The Sunrise Village

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with lead staff, Rodica Herlea, and Administrator, Valentina Ciornea. LPA observed (2) residents in the common area and (4) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2) residents. Currently there is (1) resident under hospice care. The facility has an approved fire clearance for a locked front entrance gate due to the safe dispersal area in the backyard. There is a doorbell on the gate. LPA and Administrators toured the interior/exterior of the facility including the common areas, (3) shared residents bedrooms, caregiver bedroom, (2) bathrooms, laundry room, and garage. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, skid-resistant flooring, hygiene products and hand-washing poster. The hot water measured 122*F in a resident bathroom- there is a hot water sign posted. There is sufficient 2+ day perishable, including fresh produce, and 7+ day non-perishable supply of food. Sharps and toxins are locked in the kitchen and additional toxins are secured in the laundry area. Medications are locked in the office area. The inside temperature measured 71*F. The fire extinguisher was last serviced February 23, 2026 and the smoke/monoxide alarms are functioning. All exit doors have working auditory alerts and there are no blockages. Staff are aware of where the utility shut off valves are located. Disaster drills are conducted monthly. There is a front reception area with PPE and required postings are visible in the common area. (2) resident and (2) staff files were reviewed. Files are organized and contain the required documentation, and orders match medications being given. LPA observed documentation of required training, including First Aid/CPR. Administrator has RCFE Certificate #7030016740 (exp 1/2/27). Residents were participating in a music/exercise activity at the end of the inspection. There were no deficiencies observed and no citations issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 10, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection following receipt of (2) incident reports and met with staff, Rodica Herlea. Also present was staff, Carlene Smith. LPA observed (3) residents, including resident (R1) resting in the common area and (3) residents in their rooms. LPA discussed incident reports by phone with Carmen Bujor, Administrator Designee, who stated there have been no concerns with (R1) since returning from the hospital on 8/22/2025. On 8/16/25, (R1) stated they had pain related to a hernia and requested to go to the emergency room (ER). (R1) was sent out and diagnosed with agitated behavior after it was determined there were no problems related to a hernia. During this emergency room visit (R1) eloped from the ER and found outside on the street and promptly brought inside. (R1) was psychologically evaluated and it was determined (R1) does not have the capacity to make their own decisions due to a diagnosis of Dementia. Medications were prescribed and (R1) returned to the care home on 8/17/25 with the understanding (R1) is at high risk for elopement. Staff training was completed on redirection and elopement measures. The second report, completed on 8/22/25, notes (R1) went to the ER on 8/26/25 (report to be amended to 8/19/25) due to (R1) experiencing significant movement/pain in their legs due to new medications given. The ER stated there were no concerns relating to pain or (R1's) leg movement, but they were about (R1's) behaviors due to Dementia. Although (R1) was expressing suicidal thoughts, a mental health evaluation was determined to not be appropriate/ The Administrator Designee stated that since (R1) has returned since 8/22/25, (R1) has not tried to elope,has made no subsequent suicidal threats, is sleeping well and doing much better overall, explaining that the medications given for sleep have assisted with the behavioral problems also. LPA observed (3) new prescriptions were prescribed on 8/26/25- (1) PRN for agitation and (2) scheduled medications at bedtime. The facility to work with medical staff to ensure (R1's) well being. There were no deficiencies observed or citations issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Aug 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with staff, Rodica Herlea. Also present was staff, Lucia Wint. LPA observed (2) residents in the common area and (3) residents in their rooms. Administrator Designee, Carmen Bujor, arrived at 10:30 am as the Administrator had an appointment previously scheduled. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver approved for (2) residents. Currently there are no residents on hospice. LPA and Administrator toured the interior/exterior of the facility including the common areas, three (3) shared residents bedrooms, caregiver bedroom, two (2) bathrooms, laundry room, and garage. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+ day perishable, including fresh produce, and 7+ day non-perishable supply of food. Sharps and toxins are locked in the kitchen. The inside temperature measured 71*F and hot water measured 105*F in the kitchen. Medications are secured near the kitchen. Smoke/monoxide alarms are working and the extinguisher was last serviced 6/5/2024. There are sufficient linens/towels/blankets and complete PPE cart. All exit doors have auditory devices. There is an approved safe dispersal area in the backyard. There is a complete First Aid kit. All required postings are visible in the common area. Annual fees are current. LPA obtained current copy of insurance, LIC308 and LIC500. LPA reviewed (2) resident files - files were organized with current documentation. Medications were reviewed for (1) resident- orders matched medications being administered and documentation is current. (2) of (4) staff files were reviewed Staff have completed the required initial/annual training, First Aid/CPR certifications, and are cleared/associated. Discussed recent updates to regulations effective 1/1/25, and the Plan of Operations has been updated. There were no deficiencies observed. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 26, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with staff, Rodica Herlea. Also present was staff, Lucia Wint. LPA observed (2) residents in the common area and (3) residents in their rooms. Administrator Designee, Carmen Bujor, arrived at 10:30 am as the Administrator had an appointment previously scheduled. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver approved for (2) residents. Currently there are no residents on hospice. This report is being generated to clear the Post-Licensing inspection in the system. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 26, 2025

