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Inspection visit

Complaint

SUNNY HILLS ASSISTED LIVING (MEMORY CARE)License 1976088422 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Staff are not properly trained According to the allegation, new staff are not being fully trained, and Med Techs are not properly trained or certified. On 05/20/23, at 8:45am, LPA Gibbs and Alvizar and LPM Margaryan conducted interviews with staff. Information received revealed they have not received proper training for all activities of daily living, to assist overall facility population. Observed revealed that staff are spoon feeding some residents and have not received any training by a qualified medical professional on the proper way to feed residents. Interviews with Med Techs revealed they did not receive initial medication training by the qualified medical professional. Med Techs watched a manager distribute medications, and then they repeat what they observe, while a manager shadows them. A manager shadowing med tech was not qualified medical professional. At the time of this visit Administrator was unable to provide specific training tools, or other pertinent records test results to verify that the medication training provided to the med techs meet Title 22 Regulations and/or Health and Safety Code. During this visit at 12:00pm all training records were reviewed and the information gathered from the documents were not sufficient enough to verify that staff received all required trainings as per Title 22 regulations. Based on LPAs observation, interviews and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Medication records are inaccurate According to the allegation, the medication record for distribution of medications is not accurate. On 05/26/23, at 10:53am, LPA Gibbs and Alvizar and LPM Margaryan inspected a Medication Room to review the resident medication supply and the Medication Record. Upon review of a randomly selected resident’s medication supply and medication record review, LPA and LPM observed medication record to be inaccurate. The information documented on medication record was not consistent with the number of pills dispensed to the resident. After additional review of the medication record, it was observed that no resident’s medication record was signed off on 05/20/23 for medications distributed. Based on LPAs observations, interviews and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies were cited under California code of Regulation, Tittle 22, Division 6 & Chapter number 8, and recorded on LIC9099D. No immediate health and safety hazard were noted during this visit. Exit interview is conducted, Appeal rights discussed and a copy of report was issued. Facility does not have a qualified administrator According to the allegation, the facility does not have a properly trained and qualified Director or Administrator. On 05/26/23, LPA Gibbs and Alvizar and LPM Margaryan, reviewed Administrator documents. Administrator provided Personal Record (LIC501), current CPR (ex 08/26/24), Administrator Certificate (ex 09/10/25), copy of Drivers License, Fingerprint Clearance, Board of Resolutions Letter, and Facility Designation Letter. Unsubstantiated Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Citations

7 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87219(f)Type B

    Planned Activities (f) In facilities licensed for 50 persons or more, 1 staff member shall have full-time responsibility to organize, conduct, planned activities... The activities shall be written, planned in advance.. be available to all residents… This requirement is not met as evidenced by. Based on observation & record review Licensee did not provide planned activities as required. This posses potential personal right risk to resident in care.

  • 87411(a)Type B

    Facility personnel sufficiency and competence

    87411(a) Personnel Requirements-General. Personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by. Based on interviews, record review Licensee did not insure to have sufficientnumber of compitenat staff. During 8 hours shift staff is only assisting residents requiring extensive care. This possess potential Health & Safety risk to residents in care.

  • 87555(b)(6)Type B

    General Food Service Requirements. (b) The following food service requirements shall apply: (6) In facilities for 16 persons or more, menu shall be written at least 1 week in advance & copies of the menu... shall be dated & kept on file... This requirement is not met as evidenced by. LIcensee did not ensure that the facility menu is meeting food services requirement. 5 out of 7 day resident are served the same food for breakfast . This poses a potential personal rights violation to residents in care.

  • 87411(d)Type B

    On-the-job training requirements

    87411 Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance Based on file review, observation, and interviews the licensee failed to provide on the job training to staff. Investigation revealed staff did not receive job specific trainings which poses a potential health andsafety hazard for residents in care.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    87506 Resident Record (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on file review, and observation the licensee failed to maintain a complete and current record for residents in care. During record review LPA observed the MAR for 05/20/23 is incomplete. Which poses a potential health and safety hazard for residents in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair...Maintenance shall include...maintenance services and procedures...of residents, employees and visitors.This requirement was not met at evidenced by: Based on observations and interviews conducted, the licensee failed to ensure that the facility was clean, safe and sanitary on 10/19/2022. LPA observed evidence of rats presence at facility which poses a potential health, safety and personal rights risk to residents in care.

  • 87307(d)(2)Type B

    Facility maintenance and healthful environment

    Personal Accommodations and Services. The following space and safety provisions shall apply to all facilities: The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.This requirement was not met as evidenced by: Based on observations and interviews conducted, the licensee failed to provide a safe and healthful environment, on 10/19/2022 LPA and LPM observed evidence of cockroaches in resident bedrooms which poses a potential health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 26, 2023 inspection of SUNNY HILLS ASSISTED LIVING (MEMORY CARE)?

This was a complaint inspection of SUNNY HILLS ASSISTED LIVING (MEMORY CARE) on May 26, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to SUNNY HILLS ASSISTED LIVING (MEMORY CARE) on May 26, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Planned Activities (f) In facilities licensed for 50 persons or more, 1 staff member shall have full-time responsibility..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.