Sunrise of Sunnyvale

Type of visit: Required - 1 Year

On 7/15/2026, LPA Grace Donato arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. LPA met with the Executive Director Rhiannon Clark and explained the purpose of the visit. The facility consisted of one building with Assisted Living units on floors one to three, and Memory Care units on the fourth floor. Delayed egress was observed on exit doors. LPA conducted a tour of the facility. Residents are currently doing activities in the activity areas. LPA has evacuation chairs on the stairwells. LPA inspected the main kitchen and found it clean. The refrigerator, freezer, and pantry cabinets were checked, and there was a sufficient supply of fresh perishable food for two (2) days and nonperishable staples for seven (7) days. LPA inspected resident rooms. The rooms were found to be clean, well-lit, and equipped with the required furniture. Bathrooms have non-skid mats and grab bars. The hot water temperature was at 106 °F. Room temperature were between 70 °F - 73 °F. LPA reviewed eight staff records and ten resident records. All records are complete and updated. LPA observed locked centrally stored medication carts in the Assisted Living and Memory Care units. Medications were organized separately for each resident. Narcotics were locked. All medication bottles and bubble packs were properly labeled. Centrally Stored Medication Records were reviewed and everything is correct and complete. LPA received a copy of the Liability Insurance and LIC500. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Jul 15, 2026

Type of visit: Case Management - Other

On 5/7/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to an Unusual Incident Report received by the Department on 5/5/2026. LPA Calandra was greeted by Cherie Mix, Business Office Coordinator and explained the purpose of the visit. According to the Incident Report, R1 reported to the facility that approximately $100 had gone missing from their safe. According to Cherie, the Business Office Coordinator she conducted an internal investigation of the incident and found that it was an outside party and not facility staff who likely committed the act. Cherie helped R1 file a police report which LPA Calandra was able to obtain a copy of during the visit. In addition, LPA Calandra received copies of the staff interviewed by Cherie. No deficiencies cited during today's visit. An exit interview was conducted and a copy of the report provided to facility representative.the state’s words, verbatim · CDSS document, May 7, 2026

Allegation investigated: Staff touches resident in an inappropriate manner. Staff harasses resident by engaging in inappropriate conversations.

On January 9, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Resident Care Director, Kim Holmes and explained the purpose of the visit. Regarding the allegation, staff touches resident in an inappropriate manner, according to the reporting party, staff, later identified as Staff 1 (S1), would tickle Resident 1's (R1's) feet without R1's conset and it would make him/her feel uncomfortable. During the investigation, LPA interviewed R1, attempted to interview S1, interviewed staff, and reviewed documents . According to R1, he/she denied this allegation and indicated that S1 has never touched him/her in an inapproprate manner. According to staff interviewed, R1 has manipulative behaviors where R1 makes up stories when he/she does not get his/her way. LPA was unable to interview S1 as he/she no longer is employed with the facility. (Continue to 9099C) Unsubstantiated Regarding the allegation, staff harasses resident by engaging in inappropriate conversations, according to the reporting party, R1 indicated that S1 harasses R1 by talking about the relationships he/she has with other staff members at the facility which makes R1 feel uncomfortable. During the investigation, LPA interviewed R1, attempted to interview S1, interviewed staff, and reviewed documents. According to R1, he/she denies this allegation and indicated that S1 has never engaged in inappropriate conversations with him/her. LPA was unable to interview S1 as he/she is no longer employed with the facility. According to staff interviewed, S1 notified staff that R1 was engaging in inappropriate conversations with S1. Behavior tracking notes reviewed indicates that R1 was experiencing new behaviors in August 2025, which included expressing feelings for S1 and being upset at the female staff/residents around S1. Therefore, based on interviews conducted and records reviewed, the department has determined that although the above allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with Resident Care Director, Kim Holmes and a copy is provided.the state’s words, verbatim · CDSS document, Jan 9, 2026 · control 26-AS-20250917162752