Allegation investigated: Staff handled resident in a physically inappropriate manner. Staff yelled at resident. Staff did not ensure resident was fed. Staff did not dispense medication to resident as prescribed.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to complete and deliver findings to a complaint investigation received on 9/19/24. LPA met with Rodica Herlea and stated the reason for today's inspection. LPA observed (1) resident in the common area and (2) residents in their rooms. LPA contacted Administrator, Valentina Ciornea, by phone, to go over the report. NOTE: Resident (R1) resided at the facility while under a different management. The current management took over on September 30, 2024. LPA interviewed several staff who worked at the care home while (R1) resided there, including the Administrator, House Manager, and (1) staff, and (1) family member. (3) residents were interviewed on 12/17/24. A second staff was not able to be interviewed/contacted due to no longer working at the care home, as of 9/24/24. Documentation was reviewed relating to (R1) including the physician's report, pre-appraisal, care plan and medication list. The results of the investigation are as follows: *cont on 9099C-1.. Unsubstantiated 9099C-1.. The complaint relates to resident (R1) who moved to the care home on 9/12/24 and was sent out to the Emergency Room on 9/15/24. Resident's Physician's Report notes (R1) had a diagnosis of: Diabetes Type 2; Chronic Systolic Congestive Heart Failure; Delirium without Dementia and Mild Cognitive Impairment. The report further indicates (R1) was able to follow instructions, communicate needs, was non-ambulatory (due to their physical and mental condition) and was not able to leave the facility unassisted. Allegation: Staff handled resident in a physically inappropriate manner. The complaint alleges that sometime from 09/12/24 -09/14/2024 facility staff (S1) yanked (R1) by their shirt when they tried to go outside for a walk, which caused (R1) to fall on the ground. Staff (S1) stated she worked with (R1) from Thursday thru Saturday after (R1) moved in on Thursday evening, 9/12/24, around 4:00 pm. (S1) stated (R1) was "very rude and disrespectful" to her and other staff, explaining (R1) pulled the gate open and hurt (S1's) toes and punched (S1) and was also verbally abusive. (S1) stated (R1) walked without a walker, would curse, disrobe and throw things, including their diaper on the floor, asserting (R1) "was strong with a big build". (S1) stated she knows how to "maintain professionalism" and she kept quiet when (R1) was yelling and "never slapped (R1) or hit her", stating "I don't do those things". The House Manager stated the Administrator, Leyla, was present when (R1) was pulling at the outside gate and wanted to leave and called 9-1-1 and then (R1's) family, commenting "it was very concerning when (R1) tried to leave since the facility is located on a busy street". The House Manager stated there was no police report taken, (R1) was "happy to move in and didn't seem to have problems" and (R1) was "okay the first two days". The Administrator at the time stated that after the first two days,(R1) was "walking around naked and taking off their diaper", explaining that when (R1) was at the hospital, prior to being admitted to the care home, , she assessed (R1) and "no one told me they had behaviors- (R1) changed quickly- maybe (R1) had a UTI- because the last two days, we couldn't control (R1)". The Administrator asserted (R1) "was the aggressor with (S1)" and "hurt (S1's) foot". (R1's) family member stated she received a phone call from staff just (2) hours after dropping (R1) off on 9/12/24, asking her to pick (R1) up as (R1) tried to leave the facility and broke (S1)'s toe. The family member stated (R1) uses a walker and when (S1) went outside with another client to get some sun, (R1) tried to leave. *cont on 9099C-2... *9099C-2... The family member stated she told staff that (R1) "does not walk without a walker" after staff told her that (R1) wheeled thyself in her wheelchair to the back yard and stood up in their chair to open the gate, and asserted "there was no physical way she could do that". The family member stated she thinks staff, (S1), grabbed (R1) from behind and (R1) fell. The family member stated the Administrator, Leyla stated (R1) "couldn't talk as they had no teeth" but (R1) told the family member they were hit by staff, commenting she honestly thinks (R1) fell, and the rehab says they are "fine". The family member added that Leyla, Administrator, told her several times she/the facility has had complaints about (S1). (S1) is no longer employed at the care home as of 9/30/24. (R1) was not available to be interviewed. (3) current residents indicated on 12/17/24 staff are always respectful to residents. