Sunrise Ranch Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Administrator, Geoff Curtis, and stated the reason for today's inspection. Also present was staff, Mureen Johnson, and then staff, Sofia Minor. LPA observed (3) residents present. (1) resident was transported by a non-emergency provider to the hospital during the inspection and will return later today. The facility participates in a local program that allows for temporary/respite stays. There are currently (3) residents and (1) resident under hospice care). There is an approved waiver for (2) hospice. LPA and the Administrator toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, skid-resistant flooring and hygiene supplies. LPA observed 2+day perishable, including fresh produce, and 7+ day non-perishable food. Sharps and toxins are locked in the kitchen and medications are secured nearby. Hot water measured 116*F in the kitchen and inside temperature measured 71*F. Fire extinguisher last serviced April 11, 2025. Smoke/monoxide alarms are functioning, and there are lanterns that convert to flashlights. There are sufficient linens/towels/blankets, PPE supplies, and a complete First Aid kit. Required postings are visible in the common area. There are (2) unlocked exit gates in the backyard and patio seating. LPA reviewed all (3) resident files. Files were organized, current and complete. Medications were reviewed for (1) resident- no discrepancies noted. Staff is current with required annual training, including First Aid/CPR. Administrator has current RCFE Administrator cert #6070895740- exp 5/30/26. LPA requested an updated copy of liability insurance. There are no citations issued in this report. Exit interview. Copy of report to be emailed.the state’s words, verbatim · CDSS document, Mar 17, 2026

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff sexually abused a resident while in care. Staff inappropriately pinches a resident.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to complete a complaint investigation and deliver findings to a complaint received on August 18, 2025. LPA met with Geoff Curtis, Administrator, and stated the reason for the inspection. Also present was staff, Taneisha Pinnock. LPA observed (3) residents present at the start of the inspection and was advised (1) resident was outside of the facility with a family member. The results of the investigation are as follows: The Department interviewed multiple facility staff, a family member of resident (R1), and a current resident who received care from (S1). The police department interviewed (R1) due to their primary language not being english. The Department reviewed multiple documents related to (R1), Resident (R1) moved to the facility on July 17, 2025 and moved out on August 9, 2025. (R1) is conserved and has a medical diagnosis of Schizophrenia, Refractory Catatonia, Cognitive Impairment/Dementia, and Hypothyroidism. *cont on 9099C-1.. Unfounded 9099C-1.. (R1’s) physician’s report (dated 7/10/2025) stated (R1) needs daily assistance with ADL’s due to limited ability to care for self, has limited ability to communicate but can follow simple instructions, and can be disoriented. It was recommended (R1) use a walker to ambulate but was able to ambulate independently. (R1) is also incontinent with bowel/bladder. Allegation: Staff sexually abused a resident while in care. The allegation states that staff (S1) spent more time than usual cleaning resident during incontinent care and inappropriately touched resident (R1). The Department conducted an investigation of this allegation and reviewed documentation, including a report from the local police department. The results of the police department's investigation were: “based on the totality of these circumstances, I believe that staff, (S1), acted within the means of their job and I find there to be no criminal activity", and the case was recommended to be unfounded. Based on the information provided and reviewed, the Department finds the allegation to be UNFOUNDED- A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Staff inappropriately pinches a resident. The allegation states that staff (S1) will pinch resident (R1’s) nipples when providing care. Staff (S1) began working at the facility after being fingerprinted cleared and associated on 7/3/2024. The facility was licensed on 5/23/2024. LPA reviewed training documentation showing (S1) had completed required training starting in May 2024, for a related facility and completed First Aid CPR on 3/14/24. In August 2025, (R1’s) family member stated (R1) reported (S1) once touched and pinched their nipple. The Licensee stated on August 16, 2025 that (S1) was immediately removed from this care home and any other related care homes once the allegation was made, until local law enforcement completed their investigation. The licensee stated he has known (S1) to be a good employee and because this facility has the most challenging residents, staff are rotated between multiple homes. (S1) has most recently been assigned to this home and worked with (R1) since 8/4/25. *cont on 9099C-2.. 