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Inspection visit

Complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On February 28, 2025, LPA Manuel Monter interviewed staff S1-S6. Staff S1-S6 stated the Housekeeper cleans residents bedrooms once a week. S1-S6 stated the care givers are supposed to maintain the rooms clean during the week. 5 Out of 6 staff interviewed (S2-S6) stated they have not seen any bedrooms that are not clean or unsanitary or rooms that clearly are neglected and need to be cleaned. Staff S1 stated he/she has seen residents’ rooms that aren’t clean. S1 stated from his/her memory, he/she has seen two bedrooms as dirty/ that have been neglected. ADM stated resident bedrooms are cleaned weekly. ADM stated resident bedrooms Have assigned once a week housekeeping. ADM stated Care givers clean daily and remove trash each shift. ADM stated she has not seen any residents bedroom that were dirty, unclean or unsanitary. On February 27, 2025, LPA Manuel Monter toured the facility assisted living section of the facility and randomly toured the following bedrooms: 105, 111, 143, 206, 207, 217, 226, 230, 309, 315, 321, 410, 412, 423, 425. While touring these bedrooms, LPA Monter observed the bedrooms as clean, safe and sanitary. LPA Monter toured the following bedrooms in the memory care section of the facility: 1,3,5,7,9, 11. (Note all the bedrooms in the memory care are odd numbers by design.) LPA Monter observed the bedrooms as clean, safe and sanitary. On March 14, 2025, LPA’s Manuel Monter and Marcella Tarin interviewed residents R1-R10. LPA’s attempted to interview resident R1, but R1 did not respond to LPA’s questions. R1 would digress to unrelated topics. 9 Out of 10 residents (R2-R10) stated they have no issues with the apartments cleanliness and stated their living space is clean. LPA’s interviewed staff S7. Staff S7 stated housekeeping cleans residents’ bedrooms once a week. S7 stated If residents have an accident, then a care giver will clean the resident up and the area up. S7 stated, then housekeeping will come to sanitize the area as well. S7 stated he/she has not seen any resident bedrooms in an unclean/dirty state. S7 stated if he/she sees an accident in a residents bedroom, then he/she will notify staff to clean it up or he/she will clean it up herself. Page 2 Out of 3. On March 20, 2025, LPA Manuel Monter and Marcella Tarin toured the facility assisted living section of the facility and randomly toured the following bedrooms: 101, 103, 204, 218, 223, 247, 314, 333, 341, 345, 412, 414, 421. While touring these bedrooms, LPA Monter and Tarin observed the bedrooms as clean, safe and sanitary. LPA Monter and Tarin toured the following bedrooms in the memory care section of the facility: 1,3,5,7,9, 11. LPA Monter and Tarin observed the bedrooms as clean, safe and sanitary. Based on investigation, interviews conducted and records reviewed , 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 allegations did or did not occur. Page 3 Out of 3. END OF REPORT.

Citations

1 citation 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...competent to provide the services necessary to meet resident needsThis requirement was not met as evidenced by Based on investigation, on 2/27/2025, Staff S1 administered 2 incorrect doses of medication M1 to R1 which poses an immediate health, safety and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 20, 2025 inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE?

This was a complaint inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on March 20, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on March 20, 2025?

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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