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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. Allegation: Staff yelled at resident. The complaint alleges that facility staff (S1) was yelling at (R1) and slapping their body, causing a bruise on their left arm and (R1) does not want to go back to the home because they feel unsafe. Resident's family member stated that (S1) did not yell while she was visiting the facility but (S1) yelled over the phone, explaining one time, (R1) was yelling, and staff couldn't get her to calm down. The family member explained on Sunday, 9/15/24, Administrator, Leyla, called the Emergency Room at 11:00 pm, and then called her and told her (R1) had a stroke and stated (R1) told the hospital then that staff had "hit them", but there were not any visible marks, commenting when she visited (R1) at the hospital, they were upset and wouldn't show the family member their arms and legs. The family member stated (R1) told her that (S1) hit them (R1), but the family member thinks staff,(S1) grabbed (R1) from behind when (R1) was trying to leave, and they fell. The family member stated when she dropped medications off for (R1), (S1) pointed to the circle table in the common area and told her to "leave them there", commenting (S1) appeared to be "rough". Staff felt (R1) had advanced Dementia with uncontrollable behaviors, which were impossible to manage and was sent to the emergency room for not sleeping for two days. (S1) stated she knows how to "maintain professionalism" and she kept quiet when (R1) was yelling and "never slapped (R1) or hit her", stating "I don't do those things". *cont on 9099C-3.. *9099C-3.. The administrator indicated the first day (R1) moved in was a Thursday and that night, "(R1)) was refusing to go to bed", so she called 9-1-1 as she observed (R1) to be "dizzy and breathing hard, and showing very erratic behavior and couldn't walk". The administrator explained that 9-1-1 said (R1) "maybe had a UTI". The House Manager stated she met resident, (R1), once after returning to the facility with groceries, and she heard from staff, (S1) that (R1) was "walking around naked and was violent and verbally abusive to (S1)". The family member stated (R1) was “mean to (S1)” and she observed (R1) to have behaviors one time while at a doctor’s appointment, just before being diagnosed with a UTI and high blood sugar. (R1) walked out of the bathroom with a diaper and top on only and no pants and was asked by security to leave. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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. Allegation: Staff did not ensure resident was fed. The allegation states that facility staff were not feeding resident (R1). The Administrator stated (R1) "ate well and ate everything" commenting "we make good food". The family member was asked if the facility was denying (R1) food or meals and commented, "No, (R1) likes everything, but they can't eat it all due to having no teeth- (R1) likes baked potato". (S1) stated (R1) refused vegetables on her dinner plate and would be "cursing during meals". (S1) commented (R1) ate three times a day and "ate all their food except for veggies- (R1) would eat snacks, including pudding and yogurt." LPA interviewed current residents on 12/17/24. All residents indicated they are served (3) meals a day and snacks. LPA observed current food supply in the kitchen- meets 2+day perishable and 7+day non-perishable supply requirement. LPA observed a hot lunch being prepared while at the facility on 12/17/24. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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. *cont on 9099C-4... 9099C-4... Allegation: Staff did not dispense medication to resident as prescribed. The allegation states staff are not giving (R1) their scheduled medications. Staff (S1) stated (R1) would demand her medications, exclaiming to staff they wanted them "now". (S1) explained that (R1) only refused medications one time, on Thursday evening, 9/12/24, but did take them twice each day on Friday and Saturday. (S1) stated she left (R1's) meds in a cup and waited for (R1) to take them, and when(R1) didn't take them, (S1) placed the medications back in the cabinet. (S1) added that (R1) moved in without any behavioral medications and was told by (R1's) family member on Saturday, 9/14/24, that (R1) had psychiatric medications she forgot to pick up when (R1) moved in. (S1) commented that the family member "never brought these medications over". The administrator stated it is correct that (R1's) psychiatric medications were never brought to the facility, explained that the nurse at at the hospital called her on Monday, 9/16/24 to advise the medications were waiting at the pharmacy. (R1's) family member stated the Administrator, told her (R1) was "not taking their pills" The family member stated she observed (R1) take pills, on Friday, that were on the dining room table, and she was "not sure" if they were (R1's) but (R1) didn't have any adverse reaction. The family member initially indicated that "everything was brought to Sunrise Village" but then said after she picked up (R1's) meds, she got a phone call when she got home that there were (2) more medications- both psychiatric, that weren't picked up, stating, "(R1) may have not gotten their psych meds" but (R1) had not taken them for 2 months. LPA reviewed the Centrally Stored Medication Record for (R1) which documents (8) medications (R1) moved in with but none of them were psychiatric medications. Initial medication list was reviewed that was provided with the physician's report. (3) residents were interviewed on 12/17/24, as each resident state they are receiving medications as ordered. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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 with Rodica who was authorized to sign today's report. Copy of report provided.the state’s words, verbatim · CDSS document, Dec 17, 2024 · control 59-AS-20240919161747