9099C-2.. The Administrator stated (R1) was taking medication for Schizophrenia and (R1) told the police nothing had happened like the allegation states. The Administrator explained that the police had a language interpreter from their department speak with (R1), and there were no problems with (R1) or the family until resident's two week stay had elapsed. LPA interviewed a current staff (S2) on 10/3/25 who stated they recall (R1) and provided care to them. This staff stated she recalls hearing that (R1) complained to other staff that staff (S1) had pinched them, but (R1) never complained directly to (S2) and there was no redness or other irritation noted or observed. (S2) stated they had a good relationship with (R1) and (R1's) family did not express any complaints about the care. LPA interviewed staff (S1) by phone on 10/3/25. (S1) explained how they filled in on a "pm" shift on a Tuesday or Wednesday (regular day off) when the alleged incident occurred in early August, 2025. (S1) stated they checked on residents every 2 hours for incontinent care, and on this shift, needed to change (R1's) very soiled diaper. (S1) explained they had to use extra wipes and (R1's) sweater/top was also wet, requiring it to be changed. (S1) stated (R1) assisted with changing their top and (R1) was also able to provide incontinent care. (S1) stated they did not pinch (R1's) nipples but may have touched their breast, during the process of changing the sweater/top. (S1) confirmed that (R1) was confused most of the time and would also scream when in the room alone. (S1) stated they turned on the TV for (R1) to watch after changing the diaper and top. LPA spoke to a current resident (R2), on 10/3/25, who indicated (S1) assisted them once or twice last week. (R2) stated (S1) was very helpful and professional when interacting with them. Based on the information provided and reviewed, the Department finds the allegation to be UNFOUNDED- A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 3, 2025 · control 59-AS-20250818130945

Type of visit: Case Management - Incident

On Aug 12, 2025 (8/12/25), Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management and met with assistant administrator . On 8/11/25 the department received an incident report from the facility regarding R1. R1 reportedly made statements alleging actions on the part of a caregiver (S1). Licensee reported the allegation as required. During this visit LPA met with R1 and a family member, interviewed assistant administrator and licensee. LPA requested records regarding R1 and S1. Records to be submitted by 8/13/25. As a result of today’s inspection, no deficiencies were noted at this time. Report reviewed. Copy of report providedthe state’s words, verbatim · CDSS document, Aug 12, 2025

Allegation investigated: Facility staff left resident soiled for an extended period of time.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver complaint findings for a complaint received on May 21, 2025. LPA met with staff Sofia Minor, who contacted Geoff Curtis, Assistant Administrator, who arrived at 3:50 pm. LPA stated the reason for today's inspectoin. During the investigation, LPA interviewed the Administrator, Assistant Administrator, (1) staff, resident (R1) and attempted to contact (R1's) family member. LPA reviewed documentation related to (R1), including their Pre-Appraisal, physician's report, multiple text messages between staff and the Administrator(s) and the Administrator(s) and the placement agency. The results of the investigation are as follows: The allegation states on May 18, 2025, (R1) was observed to be soiled, including their bed, bedding and clothing, when visited during the morning. The complaint states the urine collection system was full, causing (R1) and their bed to be soaked. Staff claimed they had recently provided incontinent care to (R1) prior to this visit. The allegation states that on May 20, 2025, (R1's) skin on the buttocks was observed to be breaking down due to being left in a soiled diaper and the administrators claimed that (R1) would refuse care. *cont on 9099C-1.. Unsubstantiated 9099C-1.. Resident's Pre-Appraisal notes (R1) needs maximum assistance with mobility/transfers, bathing, toileting, can display argumentative/aggressive behaviors, needs occasional redirecting with taking medications and has a Stage 1/2 pressure sore. (R1's) physician's report (dated 5/13/25) indicates resident has a diagnosis of Mild Cognitive Impairment (MCI), Hypertension, Diabetes Melitis 2, anxiety and depression, history of skin breakdown- bed sore; intermittent confusion and agitation, recurrent UTI's and requires a low salt/carbohydrate diet. The Assistant Administrator stated on 5/22/25 that (R1) has "MCI" and "refused care" from staff after moving in on Friday night, May 16, 2025. The Assistant Administrator explained that (R1) moved in with an "external catheter" which was "not there when she was assessed", commenting