Type of visit: Required - 1 Year

On July 28, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. LPA met with the Executive Director (ED), Alberto Golia, and disclosed the purpose of the inspection. The facility consisted of one building with Assisted Living units on floors one to three, and Memory Care units on the fourth floor. The ED informed the LPA that the facility had 81 residents in care at the time, including 62 in Assisted Living and 19 in memory care. LPA initiated a walk-through of the facility, accompanied by ED. LPA inspected the main kitchen and found it clean. The refrigerator, freezer, and pantry cabinets were checked, and there was a sufficient supply of fresh perishable food for two (2) days and nonperishable staples for seven (7) days. No expired food items were found. Open food items were wrapped and dated. The dining rooms in Assisted Living and Memory Care were inspected and were found to be clean, with all furniture in good repair. LPA inspected randomly selected ten (10) resident rooms in Assisted Living and Memory Care units. The rooms were found to be clean, well-lit, and equipped with the required furniture. LPA inspected the private bathrooms in random rooms. The bathrooms contained soap, grab bars, towels, a trash can, and non-slip flooring. The hot water temperature at the sink faucets measured between 120.6°F and 128.3°F. “No Smoking / Oxygen in Use” signs were observed posted outside the residents’ room where oxygen was administered. Continued to LIC809-C LPA inspected the fire extinguishers mounted on the hallway walls in Assisted Living and Memory Care and found them fully charged, with the last service tag dated 11/6/2024. A staff member tested the carbon monoxide detector in the hallway in LPA’s presence, and it was found to be functional. LPA reviewed the Fire Prevention routine inspection report, conducted on 02/04/2025, by the Department of Public Safety Fire Prevention & Hazardous Materials Certified Unified Program Agency, City of Sunnyvale. The last semi-annual Fire Alarm inspection was completed on 04/15/2025 and quarterly Automatic Sprinkler Systems testing was completed on 04/15/2025. LPA inspected activity areas, theater room, library, lounges, and other commons areas and observed residents actively engaged in recreational programs and activities. All common areas were free from obstructions, and hallways were well-lit. LPA inspected laundry stations on each floor and observed working washer and dryer units. Sharp objects, detergents, and chemicals were observed to be locked and inaccessible to persons in care. The industrial sized washer and dryer units were observed in the laundry room on the first floor. LPA toured the outside courtyard and patio areas and found passageways in good condition, free of obstructions, and without any blocking or tripping hazards. These areas had patio tables, chairs, and umbrellas for residents’ use. Delayed Egress was observed on exit doors. No accessible bodies of water or hazards were observed. LPA observed locked centrally stored medication carts in the Assisted Living and Memory Care units. Medications were organized separately for each resident. Narcotics were locked. All medication bottles and bubble packs were properly labeled. At 11:16 AM, Centrally Stored Medication Records were reviewed, and a medication count check was performed. LPA observed that the medication counts for one (1) medication ‘Hydroxyzine HCL F/C 25 MG tablet’ Evening time bubble pack for one (1) resident (R1) was found to be inaccurate. Two (2) extra days of medication was administered to R1 for ‘Hydroxyzine HCL F/C 25 MG tablet’ medication. The medication from this Evening time bubble pack started on 07/02/2025, R1 was out of the facility from 07/08/2025 to 07/16/2025, and then resumed the medication from 07/17/2025. Today is 12:30 PM on 07/28/2025, a total of 17 days of medication should have been administered to R1, but 19 days of medication bubbles were popped up. The Medication Administration Record did not show records of medication administered prior to 7/14/2025. Continued on LIC809-C LPA reviewed six (6) staff personnel records and ten (10) resident records. The LPA observed that 10 of 10 residents had the Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Consent forms, Safeguard personal property and valuables, and Personal rights forms. LPA observed that 6 of 6 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 6 of 6 staff members were associated with the facility. LPA inspected the first aid kit and found it fully stocked. Emergency Drill Logs were reviewed, and it was observed that Emergency Disaster Drills were conducted monthly, with the most recent drill completed on 07/13/2025. The following updated forms are requested to be submitted to CCLD by 08/04/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Certificate of Liability Insurance Administrator Certificate(s) The deficiencies are being cited based on LPA observations, records reviewed, and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, and Plans of Correction were reviewed and developed with the Executive Director. A copy of this report and appeal rights were discussed and provided to the Executive Director, Alberto Golia, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 28, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: Factility neglect led to serious bodily injury

