Sunrise Terrace RCFE VII

Type of visit: Required - 1 Year

At 7:30am on 02/23/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual inspection. LPA met with Acting Administrator, ZenIda Ingan (S1), announced who he was and the reason for the visit. At 8:15am S1 and LPA conducted a facility tour. This is a 4 bedroom 2 bathroom, kitchen, living room and backyard outdoor area with shading for residents in care. The bedroom near the front door is a staff bedroom all other bedrooms are resident double occupancy, LPA observed 2 days of perishable and 7 days of nonperishable foods. LPA observed all fire extinguishers to be in compliance with regulations. LPA observed all fire detractors and carbon monoxide detector to be in working order. LPA noted that all rooms have proper lighting, linin, and storage meeting CCLD regulations. S1 and LPA conducted a sample medication audit and found centrally stored medication log to be accurate. LPA noted that medications are locked in a medication cabinet in the dining room. LPA noted that resident files secured in a cabinet in the living room and staff are secured at a central office as licences has 4 other facilities. LPA did not observe and hazards or obvious dangers to residents in care. LPA observed a adequate supply of PPE at the facility and noted that facility has a universal mass supply for all five facilities under this Licensee. LPA observed the facility to be clean and organized and every appliance to be in good working order. S1 and LPA conducted a full review of the annual control tools kit, including all modules. LPA noted that no violations or citations from the annual care tools kit. LPA noted no violations or citations as a result the full annual facility inspection. Exit interview, report read and report provided.the state’s words, verbatim · CDSS document, Feb 25, 2026

Allegation investigated: Facility is not serving residents meals of good quality or quantity of food at dinner time. Facility is not providing activities to residents in care

Licensing Program Analyst (LPA) De Leon conducted a 10-day complaint visit to the facility above. LPA met with Edwin Ingan and explained the purpose of the visit. LPA requested the following records: Staff Roster, Staff Schedule, Resident Roster, All Residents Admission Agreement, Pre-Placment Apprisal, Functional Capabilites Assesment, Current Apprisal, Needs and Service plans, Sample food menu and if avaiable a sample activties calendar. LPA interviewed Residents and staff. On the allegation: Facility is not serving residents meals of good quality or quantity of food at dinner time. LPA checked the food at the facility, the facility has 2 day persiasbhable, 7 day non-perishables, food is covered, stored and marked apporiately. The selections of food present is in good quantity to make quality meals that meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. Continued 9099-C Unsubstantiated The facility cooks and prepares 3 meals with snacks available daily. LPA interviewed residents which revealed they get three meals a day and have options if the resident does not like what is being served, the food is enough to eat and someone can get more if wanting. The residents like the food that is served and the options that are available if the residents do not like something being served. LPA reviewed records the facility has a daily activity calendar with times of meals and activities according to the preferences of the residents in care. The admission agreements were reviewed and indicate 3 meals a day with snacks daily. Based on a lack of evidence and the residents having options at meals this allegation is deemed Unsubstantiated at this time. On the allegation: Facility is not providing activities to residents in care. LPA interviewed residents which revealed the facility does offer games, puzzles, group communication, outside patio time and walks around the facility. Residents interviews stated the residents gets to chose to do what the residents wants to do and a resident prefers not to play with puzzles and games and would rather watch TV or go out to the patio. Residents interview revealed the resident would rather ride a stationary bike, go into the community shopping or take walks. The facility staff interviews revealed the facility will accommodate the residents in whatever the residents want to do, residents sometimes do not want to go anywhere or do not want to get out of bed that day and the staff allow the residents to do what the residents want to do. LPA reviewed records the facility has a daily activity calendar with times of meals and activities according to the preferences of the residents in care. The admission agreement was reviewed and stated the facility offers a planned activity program. Based on the lack of evidence and resident preferences being met this allegation is Unsubstantiated at this time. Exit interview and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Jan 5, 2026 · control 29-AS-20251226142648

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rankin arrived at 11:05 a.m. to conduct a one-year annual visit to the facility above. LPA met with Administrator Edwin Ingan and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The facility has 3 resident bedrooms, and 2 bathrooms. Facility currently occupies 2 residents. LPA Rankin was authorized to enter and inspect facility. The facility has a smoke and carbon monoxide detector that was tested and working properly during visit. The fire extinguisher is scheduled to be reviewed. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and locked in closet next to in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use and front patio has plenty of shade. The facility has telephone and internet service for resident use. Operational Requirements: The facility has a current plan of operation on file with the department. The facility has current liability insurance and expires on October 28, 2025. The facility is approved for a capacity of six. The fire clearance is granted for 6 non-Ambulatory of which one may be bedridden. Hospice is approved for three. Continued on 809-C Staffing: The facility currently employes 2 full time staff due to lower census, with other staff from other facilities covering as needed, and one Administrator. Staff files were reviewed. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2024. Resident Records & Incident Reports: The facility keeps separate files on each resident confidential. Facility does submit incident reports to the department when required. LPA reviewed two resident files for signed Admission Agreements, medical assessments, and appraisal & needs service plans, as well as other required documents and found all records complete. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7-day non-perishables and plenty extra, to meet the food service requirement. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Cleaning solutions and equipment are stored separately from food supplies. Kitchen staff are observed for personal hygiene and food sanitation practices. Disaster Preparedness: The current emergency disaster forms were posted. Facility conducts quarterly drills, during which time they review the Disaster Plan to ensure staff have knowledge of their roles. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility currently has two residents receiving hospice services. Exit interview conducted, copy of report provided.the state’s words, verbatim · CDSS document, Jan 8, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Miller arrived at 10:02 a.m. to conduct a one-year annual visit to the facility above. LPA met with Administrator Edwin Ingan and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The facility has 3 resident bedrooms, and 2 bathrooms. Facility currently occupies 5 residents and employs 6 full time staff and one Administrator. LPA Miller was authorized to enter and inspect facility. The facility had a smoke and carbon monoxide detector that was tested and working properly during visit. The fire extinguisher was last inspected on January 5, 2024. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and locked in cabinet in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use and front patio has plenty of shade. The facility has telephone and internet service for resident use. Operational Requirements: The facility has a current plan of operation on file with the department. The facility has current liability insurance and expires on October 28, 2024. The facility is approved for a capacity of six. The fire clearance is granted for 6 non-Ambulatory of which one may be bedridden. Hospice is approved for three. Continued on 809-C Staffing: The facility currently employes 6 full time staff, and one Administrator. Staff files were reviewed. Current Administrator Certificate expires November 22, 2024. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2023. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed five resident files for signed Admission Agreements, medical assessments and appraisal & needs service plans. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7-day non-perishables and plenty extra, to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Cleaning solutions and equipment are stored separately from food supplies. Kitchen staff are observed for personal hygiene and food sanitation practices. Disaster Preparedness: The current emergency disaster forms were posted. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility currently has two residents receiving Home Health services and one resident is on hospice. Exit door alarms are working. Exit interview conducted, copy of report provided.the state’s words, verbatim · CDSS document, Feb 14, 2024