that the hospital where (R1) was admitted from always discharges residents with multiple documents, and there were no orders for the catheter or any notes that (R1) had a history of resisting care". The Assistant Administrator explained how (R1's) catheter was removed Sunday morning following its discovery by a home health nurse. LPA was provided with text message documentation between the Assistant Administrator and the placement agency discussing how (R1) refused care at the hospital too, prior to moving in, and how the placement agency was "completely unaware of the catheter due to no notes" from the hospital. The Assistant administrator explained that (R1) "has refused care 4-5 times but has not refused care as of Sunday (May 18, 2025). The manager stated that (R1) moved in Friday night and by Saturday, late morning, got changed and had (2) soiled diapers and was starting to accept care but then refused care for the NOC shift (11 pm- 7 am). LPA reviewed documentation made by staff, to show incontinent checks and/or diaper changes made, every (2) hours, during the NOC shift, from May 18, 2025 through May 23, 2025. The Administrator stated she visited Saturday afternoon, May 17, 2025, and assured (R1) facility staff would be providing good care due to their backgrounds and experience. The Administrator explained to LPA that upon discharge, the hospital inadvertently left the PicWick catheter taped on (R1's) private parts, causing all urine to be "sucked up" and resident to appeal dry in the diaper. The Administrator stated she received a call on Sunday, May 18, (11:00 am), from staff, (S1), to communicate that a home health nurse pointed out that a catheter was left in place. The Administrator then contacted the home health nurse to explain the facility does not use this type of catheter, due to the cost, and the facility is non-medical. The Administrator commented that (S1) should have called her earlier when she noticed the catheter, even though she wasn't sure what it was. *cont on 9099C-2.. 9099C-2.. The Administrator stated on 5/22/25 that Chux pads, both disposable and cloth, have been used for (R1) and was adamant that "the sheets were never wet", commenting (R1) received more bed baths than usual" due to the barrier creme being used. The Administrator stated she was informed via text message on May 16, 2025 (4:26 pm) that (R1) was "refusing care" starting on the first day and provided LPA with a copy of this text. One text message (sent at 4:59 pm) notes staff checked on (R1) on Saturday, May 17 and again Sunday morning, May 18, and (R1) was dry and with no bowel movement explaining (R1) "occasionally declines assistance". The Assistant Administrator commented on May 22, 2025, (R1) is doing wonderfully now- their son, visits daily", explaining "if (R1) refuses medications for diabetes or incontinent care, we send them back to the Emergency Room within 24 hours". LPA was not able to contact (R1's) responsible person to confirm any information from May 18, 2025. LPA observed the facility to be clean, in good repair and odor-free on 5/22/25 and on 6/17/25. Additionally, food and incontinent supplies were checked and found to be sufficient on both dates. Based on information obtained, LPA finds this allegation 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. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 17, 2025 · control 59-AS-20250521151356

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection following receipt of (2) incident reports on June 10, 2025. LPA met with staff, Sofia Minor. Geoff Curtis, Assistant Administrator, arrived at 3:45 pm. Also present were LPA and Assistant Administrator discussed each incident report, as follows: On June 7, 2025 (9:45 am), resident (R1) left the facility, unattended, after threatening to leave for the last week. (R1's) physician's report notes that (R1) has a diagnosis of Dementia and Aphasia and cannot leave the facility unattended. Staff at the facility attempted to redirect (R1) but were not able to on June 7, 2025, as resident was very agitated. Staff immediately contacted senior management to notify then that (R1) had left the facility unattended. The police and placement agency were also contacted and the police located (R1) twenty minutes later, at a bowling alley two miles away. The Licensee met with (R1) and (2) police officers, and attempted to redirect resident back to the facility, but resident refused to return. On June 7, 2025, resident (R2) arrived to the facility at 4:13 pm. At 5:46 pm that day, (R2) left the facility, unassisted and refused any re-directions efforts. (R2) suffers from Mild Cognitive Impairment due to a Traumatic Brain Injury. (R2's) responsible person, the placement agency and police were all contacted. Staff had recently received training on re-direction techniques. Both residents were admitted for a short, two week stay and were accustomed to being un-housed for many years. Staff attempted to follow each resident to the end of the street court where the residents became verbally aggressive. LPA discussed preventative measures on going forward when licensed medical professionals are completing the LIC602. