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Inspection visit

Routine inspection

SUNSHINE RETIREMENT HOMELicense 3060029963 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Kimberly Lyman and Samer Haddadin conducted an unannounced visit to Sunshine Retirement Home. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs were allowed entry into the facility and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents with a hospice waiver for 2. There are no residents on hospice during today's visit. Administrator Marieta Marquez has an administrator certificate valid until 10/30/2024. LPAs along with Administrator Marieta Marquez toured the facility at 1:35 PM. LPAs toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The home consists of five resident bedrooms, 2 common restrooms, resident restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPAs observed two residents with half bed rails. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 118.7 and 122.5 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the elements including thermometer, tweezers and scissors. LPAs observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and Carbon Monoxide tested operational during today's visit. Fire extinguisher is fully charged. Kitchen appliances are operational during today's visit. LPAs toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPAs observed ample emergency food supply. LPAs reviewed the emergency disaster plan and infection control plan during the visit. Plans are thorough and complete. Facility does not have documentation of last fire drill conducted. CONT ON LIC809-C DATED 07/31/2024. Facility provides activities per resident request. At 2:20 PM, LPAs reviewed three resident files and four staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Two out of two residents with bed rails do not have corresponding physician orders for rails. Staff files reviewed contained required documentation of medical clearance/ TB, CPR training and criminal record clearance. At 2:45 PM, LPAs reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.

Citations

3 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.

  • 1569.605Type B

    Based on interview, the licensee did not comply with the section cited above. Facility does not have current liability insurance which poses a potential health and safety risk to persons in care.

  • 87608(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in two out of two residents with bed rails. Facility does not have written physician orders for bed rails. This poses a potential health and safety risk to persons in care.

  • 1569.695(c)Type B

    Based on interview, the licensee did not comply with the section cited above. Facility has not conducted an emergency drill this year which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 31, 2024 inspection of SUNSHINE RETIREMENT HOME?

This was a inspection inspection of SUNSHINE RETIREMENT HOME on July 31, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to SUNSHINE RETIREMENT HOME on July 31, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on interview, the licensee did not comply with the section cited above. Facility does not have current liability i..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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