducted, the faciltiy did not report suspected abuse of a resident to the responsible party. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Apr 24, 2025

Plan of correction: By 05/09/2025, the licensee shall submit a written plan of correction how they shall ensure staff follow reporting requirements per Title 22 Regulations.

Type of visit: Required - 1 Year

On 03/20/25 Licensing Program Analyst (LPA) Graham Gunby arrived unannounced at the facility to conduct a required 1-year annual inspection. LPA met with Executive Director (ED), Penny Zehnder, and explained the purpose of the visit. LPA and ED conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident rooms, laundry room, kitchen, dining room, library, medication room and common areas. LPA observed residents in common areas participating in activities. The residence was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA conducted a file review of ten (10) resident files and ten (10) staff files. Resident and staff files had all the required documents present in files. No deficiencies cited. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 20, 2025

Allegation investigated: Staff does not ensure residents receive feeding and hydration assistance. Staff does not ensure residents are treated with dignity and respect.

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 03/18/25 to deliver complaint findings for above allegations. LPA met with Senior Executive Director-Penny Zehnder expained the purpose of today's visit. The department conducted records review ,facility observations and interviews with staff and residents to investigate the complaint allegations. **Report continued on LIC9099-C** Unsubstantiated **report continued from 9099..... Allegation- Staff does not ensure residents receive feeding and hydration assistance. UNSUBSTANTIATED. --The Department conducted four (4) staff , two (2) witnesses and four (4) residents' interviews, reviewed records to investigate the allegation. During residents’ interviews, residents stated that staff respond in a timely manner, however sometimes there is a delay in response due to staff assisting other resident’s needs. Interviews and record review indicated that resident’s ADL’s which includes residents showering, incontinence, meal assistance and care needs are met as required and documented accordingly. During interviews with facility staff and residents, it was revealed that facility is providing food with different menu choices on daily basis and there were no concerns. Additionally, staff were assisting with meal services for those residents who require assistance without any issues. Staff interviews indicated that they were providing water and other beverages to residents to keep them properly hydrated and were reporting any concerns as needed. One of two witnesses did not indicate any concerns with staff not assisting timely residents with feeding and hydration assistance. During department visits, department did not see any concerns in this area, therefore this allegation is found to be UNSUBSTANTIATED. Allegation- Staff does not ensure residents are treated with dignity and respect. UNSUBSTANTIATED. The Department interviewed four (4) residents, two (2) witnesses and four (4) staff members to investigate this allegation. Interviews did not indicate any residents, staff and/or witness observed that staff are not providing privacy to residents in care. Department observed during facility visits that facility staff were attentive to resident’s needs and providing them privacy while taking care of them and during resident’s personal time with families and visitors and were treating residents with respect and dignity. During residents’ interviews, residents stated that facility staff are meeting their care needs and did not express any concerns with privacy, respect, or dignity. Residents’ interviews indicated that staff were treating all residents with dignity and respect and did not express any issues. Two witnesses interviews indicated their satisfaction with staff’s professionalism and did not express any issue with staff were being rough with their care or speaking to them in any inappropriate manner. Staff interviews reflected that staff were treating all residents with respect and dignity and were not speaking inappropriately to any residents. During complaint investigation, Department was made aware that facility was taking internal measures once facility observe any staff member who require retraining with Residents Rights and other required topics. Based on facility tour, interviews and observations, the department found this allegation is to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 18, 2025 · control 59-AS-20250117145837

Allegation investigated: Facility transceiver is in disrepair. Staff does not assist residents in a timely manner. Staff not providing residents meals in a timely manner.

LPA Parks arrived on Thursday September 19, 2024, to deliver findings for a complaint investigation regarding the above allegations. LPA met with RCD Vandhana to deliver the findings. Throughout the course of the investigation, LPA interviewed the Administrator, Resident Care Director, AL Coordinator, Maintenance Director, staff and R1’s POA. The result of the investigation is as follows: Allegation: Staff does not assist residents in a timely manner. LPA interviewed R1’s POA who stated that they visit every day or every other day. They stated that they have been very happy with the care R1 has received. They stated that they did not have any concerns regarding care. LPA interviewed staff who stated that R1 is a two person assist. Staff stated that, at times, they must wait for another caregiver to assist because R1 requires a hoyer lift, but that R1’s care needs are being met. Unsubstantiated Allegation: Facility transceiver is in disrepair. LPA interviewed Administrator and Resident Care Director who both stated that there have been no complaints about radios not working. Per the Administrator, the facility is switching to iPhones for communication, but that they are waiting to ensure that there is full-service coverage before ending using the radios. Staff interviews stated that they currently have radios that work. The Maintenance Director will trouble shoot if radios are not working properly. Additionally, there are extra radios in the building that can be used, if necessary. Allegation: Staff not providing residents meals in a timely manner. According to memory care staff, there are two residents who prefer to eat meals in their rooms. They are served their meals as the rest of memory care is being served. The AL side of the facility has recently switched their meal delivery to be at the beginning of the meal. Per staff, there have not been any complaints from residents that their meals are being served late. Based on information obtained during the investigation, LPA finds the allegations to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, Exit interview conducted. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 19, 2024 · control 59-AS-20240826123523

Allegation investigated: Facility is restricting visitation

LPA Parks arrived on Monday July 8, 2024 to open a complaint investigation regarding the above allegation. LPA discussed the allegation with Administrator Laurie. LPA discussed the allegation with R1. LPA reviewed R1's file and obtained the following copies: care plan, emergency and ID form, Advanced directive, and admission agreement. Additionally, LPA interviewed R1's family and staff regarding the allegation. Based on interviews, LPA determined that R1 was able to vocalize if they wanted to see certain visitors. The facilty would then honor R1's decision. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility. Unfoundedthe state’s words, verbatim · CDSS document, Jul 8, 2024 · control 59-AS-20240703095747

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday February 15, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (8) and staff (8) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. Facility is complaint with fire drills. LPA, Interim Executive Director, and Resident Care Director toured the facility together to ensure the health and safety of residents in care. The areas toured included memory care apartments, memory care common areas, memory care courtyard, assisted living apartments, assisted living common areas, and kitchen. LPA observed the facility's emergency food, water storage, PPE, and covid test kits. First Aid kit is fully stocked. All water temperatures were within the required range. In the areas toured, there were no health or safety violations observed. LPA requested an updated LIC500 by the end of the month. LPA obtained a copy of the current liability insurance and LIC610E. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Feb 15, 2024