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Geoff Curtis, General Manager, and stated the reason for today's inspection. LPA was informed that Administrator, Blessing (Ugbo) Ogunbor, was not on site currently. Jack Ibifubara, member arrived at 2:00 pm. Also present was care staff, Taneisha Pinnock. LPA observed (4) residents on site. Staff, Sofia Minor, arrived at 3:00 pm. The facility participates in a local program that allows for temporary/respite stays. There is 24/7 awake night staff. LPA and the General manager toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry and garage.LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, and a 20-second hand-washing poster. LPA observed 2+day perishable, including fresh produce, and 7+ day non-perishable food. Sharps and toxins are locked in the kitchen and medications are secured nearby. Hot water measured 110*F in a bathroom and inside temperature measured 75*F. Smoke/monoxide alarms are in working order and there are lanterns that convert to flashlights, and vice-versa, on hand. There are sufficient linens/towels/blankets and a complete First Aid kit. Required postings are visible in the common area, including the Emergency Disaster Plan, Resident Personal Rights. There are (2) unlocked exit gates in the backyard and patio seating. There is not a pool. LPA reviewed (3) resident files. Files were organized, current and complete. Medications were reviewed for (1) resident, orders match medications being administered, and documentation is current. *cont on 809C-1. 809C-1. LPA reviewed (3) staff files. Files were organized and complete with current documentation, including First Aid/CPR. Staff is completing the required initial/continuing annual training. All are staff are cleared/associated. Administrator RCFE #6066389740- exp 5/15/25- renewal to be submitted before expiration. House Manager has current RCFE Administrator certificate #6070895740- exp 5/30/26. LPA obtained an updated copy of liability insurance and requested an updated LIC308 and LIC500 be submitted by 4/11/25. There were no deficiencies observed during today's inspection. There are no citations being issued. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Apr 4, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Geoff Curtis, General Manager, and stated the reason for today's inspection. Administrator, Blessing (Ugbo) Ogunbor, arrived at approximately 3:15 pm. Jack Ibifubara, member arrived during the annual inspection and was present for about an hour. The fire clearance is approved for (6) non-ambulatory residents. This report is being created to clear the Post-Licensing Inspection in the system. There are no citations issued in this report. Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Apr 4, 2025

Allegation investigated: Staff administered medication to resident without a physician's order.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a 10-day inspection for a complaint received on 9/24/24. LPA met with Blessing Ugbo, Administrator, and stated the reason for today's inspection. LPA and Administrator toured the facility, which was observed to be clean, safe and in good repair. The Ombudsman arrived at 3:00 pm, unannounced also, to investigate the same allegation. LPA and the Administrator reviewed documentation from resident (R1's) file, contacted another staff member by phone, and reviewed an order for thickened liquid and puree food written on the 9/18/24. The results of the investigation are as follows: The allegation states that staff (S1) stated she gave resident (R1) an over-the-counter thickening powder, without an order, since resident was prone to chocking. The allegation states the medication was given without a presription order for (R1) but that the facility had the powder on hand for another resident. cont on 9099C-1... Unfounded 9099C-1.. The Administrator stated when she conducted (R1's) assessment, on/around 8/30/24, (R1) was observed to have slight coughing but no choking, and was able to swallow medications and water without any choking. (R1's) physician's report notes resident requires a renal diet. The Administrator stated (R1) would sometimes cough when given a thin liquid and noticed this around 9/7/24; however, resident did not display any choking. The Administrator confirmed that resident is able to take all medications, without being crushed. LPA observed (R1) that has multiple prescribed medications and those medications are being administered as ordered, as initialed on the Medication Administration Record (MAR). Administrator stated one of the managers purchased some over-the-counter water thickener thinking there was not a prescription needed; however, the Administrator, who is a registered nurse, advised that a doctor's order will be needed to use a thickener for any resident. The facility received an order for thickener on 9/18/24 and a physical copy was faxed to the facility today. Resident was never given water thickener prior to an order and has not had any up to the writing of this report. Based on information obtained, LPA finds the allegation to be UNFOUNDED- A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Sep 26, 2024 · control 59-AS-20240924145658

