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Inspection visit

Routine inspection

SUNRISE MANOR RESIDENTIAL CARE HOMELicense 4307087349 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Marcela Yanez and Simi Rai conducted an unannounced annual inspection visit. LPAs met with Lead Caregiver (S1) Gina Sobrevilla and stated the purpose of today's visit. S1 called Licensee/Administrator and left a message on voicemail. During the visit, LPA observed 2 staff and 5 residents present at the facility. LPAs observed 2 residents walking around the facility, including the kitchen and living room. LPAs toured the facility inside and outside with S1 which included the Living room, kitchen, dining room, 2 bathrooms and 5 residents bedrooms and 1 staff room. LPAs observed 2 of 5 resident rooms (Bedroom #5 and #6) window screens are not in good repair wherein the screen is ripped in multiple area and the screen door in bedroom #5. LPAs observed a smoking area which staff S1 stated is used by residents. Behind the chair, LPAs observed more than 5 tools were on a table, not locked and accessible to the residents. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPAs observed 1 prescription medication in the refrigerator, located on the inside of the door, unlocked and accessible to residents. LPAs observed a cabinet in the kitchen which contained resident's medication was unlocked and accessible to residents. LPAs observed toxic chemicals under the kitchen sink including but not limited to 1 canister of Comet, 1 bottle of Bleach, 1 bottle of Dish soap. LPAs observed 2 vents one located above electric stove in kitchen and one located in the hallway above garage door to be uncovered and has dust and grease. Continuation on LIC 809-C, Page 1 of 2. Page 2 of 2. The knives storage area, and cleaning product storage area was locked and inaccessible to residents in care. Room temperature was at 83.4 degrees F, and hot water temperature in the bathroom sinks was ranged from 119.1 - 119.5 degrees F in both resident bathrooms. Fire extinguisher observed in the kitchen was serviced in 10/25/2023. The facility was equipped with smoke and carbon monoxide detectors and in working condition. LPAs observed facility first aid kit and the last disaster drill was conducted on 07/24/2024. LPA reviewed facility records for 2 staff and 2 residents. LPA reviewed 2 resident medications and centrally stored medication records. LPAs observed 5 out of 10 centrally stored medications for R1 and 6 out of 6 centrally stored medications was not recorded on centrally stored medication and destruction record. R2 Medication was not logged as well. Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Licensee/Administrator was not present during exit interview. This report was reviewed with Lead Caregiver (S1) Gina Sobrevilla and a copy of the report was provided. Appeal Rights were provided.

Citations

9 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.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based of observation, two air vents above the stove and in the hallway were not covered and filled with dust which poses a potential health, safety or personal rights risk to persons in care.

  • 87303(c)Type B

    Keep window screens clean and in repair

    87303 Maintenance and Operation (c) All window screens shall be clean and maintained in good repair.This requirement was not met as evidenced by: Based on observation, two window screens in resident's room and 1 door screen for exit door was not clean and not in good repair which poses a potential health, safety or personal rights risk to persons in care.

  • Passageways and stairways kept clear

    87307(d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not ensure that sliding exit doors tracks were free of obstruction. LPAs observed a pole obstructing the sliding exit door tracks which poses an immediate health, safety or personal rights risk to persons in care.

  • 87457(c)Type B

    Complete admission suitability appraisal

    87457(c)Prior to admission ... shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when 1 out of 2 resident files did not create an Appraisal/ Needs and Services plan which poses a potential health, safety or personal rights risk to persons in care.

  • 87463(b)Type B

    Document required significant condition changes

    87463 (b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person.This requirement is not met as evidenced by: Based on interview and record review, R2's Appraisal/Needs and Services Plan was not signed by R2 and/or R2's responsible party which poses a potential health, safety or personal rights risk to persons in care.

  • Store centrally held medications in locked secure place

    87465 (h)(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement was not met as evidenced by: Based on observation, 1 prescription medication was in the refrigerator unlocked and a drawer in the kitchen which contains resident's medication was unlocked and accessible to residents which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • Record centrally stored prescriptions and refill data

    87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:This requirement is not met as evidenced by: Based on observation and record review, R1's 5 out of 10 centrally stored medications and R2's 6 out of 6 centrally stored medications were not recorded on the Centrally Stored Medication log which poses a potential health, safety or personal rights risk to persons in care.

  • Signed rights acknowledgement in resident record

    87468 (b)(1)(A)The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record.This requirement is met as evidenced by: Based on interview and record review, R2's file did not contain a signed Personal Rights of Residents in All Facilities which poses a potential health, safety or personal rights risk to persons in care.

  • Notify agency before locking doors or gates

    87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on observation, LPAs observed more than 5 tools were in the backyard, not locked and accessible to residents with Dementia poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 24, 2024 inspection of SUNRISE MANOR RESIDENTIAL CARE HOME?

This was an inspection of SUNRISE MANOR RESIDENTIAL CARE HOME on September 24, 2024. 9 citations were issued: 3 Type A (serious) and 6 Type B.

Were any citations issued to SUNRISE MANOR RESIDENTIAL CARE HOME on September 24, 2024?

Yes, 9 citations were issued (3 Type A, 6 Type B). The first citation was for: "87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Mainten..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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