Sunshine Manor

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Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Lavinia Muscan arrived unannounced on 10/6/2025 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Administrator Motu Sokimi toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (3) and staff files (3). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 6, 2025

Allegation investigated: Facility bedroom outlets are in disrepair Licensee does not ensure residents room have adequate lighting

On June 18, 2025, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Assistant Administrator Vicki Boe. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unfounded Facility bedroom outlets are in disrepair Based on observation and statements reviewed, the department determined that there was insufficient evidence that the facility’s bedroom outlets are in despair. Department observation did not see any outlets broken or not properly maintained. Based upon the information obtained during investigation, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Licensee does not ensure residents room have adequate lighting Based on observation and statements reviewed, the department determined that there was insufficient evidence that the Licensee did not ensure residents room have adequate lighting. Facility did have an extra lamp for resident, however, due to resident’s roommate requesting a dimmer atmosphere, it was not used. The family of both residents were aware; therefore, no regulation has been violated at this time. The above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jun 18, 2025 · control 59-AS-20250424113440

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Lavinia Muscan arrived unannounced on 10/9/24 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Caregiver Rosa Hernandez toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (4) and staff files (3). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to staff.the state’s words, verbatim · CDSS document, Oct 9, 2024

Allegation investigated: Staff yelled at resident

On 7/17/24, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Caregiver Rosa Hernandez.During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: The department conducted interviews with staff and residents and reviewed records to investigate the allegation. Interviews indicated that staff do did speak a little loudly with residents that have trouble hearing. It is not possible to say with certainty what a staff or resident may perceive as yelling, or what a particular tone of voice may sound like to someone else. Therefore, the department is not able to conclude if staff was in fact intending to yell or did yell at a resident; or if staff’s voice was perceived as yelling. Therefore, the allegation 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. Exit interview conducted and copy of this report was left at the facility. Unsubstantiated Staff left resident in soiled diaper for an extended amount of time - UNFOUNDED Department conducted record review, staff, and resident interviews to investigate this allegation. Staff interviews indicated that staff were providing all ADL assistance, including toileting to residents per their needs and service plan. Staff interviews indicated that staff were assisting residents for their toileting needs every 2 hours, or as needed. Resident interviews reflected that their care needs were met by staff and there were no issues to address, therefore the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff lost resident's hearing aide and won't reimburse the authorized representative - UNFOUNDED Through the course of the investigation process, CCL conducted interviews, toured the facility, and reviewed records regarding the allegation above. During the investigation it was determined that R1 always misplaced R1’s hearing aids. Facility was able to locate one hearing aid and the other was reimbursed to the family. Department received confirmation of the reimbursements made to R1’s representative. Statements by staff and other residents failed to demonstrate a lack of care for residents’ personal property. Therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff over medicated the resident - UNFOUNDED Through the course of the investigation process, CCL conducted interviews, toured the facility, and reviewed records regarding the allegation above. During the investigation, the department was provided copies of the medical records for R1. The medical records included the current medication and dosage instructions. A review of the MARS report was conducted. The Department found that all medications for R1 were given per physician’s order. The Department found no supporting evidence that would indicate that the resident was over medicated. Therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 17, 2024 · control 59-AS-20240402123206

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Lavinia Muscan arrived unannounced on 11/15/23 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Administrator Motu Sokimi toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (4) and staff files (4). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Nov 15, 2023