015601336-5-22-2024-15-AS-HHUL-D6TLXQ-20240703090907

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015601336
Report Date: 05/22/2024
Date Signed: 05/22/2024 04:11:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2024 and conducted by Evaluator Grace Luk

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20240130092450

FACILITY NAME:	SUNRISE PRIVATE CARE		FACILITY NUMBER:	015601336
ADMINISTRATOR:	NAGY, ARPAD		FACILITY TYPE:	740
ADDRESS:	3234 EAST AVENUE		TELEPHONE:	(925) 449-0426
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94550
CAPACITY:	6	CENSUS: 0	DATE:	05/22/2024
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Elizabeth Nagy, Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee did not notify in writing to residents personal representatives regarding facility closure

INVESTIGATION FINDINGS:

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On 5/22/2024 at 2:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver complaint findings for the allegation above. LPA knock on the door multiple times without a response. LPA spoke with Administrator, Elizabeth Nagy who arrived 20 minutes later.

During the investigation, LPA interviewed 2 staff, 2 witnesses, and complainant. LPA reviewed and obtained documents including correspondence with family members. Interview with complainant and witnesses revealed that residents and/or family members were notified verbally that facility is either closing or needing remodeling. Interview with staff indicated that facility is not closing and licensee plan to renovate the facility.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Grace Luk	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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