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Inspection visit

Complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

During televisit conducted on 1/8/2021, LPAs asked 3 staff members what the company policy was regarding telephone access. 3 out of 3 staff stated that all residents are allowed access to a common phone located in a private corner of the first floor hallway. Residents are also allowed to have phones in their rooms. LPAs were shown public phone and were provided the resident phone directory for residents with their own phone numbers. Between the dates 2/8/2021 to 3/19/2021, LPAs interviewed 16 residents regarding phone use. 11 out of 16 residents interviewed stated that they had no trouble making calls when they wished to. 5 out of 16 were unable to answer the question. Facility does not keep a log of personal calls made by residents dialed or received. R1 expired before he/she was able to be interviewed. Document review of resident file indicates that resident would sometimes become withdrawn and refuse contact with both staff and family members. Resident's physician's report indicated bouts of paranoia and depression. R1 had his/her own phone and could be contacted directly by those who had his/her phone number. The Department has investigated the above allegation. Based on interviews, observation, and document review, the Department found that the above allegation is UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur. Report reviewed with Tami Ojwang, General Manager, and a copy of this report provided electronically for signature.

Citations

2 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.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411 Personnel Requirements - General(a): Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement was not met as evidenced by: Based on records review and interviews, facility did not have sufficient staffing to meet resident's needs during COVID-19 outbreak. This posed an immediate risk to the personal rights of residents in care.

  • Personal assistance and care for required daily activities

    87464 Basic Services(f)(4): Personal assistance and care as needed by the resident... with those activities of daily living such as dressing, eating, bathing. This requirement was not met as evidenced by: Based on records review and interviews, facility was unable to provide assistance and showers in a timely manner. This posed an immediate risk to the personal rights of the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 19, 2021 inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE?

This was a complaint inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on April 19, 2021. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on April 19, 2021?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.

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