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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200294
Report Date: 09/04/2025
Date Signed: 09/04/2025 11:56:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
07/01/2025 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20250701091409
FACILITY NAME:SUNRISE ASSISTED LIVING OF DANVILLEFACILITY NUMBER:
079200294
ADMINISTRATOR:KIRSTEN KORFHAGEFACILITY TYPE:
740
ADDRESS:1027 DIABLO RDTELEPHONE:
(925) 831-1740
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:89CENSUS: 77DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Assisted Living Coordinator, Sonya CurrieTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff are not providing adequate food service to residents
Staff did not ensure the kitchen was kept clean
Staff are not following infection control procedures
Staff are not effectively communicating with residents
INVESTIGATION FINDINGS:
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On 9/4/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver complaint findings. LPA explained the purpose of the visit to Assisted Living Coordinator, Sonya Currie.

In reference to the above allegations: On 7/14/ 2025 LPA collected outbreak notifications sent to residents and families and interviewed S2. LPA also observed the kitchen clean and observed the food to be of satisfactory quality. S1 and S2 sampled the food and stated that it was good.

Report continues on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 15-AS-20250701091409
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: SUNRISE ASSISTED LIVING OF DANVILLE
FACILITY NUMBER: 079200294
VISIT DATE: 09/04/2025
NARRATIVE
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On 8/27/2025 LPA spoke to Sr General Manager, Abbie Apolinario and received emails of correspondences with Local public health dated 6/27/2025.
During the investigation LPA also observed that the facility followed their infection control procedure regarding outbreaks and notified the appropriate parties in a timely manner. According to records observed residents and responsible parties were notified of the potential outbreak on 6/25/2025 and received an additional update on 7/1/2025. At the time of the potential outbreak there were no confirmed cases of Noro Virus however the facility implemented infection control procedures as a precaution. On 9/4/2025 LPA interviewed R1, R2 and R3 regarding the facilities food quality. All residents expressed satisfaction with the quality of the food served. Therefore the above allegations are unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2