Sunrise Residential Care Services Inc. #4

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Elisabeth Lucas, lead staff, stating the reason for the inspection. Also present was Teodoro Lucas, DSP. LPA observed (3) residents in the common area and was advised (1) resident was attending day program. LPA observed Staff E. Lucas, to be ambulating with resident (R1) in the common area, due to their fall risk. The administrator was notified, by phone, that LPA was present to follow up after receiving an incident report for (R1), who went to the Emergency Room on July 30, 2026, around 4:45 pm. LPA and E. Lucas discussed the incident report, submitted to the Department earlier today, about (R1) being sent to the Emergency Room after displaying shaking symptoms, appearing to possibly be related to a seizure. The Emergency Room physician contacted the Administrator (10:00 pm) to advise that (R1) had a Urinary Tract Infection (UTI). (R1) was prescribed the antibiotic, Cefpodoxime 200 mg tablet, to be taken twice daily for (10) days, is back to their baseline, walking in the common area and sleeping on the couch. The facility will take (R1) to their follow up appointment on August 7, 2026, with their primary care physician. LPA reviewed hospital discharge paperwork which lists the 10-day antibiotic prescription for Cefpodoxime 200 mg. The paperwork also provides care instructions for a seizure. Staff E. Lucas confirmed (R1) does not regularly get UTI's and continues to require full assistance with toileting. LPA spoke to the Administrator who was at the pharmacy picking up (R1's) antibiotic prescription and confirmed (R1) will receive the first dosage this afternoon. The Administrator stated the physician indicated a UTI could cause a seizure. The facility took appropriate action in sending (R1) out for further medical attention upon seeing a change in condition. There are no deficiencies issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with DSP Nida Cailing. Also present was Teodoro Lucas, DSP, who was preparing food in the kitchen. LPA observed (2) clients in the common area and (1) client in their room at the start of the inspection. LPA observed (1) client return from day program towards the end of the inspection. The facility is an Residential Care Facility for the Elderly (level 4I home) that is vendorized through Alta California Regional Center. (1) client is currently under hospice care. Maye Dickey, Administrator, Adam Dickey, Administrator Designee, and staff, Elisabeth Lucas, Ruth Cabiles arrived during the inspection. LPA and DS toured the interior and exterior of the facility including the common areas, (4) private client bedrooms, (2) bathrooms, kitchen, (1) staff room, activity room/sun room, laundry area and outside patio. LPA observed the home to be clean, safe and in good repair. Client rooms have keypad locks per Title 17. Fire extinguisher just serviced 7/17/25, and the facility conducts monthly disaster drills- posted. Smoke/monoxide alarms are in working order. Hot water measured 105*F in the kitchen. Sharps/toxins are locked in the laundry area and medications are secured in a separate cabinet. There are (2) unlocked gates and patio seating outside. Administrator to purchase a new umbrella. Annual fees have been paid. LPA reviewed (2) client files and (4) staff files. Files were organized and contained current required documentation. Staff have completed all required training, including First Aid/CPR. Administrator certificate is current. Medications were reviewed for (2) clients- orders match medications being administered. P&I funds were reviewed for (2) clients. Balance on hand matches records and receipts are maintained. LPA requested updated copy of liability insurance be provided to CCLD by 9/10/25. There are no deficiencies issued in today's report.the state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Staff did not prevent a resident from assaulting another resident in care.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver complaint findings for a complaint received on 11/8/24. LPA met with Elisabeth Lucas, Teodoro Lucas, DSP, and stated the reason for today's inspection. Care staff, Lita Cailing, was also present but was not scheduled to work today. LPA observed (2) clients present in the common area and was advised (2) clients were out of the facility, attending day program or visiting family. LPA spoke to Administrator, Maye Dickey, by phone, who indicated she was not able to attend today's inspection and authorized staff, Elisabeth, to sign the reports. During the investigation, LPA Interviewed the Administrator, (1) lead care staff, clients (C1 and C2) , (2) Regional Center staff and (2) day program managers. LPA reviewed (C1's) Progress report dated 8/1/24. The results of the investigation are as follows: (C1) moved to care home in June 2024 from a related care home. Client (C1) has a diagnosis of Mild Intellectual Disability, Hypothyroidism and is not conserved. *cont on 9099C-1.. Unfounded *9099C-1... Allegation: Staff did not prevent a resident from assaulting another resident in care. The allegation states client (C1) has been hit, punched, and kicked by another resident(C2) in the common areas, (R1’s) room and in the shower and that staff are not doing enough to protect (C1). Facility staff interviews indicated that no one saw the incident that was alleged to have occurred on November 8, 2024 (9:00 am). Both staff also indicated they have never heard or observed (C2) to engage in any physical contact with other residents during the many years (C2) has resided at their care homes. The Administrator stated this is the first time (C1) has bullied (C2). Both staff also indicated (C1)has previously shown this same behavior, including bullying other clients at the residence and day program, and meets with their Behaviorist two times each month. A lead care staff who was present during the alleged incident stated there was no injury to client, (C2), after client, (C1) placed their backpack on (C2's) feet, adding client, (C2) likes to rest on the front couch often. This staff explained that (C1) came to the kitchen and told her (C2) had kicked them and that (C1) reported it already to the day program. This staff stated "(C1) bullies (C2)" and stated there have been ongoing problems with (C1 and C2) as (C1) doesn't like (C2) walking around as (C2) feels (C1) is "very