Sunshine's Place

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose Tan met with Administrator Rosario Soriano for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 12:18 PM and the following was noted: There is only one entrance being utilized at the facility. The facility had submitted and approved Mitigation plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the garage. The facility has five (5) bedrooms and two(2) bathrooms currently occupying two (2) residents. Facility has an approved fire clearance for six (6) Non-ambulatory residents and a Hospice waiver for two (2) residents. Living and dining room furniture were also checked. The living room is neat and clean along with the family room. The facility maintains a comfortable temperature at 72°F. The smoke detectors are hardwired and interconnected and observed to be operational. There are carbon monoxide installed at the facility. Fire extinguisher is located in the kitchen and observed to be full and last bought on 09/14/26. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. There is a shed at the backyard being used as old equipment storage and was observed to be locked during the visit. (continued on LIC 809-C) (continued from LIC 809) The garage is currently being used as tools, frozen food and other supplies storage. Laundry room is located in the garage. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the garage. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower. The hot water temperature was measured a range of 105.2°F to 108.1°F. Towels and washcloths are not shared. There was enough clean linen available in stock at the cabinet. Medications: LPA observed medication cabinet in the kitchen to be locked and inaccessible to residents. There is a complete first aid kit located inside the medication cabinet. Disaster drill was last conducted on 07/30/26. Required posting observed in facility (complaint hot line poster, personal rights, etc). There was no health and safety hazard observed during the day of inspection. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: Required - 1 Year

On 9/17/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the Administrator Rosario Soriano, who granted access to the facility. LPA explained the reason for the visit. LPA Khurshudyan reviewed the required postings on the hallway next to the entrance area and requested staff and residents’ rosters for review. The inspection tool was used to complete the visit. At 1:10pm LPA, with the help of the Administrator, began a physical plant tour of the facility and the following was observed: This is a single-story building with five (5) bedrooms, all rooms designated for residents’ use. There are two (2) bathrooms, a kitchen, common areas: living and dining rooms, and an outdoor area. Facility has an approved fire clearance for six (6) Non-ambulatory residents and a Hospice waiver for two (2) residents. Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed one (1) fire extinguisher located in the kitchen wall. The fire extinguisher was last serviced on 9/17/2025. A weekly menu was also available for clients. The second refrigerator was also available in the kitchen for additional food. Dish soap and other chemicals were properly stored and locked inside separate cabinet located adjacent to the bathroom. Continue on LIC809-C Bedrooms: There are five (5) bedrooms in the facility. All bedrooms are for residents’ use. LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean. Residents have enough personal hygiene products. Common Areas: These include living and dining areas. LPA observed dining, living areas clean and clear of clutter. Furniture is generally new and in a good repair. Dining and living room furniture sits at the capacity of the facility. Walls, floors, windows, screens, and blinds were clean and in good repair. At 1:55pm, LPA measured the room temperature to be 75 degrees Fahrenheit. There is a linen closet with an adequate supply of fresh linens ready to use. No obstructions and or tripping hazards found throughout the facility. Facility has landline, LPA checked it was operational. There is a television, cabinet for activities, and art supplies available for clients’ use. Bathroom: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, toilet paper and trash bins with lids. The hot water temperature was measured at approximately 1:30pm to be 106.4 degrees Fahrenheit. The bathrooms were checked for cleanliness and proper operations. Towels and washcloths are not shared. Smoke and Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested by staff at 2:15pm and were observed to be operational. Garage: The garage is currently being used for storage. Laundry Room: Functioning washer and dryer are located in a separate laundry room located next to the kitchen area. Laundry detergents and other chemical supplies are locked and inaccessible to clients in care. Backyard: LPA observed sufficient yard space and fenced backyard. Appropriately covered shaded area available for clients to rest. There is outdoor furniture under the shaded area. LPA discussed the importance of maintaining care and supervision to meet the needs of clients. All exit doors were unlocked; no obstructions were observed around the emergency exit area. There is no body of water in the property. Staff/Client File review: Facility records are kept inside the locked storage closet located in the hallway. Between 12:55pm -1:50pm LPA conducted records review of five (5) staff files and five (5) residents’ records. Files were complete and updated. Continue on LIC809C Medications: At approximately 2:15pm. LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. The facility also maintains Medical Administration Records (MAR). LPA observed centrally stored medications locked inside the medication closet and inaccessible to residents in care. Complete First-aid kit is also available and placed in the common area. No potentially dangerous items were found in the facility. The facility operates with two (2) shifts and has two (2) staff members for each shift. LPA conducted an interview with an Administrator, one (1) caregiver and two (2) out of five (5) residents who were able to communicate. Facility plan/sketch is posted on the wall along with other posting requirements. LPA collected LIC500, LIC9020, and a copy of Certificate of Liability Insurance. Liability Insurance - Exp 6/30/2026 The Administrator's certificate - Exp date is 12/16/2026. No Citations issued during today’s visit. Exit interview conducted. Copy of this report provided.the state’s words, verbatim · CDSS document, Sep 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Ren Teolentino for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 9:30 AM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of five (05) bedrooms and two (02) bathrooms. The facility is fire cleared for six (06) non-ambulatory and a hospice waiver for two (02). The facility is currently occupying six (06) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last inspected 08/13/2024. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 113.2°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Oct 20, 2024