Allegation investigated: Staff does not ensure reporting requirements are followed.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings to a complaint received on 7/2/24. LPA met with Rodica Herlea, caregiver, who contacted Valentina Ciornea, Administrator, who was initially not available. Carmen Bujor, Administrator Designee arrived shortly to the facility. LPA was advised there are currently (2) residents and (1) resident, who was under hosipce care, passed this morning. Administrator arrived around 3:45 pm. **The entire management of the facility and the corporation ownership changed on 10/1/24. None of the staff and management referenced in this report are currently associated to the facility. There was no communication with the Licensee regarding this resident.** During the investigation, LPA interviewed the Administrator, House Manager, (2) care staff, home health personnel, resident (R1) and (1) family member. Documentation was reviewed, including but not limited to: home health records and physician's report. The results of the investigation are as follows: **cont on 9099C-1. Substantiated 9099AC-1.. Allegation: Resident sustained unexplained injuries while in care. The allegation states resident (R1) was observed to have multiple bruises on arms and legs at different stages of healing. The House manager stated resident used a wheelchair only, was out of bed part-time and that (R1) moved in with bruises, but she did not document or take any photos of the bruises. Both the House Manager and staff (S1) stated that by the second week, (R1) was able to leave their room and be in the common areas. (S1) stated to LPA on 7/9/24, that (R1) didn't like to be changed, did not fall and never went to the hospital during her three- week stay at the board and care. Resident's family member, the Administrator at the time, and the House Manager also indicated (R1) was never sent to the hospital. A home health staff stated "(R1) did not move in with any bruises", as they saw (R1) at the "initial visit, which was one week after move in" and (R1) only had a small abrasion on her cheek at that time. The home health staff stated they observed bruises on (R1) "two weeks after (R1) moved in", and was told by care staff at that time that (R1) will get up at night and fell. Home Health notes confirm that on 6/10/24, home health staff observed a "skin abrasion on the right cheek" and that facility staff stated (R1) hit her cheek on her bed when trying to get out of bed during the night. The home health nurse assessed the wound and requested wound care orders. Resident's family member stated that the House Manager would state her staff “were gentle”, but she was told by two home health staff that the bruises were “not consistent with the types of falls the facility said she had” and the bruising was “oval in shape, like a person’s hand-prints. The family member stated the House Manager had told her that (R1) “moved in with the bruises”. Resident's family member stated that (R1) told her there were (2) female caregivers that lived at the care home, and she thinks the one who worked at night is “meaner” based on what (R1) said and that staff "would grab her tight”. Home health notes from 6/17/24 document that a home health nurse was present for wound care, neuro assessment, and a medication reconciliation. Notes document that (R1) is having "hallucinations, agitation and crying, especially during the night". *cont on 9099AC-2... 9099AC-2... Home Health notes from 6/17/24 also document that two home health medical staff observed bruising on resident's bilateral upper extremities. Home health notes from 6/25/24, document that all the bruising appeared to have healed. Resident stated to LPA during an interview that she recalls having a bruise on her face and staff applying creme, but didn't know how it happened. Resident also stated that there were two female staff who worked as caregivers and "one staff was rough and one staff was gentle", especially while being provided incontinent care. Resident showed LPA how when one staff asked her to "turn to the right", her left hand would hit the wall and cause her pain. Resident's record review showed she had a hospital bed with half bed rails that was delivered shortly after she moved in. House Manager stated that resident would resist care being provided and would "fight the caregivers" and bumped her arms and possibly cheek on the rails. Photo documentation of the bruising was not provided to the Department, and there was no evidence that home health staff had contacted the physician to evaluate the bruises. The House manager stated that staff (S2) worked with her for many years and she has observed her to be rough with residents, and (S1) was very sweet and was singing a lot of the time. Based on documentation reviewed and interviews conducted, LPA finds it to be UNSUBSTANTIATED- A finding that a complaint allegation 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. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 22, 2024 · control 59-AS-20240702083338

