Sunshine Glory Care Home

Type of visit: Required - 1 Year

On 2/27/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility to conduct the annual inspection visit. LPA met with Administrator, Merly Aguda (AD), and stated the purpose of the visit. Overview: Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 12 elderly residents, up to 4 may be non-ambulatory. Facility does manage residents’ cash resources. Facility does not have fire clearance for bedridden, delayed egress, and/or locked interior/exterior. Initial Observation: Present during today's visit were nine residents in care with two staff on duty, S1 and AD. Cameras were observed in the outdoor areas. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected resident 3 of 6 bedrooms and 2 of 3 bathrooms. All bedrooms are double occupancy. There are three staff rooms. Room temperature was maintained at 72 degrees. The hot water temperature was measured at 123 degrees Fahrenheit. AD called a maintenance person to come and adjust the hot water tank. Fire extinguishers were observed in hallways and were serviced on 3/13/2025. Smoke and carbon monoxide detectors were observed throughout. {1 of 2} In the kitchen, the LPA observed that the facility maintained at least a seven-day supply of non-perishable foods and a two-day supply of perishable foods. The LPA also observed insulin medications stored inside the kitchen refrigerator. The Administrator was instructed to secure these medications in a locked container; however, the Administrator stated that one was not currently available. The facility has an additional refrigerator in the garage. As a temporary measure, the LPA advised the Administrator to place the insulin in the garage refrigerator and secure it using a chain and padlock. The LPA observed the Administrator follow this instruction. Per Administrator, she will obtain a medication box with lock. Two additional freezers were noted in the hallway leading to the garage. The garage also contains another refrigerator and freezer, along with stored chemicals, cleaning supplies, laundry detergents, tools, and miscellaneous items. An advisory was provided to ensure that food items are stored separately from chemicals. Outdoor area was inspected. LPA observed shaded areas and outdoor furniture for residents’ use. Ramps were observed to be in good repair at this time. The facility sits on 5-acre land. LPA observed the grass and garden were maintained. Walkways and ramps were observed to be unobstructed. Based on today's visit, this annual inspection will require a continuation. The Department will return at a later date to continue the annual inspection. Based on observations, deficiencies were observed and citations will be issues on the continuation visit. Exit interview was conducted with the Administrator, and a copy of this report was provided. {2 of 2}the state’s words, verbatim · CDSS document, Feb 27, 2026

Allegation investigated: Uncleared staff providing care to residents.

On 12/30/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to initiate the complaint investigation. LPA met with staff on duty (S1) and notified the Administrator. The Administrator, Merly Agula (AD) arrived shortly after. LPA explained the nature of this complaint. The details of the complaint alleging that the Administrator is allowing an individual t provide care to the residents and under a false name and without proper background clearance. Throughout this investigation, LPA conducted observation, interviews and record reviews. LPA observed staff, S2, a maintenance worker, interacting with residents during the visit. LPA also observed a red van parked in the facility driveway. Through interviews, LPA confirmed that the van belongs to S2 and that S2 sleeps in the van while on the property. {1 of 2} Unsubstantiated LPA reviewed facility records, including the facility file, prior complaints, and the personnel roster (LIC 500). LPA also conducted a search in Guardian to determine whether an individual (S6 ), or any similar name, was associated with the facility or held an active background clearance. S6 was disassociated from this facility in 5/1/2019. A review of a previous licensing reports confirmed that S6 was involved in a substantiated complaint in 2018 regarding the sexual assault of a resident. Administrator provided the current LIC 500, staff schedule, and personnel files for all staff currently employed. Administrator stated that S6 is a former staff member and has not worked at the facility since 2018. LPA conducted a walkthrough of the facility and observed two care staff on duty and two maintenance worker on duty. LPA verified the identity of each care staff member present by reviewing government issued identification and comparing names to Guardian and the LIC 500. All care staff present were associated to the facility and had active background clearances. The identity of the 2 maintenance workers could not identified with their government issued identification, as they were not able to provide at this time. Interviews confirmed that the two maintenance workers, including S2, do not have background clearance through Guardian. Staff also confirmed that S2 sometimes performs maintenance tasks and housekeeping chores inside the facility. Interviews with staff (S1 and S2) revealed that S2 slept on the facility property on the night of 12/29/25, inside S2’s red van. The Administrator denied having knowledge that S2 slept on the property that night. Interviews with staff and residents confirmed that S2 does not provide personal care to residents. Interviews also reported that S2 performs maintenance work inside the facility, doing housekeeping work and sometimes watch TV with residents. Based on interviews, record reviews and observations, evidence collected does not sufficiently show that staff, S2, is providing personal care to residents in care. Additionally, there is no sufficient evidence to show that a former care staff member, S6, still works at this facility. Finally, there is no sufficient evidence to conclude that S2 is the same person as S6. Therefore, the allegation that an uncleared staff providing care to residents is unsubstantiated. A finding that the complaint 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. Per CCR (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Advisories were provided. An exit interview was conducted, and a copy of this report was provided. {2 of 2}the state’s words, verbatim · CDSS document, Dec 30, 2025 · control 27-AS-20251224085505

