Sunshine Board & Care

Type of visit: Case Management - Deficiencies

On 11/14/2025 at 1:08 PM, Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced case management visit regarding a incident of resident on resident abuse. LPA Farlow met with and was granted entry into the facility by Caregiver Galo Jarlego. LPA disclosed the purpose of the visit, review residents files, received documentation, and toured the facility. On October 2, 2025 at approximately, 10:35 PM resident one (R1) returned to the facility intoxicated from being in the community. R1's behavior was aggressive and verbally arguing with his roommate resident two (R2). When staff one (S1) attempted to intervene and de-escalate the incident R1 attempted to hit S1 with his walking cane. S1 stated R1 aggressive behavior continued and Law Enforcement was called, resulting in R1's arrest. S1 provided a police report from the Rialto Police Department, #932-511-7385. At 2:00 PM, LPA observed staff records and found that S1 completed a incident report and started the eviction process for R1. Based LPA's interviews, and records review it was revealed that the administrator did not submit a SIR to CCL as required by Title 22, Division 6, Chapter 8. Administrator and House Manager acknowledge the SIR are complete but have not submitted them San Bernardino Regional Office. A deficiency was cited. An exit interview was conducted and a copy of this report, LIC809, LIC809D, and appeal rights were provided to the House Manager, Malik Salem.the state’s words, verbatim · CDSS document, Nov 14, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(1)(D) · Plan of correction due date: Dec 1, 2025

87211(1) A written report submitted to the licensing.. and to the person responsible... (D) Any incident which threatens the welfare, safety or health of any resident... absence of any resident. This requirement was not met as evidenced by: the Administrator not submitting SIR's of any reportable incidents such as absence of residents, threat of residents safety and welfare which poses a health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 14, 2025

