Routine inspection·November 6, 2025

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Sunshine Board and Care, Residential Care facility for the Elderly, unannounced to conduct an Annual Inspection. LPA was greeted and granted entry by Caregiver, Berlian Siagian. LPA met with House Manager, Malik Salem and Administrator, Ahmad Abdallatef. LPA introduced self and stated purpose of the visit. Malik accompanied LPA on a tour of the facility and provided records for review. The facility has 8 bedrooms in total. 6 resident rooms, 2 staff rooms, 7 bathrooms, kitchen, dining area, living room, staff lounge, (attached garage) and 2 side pathways on the exterior. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is approved to have 12 ambulatory residents, 2 of which may be non-ambulatory. The current census is nine (9) resident and three (3) resident are currently at the Day Program. The facility is operating at the capacity approved by Community Care Licensing (CCL). Pathways were observed free of clutter and obstructions. The facility was maintained in comfortable temperature of 74 degrees Fahrenheit. Water temperature measured at 110.4 and 108.5 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, adequate storage and sufficient lighting, and seating. LPA inspected resident bathrooms. Bathrooms were observed to in order and included functional appliances. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted quarterly. Posters such as; the personal and resident rights, let us know, and disaster/evacuation plans, facility license, staff and resident roasters were posted in common areas. LPA observed cleaning supplies in three (3) out of six (6) residents bathrooms/bedrooms unsecured. A deficiency was cited. The facility does have a designated area to secure cleaning supplies, toxins, sharps, and other dangerous items and were observed to be kept secure and inaccessible to residents. LPA observed that resident and staff files are kept secure in a designated securable cabinet in the facility's staff area. Medications were observed secure and inaccessible to residents. Emergency and first aid kits were observed and readily available for residents in care. Food Service : Non-perishable and perishable food supply is adequate for amount of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items such as fruits, canned goods, dry foods, chips, milk, eggs, beverage and frozen meals.. Dishes, cups, and utensils were observed to be clean and in proper storage and in adequate amounts. Emergency food and water supply were also observed. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal/fingerprint/background record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Three, (3) out of three, (3) resident files were complete with all documents needed. LPA also reviewed three, (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA observed one (1) out of three (3) staff were missing their health screen and TB test results. A deficiency was cited. Fire extinguisher last inspected 2025. LPA completed a random audit of three residents MARS. LPA observed two (2) out of three (3) resident were missing an initial, medication was not listed on the centrally stored medication list or the MARS. A deficiency cited. Based on observations, interviews and record reviews, three deficiencies and will be cited per Title 22, California Code of Regulations. An exit interview was conducted. A copy of this report LIC809, LIC809C, LIC809D, and appeal rights was read/reviewed with House Manager, Malik Salem; signature acknowledges understanding and receipt of report.