bossy", commenting (C1) will often "bullies the lower functioning" clients. (C1) stated to LPA on 11/12/24 that (C1) set their back pack on the couch next to (C2), who was laying on the couch. (C1) stated "(C2) doesn't like anything near (C2)" and asserted "(C2) is violent - (C2) kicked me and slapped me at the kitchen table later on the same day, just to be mean and hateful". Client (C2) stated on 11/12/24 they recall the incident and "(C1)told me to get out of the couch" and indicated they (C2) kicked (C1) but neither was hurt. (C2) has a diagnosis of Dementia, is able to walk without a walker and is more frail than (C1). (C1's) prior Service Coordinator stated she doesn't know anything about the alleged incident but only knows (C1) from previously working with them, explaining (C1) "has a documented history" of saying people are being mean and bullying her. The current Service Coordinator confirmed there was a quarterly meeting held on 11/18/24 and this alleged incident was discussed. (C1) stated during the meeting that (C1) placed her backpack on client (C2's) feet, while (C2) was laying on the couch. (C2) then moved her feet from under the backpack and kicked (C1). The Service Coordinator stated it was concluded during the meeting that the alleged incident was not "physically possible", as (C2) needs a lot of physical assistance and is very "fragile", and that this was very likely a "misunderstanding" and no physical contact was made. *cont on 9099C-2.. 9099C-2...The prior Service Coordinator stated another alleged incident involving (C1) at the day program was captured on camera. The video showed (C1) was hitting another client who attended day program, and not the other way around, as (C1) had described. (C1) still denied hitting the other client, even after being shown the video. This Service Coordinator provided another example involving (C1) and an alleged incident from (C1's) prior care home. (C1) had alleged that all (5) residents were bullying/harassing them, when (2) of the residents were non-verbal and wouldn't have been able to yell at (C1). LPA interviewed a day program manager where (C1) used to attend. This manager reiterated the same tendencies (C1) had to accuse other clients of bullying them, and stated (C1) was the one who bullied other clients. This manager recounted the same alleged incident involving the video on the bus. LPA interviewed the current day program manager at the program (C1) currently attends. This manager stated that when (C1) started the program, they would report daily that a client in the care home was being mean to them, hitting them and going in their room all the time and staff weren't doing anything about it. This manager stated (C1) is "much happier now" than a month ago and the Administrator of the care home recently went "above and beyond" to ensure (C1) was able to attend a holiday party last weekend. This manager stated she did observe that (C1) "can be a little mean" at times but feels the house staff are doing more to keep residents in check as (C1) is not complaining anymore and is very happy now LPA reviewed a progress report from the Regional Center which notes (C1) "exhibits behavior associated with unsolicited verbal directives towards peers, arguing, escalating to attempted or successful physical aggression towards peers (hitting or slapping on arm or hand)." The report notes (C1) began to receive Behavioral Consultation services at her current residents on 7/1/24, in the area of emotional outbursts behavior, related to behavior above. Staff were provided with data sheets to assist with tracking more baseline data to help develop a Behavioral Intervention Plan and to document the antecedents and consequences of the inappropriate or excess behaviors. A lead staff stated on 12/19/24 (C1's) behavior has significantly improved over the last (2) weeks and has observed more positive interactions between (C1) and the other clients. 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.This allegation is being dismissed without any further action. Exit interview conducted with lead care staff who was authorized by the Administrator to sign today's report.the state’s words, verbatim · CDSS document, Dec 19, 2024 · control 59-AS-20241108132346

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Elizabeth Lucas, DSP and Teodoro Lucas, DSP, and explained purpose of inspection. There were (4) clients present and who currently live at the home. The facility is an Residential Care Facility for the Elderly (level 4I home) that is vendorized through Alta California Regional Center. House Manager, Jasmine Fournier, arrived 4:00 pm. There is an approved hospice waiver for (1)- currently no resident is on hospice. LPA and DSP toured the interior and exterior of the facility including the common areas, (4) private client bedrooms, (2) bathrooms, kitchen, (1) staff room, activity room/sun room, laundry area and outside patio. LPA observed the home to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. Administrator (Maye Dickey) certificate # 7036197740 is pending. Fire extinguisher just serviced 7/31/24, and the facility conducts monthly disaster drills- posted. Smoke/monoxide alarms are in working order. There is a back yard area with covered seating and (2) unlocked exit gates and gardens. There are locked toxins and sharps in the laundry area and locked medications in a separate cabinet. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable food and PPE supplies. LPA observed soap, trash cans with lids and hand-washing posters in the bathroom. LPA observed sufficient towels, linens and blankets and clients are provided with paper towels for hand-washing. There is a complete First-Aid kit. Hot water temperature measured 108*F in the kitchen. Inside temperature measured 75*F. LPA reviewed (3) of (3) staff files- First Aid/CPR and annual training is current. LPA reviewed (2) client files and found them to be organized and contain current documentation. Medications were reviewed for (1) client- orders match medications being administered and documentation is complete and current. LPA requested updated LIC308, LIC610E and copy of liability insurance be provided to CCLD by 10/18/24. There are no deficiencies issued in today's report. A Technical Advisory note was issued. Exit interview. Copy of report to be emailed.the state’s words, verbatim · CDSS document, Oct 4, 2024