019200755-7-18-2024-15-AS-BFOG-D92SKT-20240912135716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200755
Report Date: 07/18/2024
Date Signed: 07/18/2024 03:10:35 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
05/09/2023 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20230509154705

FACILITY NAME:	SUNRISE ASSISTED LIVING OF OAKLAND HILLS		FACILITY NUMBER:	019200755
ADMINISTRATOR:	CAGULADA, DILLON R		FACILITY TYPE:	740
ADDRESS:	11889 SKYLINE BLVD		TELEPHONE:	(510) 531-7190
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	100	CENSUS: 60	DATE:	07/18/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Yolanda Harrell, Executive Dirctor		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff handle residents in a rough manner.

INVESTIGATION FINDINGS:

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On this day, 7/18/2024 at 9:30AM Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver the finding on the above allegations. LPA met with Executive Director, Yolanda Harrell and explained the purpose of the visit.

Allegation: Staff handle residents in a rough manner: Unsubstantiated

It was alleged that Staff handle residents in a rough manner. LPA interviewed 6 staff. 6 out of 6 states that “they have not heard, witness, nor themselves rough handle any residents”. LPA interviewed 4 residents. 4 out of 4 stated that “all staff are nice. They haven’t heard or witness any residents being rough handle”.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Exit interview conducted and a copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Kelly Nguyen	TELEPHONE: (510) 915-8702
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024

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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