Allegation investigated: Staff modified resident’s medication without physician’s order.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a 10-day inspection for a complaint received on 9/26/24. LPA met with Blessing Ugbo, Administrator, and stated the reason for today's inspection. LPA and Administrator toured the facility, which was observed to be clean, safe and in good repair. The Ombudsman arrived at 3:00 pm, unannounced, to investigate another allegation. LPA reviewed paperwork from resident (R1's) file, text messages between multiple facility and contacted another manager by phone during today's inspection. The results of the investigation are as follows: The allegation states that staff (S1) reported to a third party that resident (R1) has been refusing to take their medications and so the same staff crushed (R1's) medications without a physician's order. The allegation states (R1) still refused the crushed medications. cont on 9099C-1... Unfounded 9099C-1. The Administrator stated and the physician's report shows that (R1) has a history of refusing medications prior to being admitted to the facility. Documentation shows resident takes approximately (8) medications and resident will pick and choose which medications they want to take. LPA was provided with text messages from the Administrator showing multiple facility staff discussing this concern brought to their attention about staff crushing medications. Both the text messages and conversation with the Administrator and another manager, Linda, show that no staff have been instructed to crush medications for any resident, unless there is a physician's order. Linda clarified with (S1) that she was asked to crush (R1's) medications by a placement agency representative, and (S1) indicated she absolutely cannot crush any medications for any resident without a doctor's order. LPA reviewed hospital discharge paperwork showing (R1) was sent to the Emergency room on 9/25/24 for Dysphagia. Resident returned around 1:00 am the next day, and with an order for crushed medications. The facility can now offer medications crushed. Resident has one medication that is a capsule and cannot be crushed, but it can be opened and mixed with applesauce. Administrator stated that (R1) has not received any crushed medications as of the writing of this report. Based on information obtained, LPA finds the allegation to be UNFOUNDED-A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Sep 26, 2024 · control 59-AS-20240926113040

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a scheduled pre-licensing inspection. LPA met with Blessing Ugbo, Administrator, and Fubara Jack and Esosa Ogunbor, members. There is a pending license for (6) residents, all of whom may be non-ambulatory. There are currently no residents present as this location is not currently licensed. LPA and Administrator toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels. Administrator to post a 20-second hand-washing poster at each sink. LPA observed 7+ day non-perishable food, and sufficient dishes, flatware and cooking pans in the kitchen. The freezer/refrigerator temperatures are within regulation. Sharps and toxins are locked in the kitchen and there are additional locked toxins in the garage. Medications will be locked in a medication cart. Hot water measured 110*F in the kitchen and the inside temperature measured 74*F. Fire extinguishers were last serviced on 11/6/23, and the smoke/monoxide alarms are in working order. There is a complete First Aid kit, PPE/paper supplies, and sufficient linens/towels/blankets. There are flashlights and night lights on hand. Resident rooms are completely furnished. There are various required postings posted, including the Emergency Disaster Plan and resident Personal Rights. There are games/activities and an operating land line. All exit doors have alarms. There is a patio table and chairs-the canopy cover is on order and will arrive by next week. There are (2) exit gates in the backyard. LPA observed folders to be set-up for staff and resident files. Discussed staff training program- approved on-line vendor. RCFE Administrator #6066389740 (exp 5/15/25) posted. Component III was reviewed during today’s inspection. Pre-Licensing is complete and this facility has no deficiencies. Exit interview. Copy of report left at facility. LPA to notify to the Centralized Applications Bureau.the state’s words, verbatim · CDSS document, May 17, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participants: Fubara Jack, Managing Member; Blessing Ugbo, Administrator Interview Method: Telephone interview On 4/26/24, 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 26, 2024