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required - 1 Year visit on 2/3/25 at 9:30am. Administrator certificate expires 4/23/26 for Alexander Salvador . License fees are current. LPA met with Merly Aguda and stated the purpose of todays visit. The facility is licensed for a capacity of 12 residents of which 4 maybe non-ambulatory. There are 0 non-ambulatory residents at this time. Residents approved for rooms 6 & 7. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. There are 9 bedrooms of which 7 are for residents and 3 bathrooms. The temperature inside the facility was observed to be at 70*F which is within the required range of 68-85*F. The most recent emergency drill was conducted on 11/9/24. The hot water temperature was measured at 119.5*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed 1 residents and 1 staff files during this visit. LPA did observed 2-day perishables and 7-day non-perishables. Upon a file review the following items were discussed to be submitted with any changes annually: Licensing fees-Current Criminal Record Clearances LIS536-Current Administrative Organization LIC309-Current Designation of Administrative Responsibility LIC308-Submit Personnel Report LIC500-Submit Affidavit Regarding Client/Resident Cash Resources LIC400-NA Surety Bond LIC402-NA Facility Floor Plan/Plot Plan LIC999-Current Fire Clearance (consistent with terms and limitations of license)-NA Qualifications of Administrator/Facility Manager-Submit Articles of Incorporation/Organization, Constitution and bylaws-NA Partnership Agreement-NA Control of Property-NA Emergency Disaster Plan LIC610-Submit Plan of Operation (Restricted Health Care Plan)-NA Admission Policies and Procedures-NA Health Screening Report-Facility Personnel LIC503-NA Bacteriological Analysis of Private Water Supply-NA In-service Training Program-NA Medication Procedures-NA Transportation Procedures-NA Job Description/Personnel Policies-NA Exemptions/Waivers and Exceptions-Current First aid/CPR certificates-Current Liability Insurance-(if applicable)Submit Infection Control Plan-(if applicable)Submit Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. Exit interview held. A copy of todays’ report provided.the state’s words, verbatim · CDSS document, Feb 3, 2025

Allegation investigated: Facility staff are not qualified to care for residents

Licensing Program Analyst (LP) Victoria Brown arrived unannounced to conclude the investigation of the above mentioned allegation on 6/26/24 at 8:45am. LPA met with Merly Aguda and stated the purpose of the visit. LPA conducted an interview with Administrator during this visit. Regarding allegation, "Facility staff are not qualified to care for residents," LPA observed during interviews on 3/29/24 of staff #2 and residents 1-7 that staff did seek lift assistance from other resident when R1 fell in the bedroom. In addition, S2 stated that English is the second language and Taglog is the first but S2 understands the residents and the residents understand S2 as well. During this visit LPA observed residents communicating with S2 in English to each other. Based on the interviews, and admittance by S2 the allegation is deemed substantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 9099D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Licensee was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted and a copy of this report was provided. See 9099D Substantiated 9099A Continued... Regarding allegation, "Resident bedrooms are full of debris and trash", LPA observed on 3/29/24, that the staff was cleaning upon arrival. LPA also observed residents rooms during that visit. There was one room in particular Room 2 that was in need of cleaning. However, resident #6 (R6) would not allow staff to assist with cleaning although the roommate R8 cleans the room mostly trying to follow the house rules. LPA observed the House Rules #25 which indicates the following: "Residents are encouraged to assume the responsibility of making their own bed, keeping room neat and in an orderly fashion. Staff will make beds for those who can not for themselves. Residents must allow staff to thoroughly clean their room at least weekly and bathroom daily." LPA also observed that the rooms are cleaned by staff when residents who refuse assistance in cleaning are not present in the rooms. The investigation revealed the preponderance of evidence standards has not been met; therefore, the above allegation(s) is found to be UNSUBSTANTIATED. A finding that the complaint 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. Per CCR (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 26, 2024 · control 27-AS-20240325153629

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(i) · Plan of correction due date: Jun 27, 2024

Personnel Requirements - General Residents shall not be used as substitutes for required staff but may, as a voluntary part of their program of activities, participate in household duties and other tasks suited to the resident's needs and abilities. This requirement is not met as evidenced by: Based on S2 admitted to requesting a resident to assist with another resident for lifting purposes. However, R1 was lifted by EMT with no injuries. This violation poses a potential health, and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 26, 2024

Plan of correction: Licensee/Administrator shall submit by fax that there will be sufficient staff present to assist residents. Fax by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Merly Aguda and explained the purpose of the visit. Upon entry, LPA Moleski observed a drawer left open at a desk in a common area. The drawer contained empty medication packaging, as well as medications left in bubble packs. LPA Moleski observed a medication tablet on the floor beneath the desk. LPA Moleski reviewed three resident files (R1-R3) and three staff files (S1-S3). Appraisal/needs and services plans for R1-R3 were over one year old. LPA Moleski toured the facility with Aguda and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 72 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 105 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions. LPA Moleski interviewed one staff member (S3) and one resident (R1). This facility is being cited per 22 CCR Sections 87465(h)(2) and 87463(c). An exit interview was held with Aguda. Appeal rights and a copy of this report were left with Aguda.the state’s words, verbatim · CDSS document, Jan 29, 2024