Plan of correction: Administrator agrees to complete a statement of understanding of review of regulation and conduct a training with all staff regarding reporting requirement and submit to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Sunshine Board and Care, Residential Care facility for the Elderly, unannounced to conduct an Annual Inspection. LPA was greeted and granted entry by Caregiver, Berlian Siagian. LPA met with House Manager, Malik Salem and Administrator, Ahmad Abdallatef. LPA introduced self and stated purpose of the visit. Malik accompanied LPA on a tour of the facility and provided records for review. The facility has 8 bedrooms in total. 6 resident rooms, 2 staff rooms, 7 bathrooms, kitchen, dining area, living room, staff lounge, (attached garage) and 2 side pathways on the exterior. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is approved to have 12 ambulatory residents, 2 of which may be non-ambulatory. The current census is nine (9) resident and three (3) resident are currently at the Day Program. The facility is operating at the capacity approved by Community Care Licensing (CCL). Pathways were observed free of clutter and obstructions. The facility was maintained in comfortable temperature of 74 degrees Fahrenheit. Water temperature measured at 110.4 and 108.5 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, adequate storage and sufficient lighting, and seating. LPA inspected resident bathrooms. Bathrooms were observed to in order and included functional appliances. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted quarterly. Posters such as; the personal and resident rights, let us know, and disaster/evacuation plans, facility license, staff and resident roasters were posted in common areas. LPA observed cleaning supplies in three (3) out of six (6) residents bathrooms/bedrooms unsecured. A deficiency was cited. The facility does have a designated area to secure cleaning supplies, toxins, sharps, and other dangerous items and were observed to be kept secure and inaccessible to residents. LPA observed that resident and staff files are kept secure in a designated securable cabinet in the facility's staff area. Medications were observed secure and inaccessible to residents. Emergency and first aid kits were observed and readily available for residents in care. Food Service: Non-perishable and perishable food supply is adequate for amount of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items such as fruits, canned goods, dry foods, chips, milk, eggs, beverage and frozen meals.. Dishes, cups, and utensils were observed to be clean and in proper storage and in adequate amounts. Emergency food and water supply were also observed. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal/fingerprint/background record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Three, (3) out of three, (3) resident files were complete with all documents needed. LPA also reviewed three, (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA observed one (1) out of three (3) staff were missing their health screen and TB test results. A deficiency was cited. Fire extinguisher last inspected 2025. LPA completed a random audit of three residents MARS. LPA observed two (2) out of three (3) resident were missing an initial, medication was not listed on the centrally stored medication list or the MARS. A deficiency cited. Based on observations, interviews and record reviews, three deficiencies and will be cited per Title 22, California Code of Regulations. An exit interview was conducted. A copy of this report LIC809, LIC809C, LIC809D, and appeal rights was read/reviewed with House Manager, Malik Salem; signature acknowledges understanding and receipt of report.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Sunshine Board and Care, Residential Care facility for the Elderly, unannounced conduct an Annual Inspection. LPA was greeted and granted entry by Caregiver, Zaid Abuawwad. LPA met with Administrator, Yusef Nofal. LPA introduced self and stated purpose of the visit. Administrator accompanied LPA on a tour of the facility and provided records for review. The facility has 8 bedrooms in total. 6 resident rooms, 2 staff rooms, 5 bathrooms, kitchen, dining area, living room, staff lounge, (attached garage) and 2 side pathways on the exterior. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is approved to have 12 ambulatory residents, 2 of which may be non-ambulatory. At this time, operating at the capacity approved by Community Care Licensing (CCL). Pathways were observed free of clutter and obstructions. The facility was maintained in comfortable temperature of 70 degrees Fahrenheit. Water temperature measured at 116.0, 113.6, 123.9, and 116.4 degrees Fahrenheit. LPA advised Administrator of the temperature degrees and advised to place a signed for extreme heat after several attempt to adjust temperature. LPA inspected resident bedrooms; they are equipped with required furniture. LPA inspected resident bedrooms and found that each room included required furniture such as: mattresses, night stands, adequate storage and sufficient lighting, and seating. LPA inspected resident bathrooms. Bathrooms were observed to in order and included functional appliances. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted quarterly. Posters such as; the personal and resident rights, let us know, and disaster/evacuation plans, facility license, staff and resident roasters were posted in common areas. Cleaning supplies, toxins, sharps, and other dangerous items were observed to be kept secure and inaccessible to residents. LPA observed that resident and staff files are kept secure in a designated securable cabinet in the facility's lobby area. Medications were observed secure and inaccessible to residents. Emergency and first aid kits were observed and readily available for residents in care. Food Service: Non-perishable and perishable food supply is adequate for amount of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items such as fruits, canned goods, dry foods, chips, milk, eggs, beverage and frozen meals.. Dishes, cups, and utensils were observed to be clean and in proper storage and in adequate amounts. Emergency food and water supply were also observed. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal/fingerprint/background record clearance through the department. Record Review: LPA reviewed all three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Three, (3) out of three, (3) resident files were complete with all documents needed. LPA also reviewed three, (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Fire extinguisher last inspected January 19, 2024.. Based on observations, interviews and record reviews, no deficiencies will be cited per Title 22, California Code of Regulations. An exit interview was conducted. A copy of this report was read/reviewed with Administrator Yusef Nofal; signature acknowledges understanding and receipt of report.the state’s words, verbatim · CDSS document, Nov 20, 2024

Allegation investigated: Staff intimidating and verbally threatening a resident in care.

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Assisting Administrator, Nick Hamed, who was informed of today’s visit. Regarding the allegation staff intimidating and verbally threatening a resident in care. Five (5) out of (5) residents deny that staff intimidate and verbally threaten them. Four (4) out of (4) staff deny intimidating and verbally threatening residents in care. Based on interviews with residents and staff, the allegation above is Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Hamed and a copy of this report with appeal rights was provided to Administrator Hamed at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 17, 2024 · control 56-AS-20240712143356

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit based on LPA observations made during complaint investigation #56-AS-20240712143356. LPA met with Administrator, Nick Hamed and discussed the purpose of the visit. Based on Staff #1 (S1's) interview, LPA requested from Administrator Hamed to review S1's file for staff employment verification. Administrator Hamed stated that S1 did not have a complete employment verification, health screening, and CPR/first aid training on file. Administrator had one medication administration training on file for S1. A deficiency is being cited (LIC809-D) in accordance with Title 22 of the California Code of Regulations. Administrator Hamed was informed that civil penalties will accrue $100 per day if the deficiency is not corrected by plan of correction due date. An exit was conducted where this report and a plan of correction was discussed with Administrator Hamed. A copy of this report with Appeal Rights was provided to Administrator Hamed at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 17, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(g) · Plan of correction due date: Jul 29, 2024