On March 04, 2025, at 1:55 PM, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to deliver the findings of a Complaint Investigation. Upon arrival, the LPA was greeted by the Executive Director (ED), Beena Kumar. The LPA disclosed the purpose of the visit. The ED informed the LPA that there were (73) residents in care. On 11/20/2024, the Department received a complaint with allegation that “Facility neglect led to serious bodily injury”. On 11/21/2024, the initial complaint investigation was conducted at the facility. The following documents were obtained: 1) LIC 602 Physicians Report, 2) Needs and Service plan, 3) Progress Notes, 4) Resident Roster, 5) Resident face sheet, 6) LIC 624 unusual incident report, 7) Staffing schedule, and 8) Hospice visit note reports. Continued on LIC9099-C Unfounded Based on the review of the medical records from Hospice, on November 15, 2024, at 04:11 AM, facility caregiver (S1) contacted hospice to report that R1 had cut their left leg on a bed rail. S1 described the wound as “large,” approximately the size of a dollar bill, with bone exposure, bleeding, and pain. Hospice registered nurse (RN1) arrived at the facility to assess the wound. Upon examination, RN1 observed a deep abrasion with bone protrusion and oozing, necessitating stitches or sutures. Emergency Medical Technician (EMT) services were contacted, and R1 was transported to the hospital for further evaluation and treatment. Later that evening, R1 was discharged from the hospital and returned to the facility. Based on review of progress notes for November 15, 2024, R1 sustained a laceration to the left shin after tangling their legs in the bed rails around 03:30 AM. Hospice was called, and the hospice nurse determined that it was necessary for R1 to be transferred to the hospital. Based on the review of the Unusual Incident Report, during rounds, S1 observed R1 appearing restless and noted that R1 had sustained a laceration to the left shin. Hospice was notified, and R1 was subsequently sent to the hospital. R1 returned later the same day after the hospital treated the shin injury. Based on the interview with five (5) facility staff members, 5 of 5 staff members (ED, S1, S2, S3, and S4) confirmed that R1 had a preexisting right shin injury, which was superficial and did not involve bone exposure. Hospice had been providing regular wound care, and staff reported no concerns regarding soilage, odor, or infection. Staff also confirmed that the left leg injury, which involved bone and tissue exposure, occurred on the same day as the incident. Staff stated that they immediately contacted hospice and arranged for R1’s hospital transfer. Based on the interview with R1’s power of attorney (POA), the POA corroborated the staff’s statements. The POA stated that they visited R1 three times a week, every Monday, Wednesday, and Friday, and had not noticed any new leg wounds during their visit on Wednesday, November 13, 2024. The POA believed that the left leg injury occurred on November 15, 2024, and confirmed that no other leg injuries involving bone or tissue exposure had been observed prior to the incident. The POA believed that the injuries resulted from R1 getting their legs stuck in the bed rails. The POA did not express any concerns regarding abuse or neglect at the facility. Continued on LIC9099-C Based on records reviewed and interviews conducted, the department has determined that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the allegation is UNFOUNDED. No deficiencies were cited under the California Code of Regulations, Title 22. An exit interview was conducted with the Executive Director. A copy of this report was discussed and left with the Executive Director, Beena Kumar, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Mar 4, 2025 · control 26-AS-20241120134458

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Christine Dolores and Santino Fortes arrived unannounced to conduct the facility's required 1 - year annual inspection. LPAs met with Executive Director (ED) Beena Kumar. During visit, LPAs toured the facility with ED to include the assisted living and memory care units. LPAs and ED also toured the dining rooms, kitchen, common areas, 10 resident bedrooms, bathrooms, activity rooms, and exterior. All fire exit routes are free and clear of obstruction. Stairwell C contained an evacuation chair. Facility temperature maintained between 71 - 77 degrees Fahrenheit. Fire extinguishers last serviced on 10/05/2023. Carbon monoxide detector present in the facility. Fire places observed screened. Posters observed in the lobby area to include the ombudsman and licensing complaint poster. Activities calendar posted in assisted living and memory care. Facility has at least 2 days worth of perishables and 7 days worth of non-perishables foods. Refrigerator temperature maintained between 36 - 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Items inside the refrigerator observed covered. Facility has sufficient cups, plates, bowls, and utensils. Daily menu posted outside of the dining room area. LPAs and ED entered into rooms 303, 313, 222, 202, 206, 103, 106, 409, 415, and 416. All rooms observed with adequate lighting, a bed, linens, night-stand, and dresser. Showers equipped with grab bars and non-slid floors. Bathroom hot water temperature ranged from 106 - 128 degrees Fahrenheit. Rooms 313, 207, 206, 103, and 106 had light bulbs that were burnt out. Room 313's bathroom fan observed with built-up dust. Room 207's sink faucet observed with very low water pressure. ED immediately placed work orders for the items. SEE LIC809-C. LPAs reviewed 10 resident files. 10 out of 10 resident files contained a signed admissions agreement, physician's report, TB result, service plan, identification and emergency contact information, consent forms, safeguard personal property and valuables, and personal rights form. LPAs reviewed 5 resident's centrally stored medications and centrally stored medication records. LPAs interviewed 4 residents. LPAs reviewed 5 staff files. 5 out of 5 staff files reviewed are fingerprint cleared and associated to the facility. Staff files contains a 1st Aid Certification, health screening, and TB result. LPAs reviewed 5 out of 5 staff training records. Facility has an infection control plan. Facility has an emergency disaster plan. Emergency food supplies and emergency lighting observed. Emergency drills are being conducted quarterly. The following documents were obtained to include: Change of Administrator documents (Administrator Certificate, Resume, LIC500, and Photo ID/DL) and liability insurance. ED will email LPA Dolores the Board Letter once obtained and updated Emergency Disaster Plan. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Executive Director, Beena Kumar and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 25, 2024