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Nov 5, 2024

87211 Reporting Requirements -(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews conducted and edocumentation reviewed, the Licensee did not ensure an incident report was submitted timely, within (7) days, to the Department and to the responsible person of resident (R1), following an injury on/around 6/10/24 and 6/17/24, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 22, 2024

Plan of correction: Licensee/Administrator agree to read Reg 87211 and submit a signed statement that it is understood and to alsoconduct training on fall prevention, methods of properly caring for residents with Dementia and Agitation, one or two person transfer, initial skin assessment

Type of visit: Prelicensing

On 03/29/2024, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived announced at the facility to conduct a pre-licensing inspection. LPA met with Administrator, Carmen Bujor, and explained the purpose of the visit. During today's inspection, LPA and Administrator conducted a tour of the interior and exterior of the facility to ensure there is no immediate health, safety and personal rights violation. Areas toured include but not limited to three (3) shared residents bedrooms, caregiver bedroom, two (2) bathrooms, laundry room, kitchen, garage, backyard, and common areas. LPA observed resident bedrooms to have required furniture. LPA observed the facility to have a proper storage for medications, toxins and sharps which is locked and inaccessible to residents. Hot water temperature was measured at 116 degrees Fahrenheit in kitchen sink, which is within the required range of 105 to 120 degrees. Each bedroom has their own AC unit and residents will be able to control the temperature. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed fire extinguisher last serviced on 04/18/23. LPA observed the exterior of the facility to be free of obstruction. The facility has a safe dispersal area in case of an emergency. LPA observed the facility to have the required posters of Community Care Licensing Division and Long Term Care Ombudsman. LPA provided Administrator a copy of LIC 311F. Pre-licensing passed and LPA waived Component III. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 29, 2024

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name - Michael Bujor CEO / Carmen Bujor Administrator Interview Method: Telephone interview On March 4, 2024, Applicant/Administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Mar 4, 2024