87412 Personnel Records(g)All personnel records shall be maintained at the facility and shall be available to the licensing agency for review...this requirement is not met as evidenced by: The licensee did not comply with the section cited above by not maintaining record of S1's required employment verification, health screening, and training on file for review, which poses a potential health, safety, and/or personal rights risk to residents in carethe state’s words, verbatim · CDSS document, Jul 17, 2024

Plan of correction: The Administrator stated that a copy of Staff #1's drivers license, Health screening, CPR/first training will be submitted to the Licensing Agency by POC due date.

Allegation investigated: Facility allowed a resident to be a caregiver without obtaining a fingerprint clearance.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Sunshine Board and Care Facility unannounced to initiate a complaint investigation into the allegation listed above. LPA was greeted and granted entry by Staff Member, Esther Varges. LPA introduced self and stated the purpose of the visit. Ms. Varges reported the Administrator was out of the facility at the time of the visit. During today's visit, LPA interviewed staff, collected records, and completed a walk through. LPA made no observations of health and safety concerns. It is alleged that the Facility allowed a resident to be a caregiver without obtaining a fingerprint clearance. LPA verified S2 does have a fingerprint clearance, background check and criminal record check on file. During staff interviews, LPA learned that S2 has been employed with the facility for the last three years. S2 no longer working for the facility, but working in a voluntary capacity only. Unsubstantiated Based on information above, these allegations are UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with facility representative and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 30, 2024 · control 56-AS-20240125164130

Type of visit: Required - 1 Year

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Sunshine Board and Care, Residential Care facility for the Elderly, unannounced conduct an Annual Inspection. LPA was greeted and granted entry by Caregiver/Staff, Tyrone Powell. LPA met with Administrator, Najeh "Nick" Hamed. LPA introduced self and stated purpose of the visit. Administrator accompanied LPA on a tour of the facility and provided records for review. The facility has 8 bedrooms in total. 6 resident rooms, 2 staff rooms, 5 bathrooms, kitchen, dining area, living room, staff lounge, (attached garage) and 2 side pathways on the exterior. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is approved to have 12 ambulatory residents, 2 of which may be non-ambulatory. At this time, operating at the capacity approved by Community Care Licensing (CCL). Pathways were observed free of clutter and obstructions. The facility was maintained in comfortable temperature. LPA inspected resident bedrooms and found that each room included required furniture such as: mattresses, night stands, adequate storage and sufficient lighting, and seating. LPA inspected resident bathrooms. Bathrooms were observed to orderly and included functional appliances. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted on an annual basis. Posters such as; the personal and resident rights, letusknow, and disaster/evacuation plans, facility license, staff and resident roasters were posted in common areas. Cleaning supplies, toxins, sharps, and other dangerous items were observed to be kept secure and inaccessible to residents. LPA observed that resident and staff files are kept secure in a designated securable cabinet in the facility's lobby area. Medications were observed secure and inaccessible to residents. Emergency and first aid kits were observed and readily available for residents in care. Please see LIC9099-C & LIC9099-D Food Service: Non-perishable and perishable food supply is adequate for amount of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items such as fruits, canned goods, dry foods, chips, milk, eggs, beverage and frozen meals.. Dishes, cups, and utensils were observed to be clean and in proper storage and in adequate amounts. Emergency food and water supply were also observed. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal/fingerprint/background record clearance through the department. Record Review: LPA reviewed all twelve, (12) resident files for admission agreements, updated physician reports, and needs and services plans. Nine, (9) out of twelve, (12) resident files contained outdated Physician's Reports. LPA also reviewed ten, (10) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Fire extinguisher last inspected February 2023.. Based on observations, interviews and record reviews, deficiencies will be cited per Title 22, California Code of Regulations. An exit interview was conducted. A copy of this report was read/reviewed with Facility Representative; signature acknowledges understanding and receipt of report and attachments.the state’s words, verbatim · CDSS document, Dec 1, 2023

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.