197603807-7-18-2024-31-AS-NMAN-D7YRHX-20240809130304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603807
Report Date: 07/18/2024
Date Signed: 07/18/2024 02:35:26 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2024 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20240711115819

FACILITY NAME:	SUNRISE AT STERLING CANYON		FACILITY NUMBER:	197603807
ADMINISTRATOR:	BERRY, TAMARA		FACILITY TYPE:	740
ADDRESS:	25815 MCBEAN PKWY		TELEPHONE:	(661) 253-3551
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	140	CENSUS: 130	DATE:	07/18/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:			TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff do not provide adequate food service to residents in care.
Facility is in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to the facility to investigate the above allegation. LPA met with Business Office Manager, Liz Kaplan, and explained the reason for the visit.

--- Facility staff do not provide adequate food service to residents in care.

It was alleged that facility does not serve food hot and serves the same meal back-to-back. To investigate the allegation, on 07/18/2024, LPA conducted a physical plant tour at around 10:30 AM, requested documents at around 11:30 AM, interviewed two (02) kitchen staff from around 11:30 AM to 12:15 PM and thirteen (13) residents from 12:45 PM – 3:00 PM. During the physical plant tour, LPA observed food being prepared and served hot and fresh. A review of the facility’s menu shows facility serves well balanced meals with a variety of choices.
(CONT. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
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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Control Number 31-AS-20240711115819

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SUNRISE AT STERLING CANYON	FACILITY NUMBER: 197603807
	VISIT DATE: 07/18/2024

NARRATIVE

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Menu also shows meals are not repeated within the same week. During interviews with staff, all staff stated they do not repeat meals back-to-back, and all meals are served hot and fresh. During interviews with residents, Resident #1 (R1) stated facility serves same meals back-to-back, the food is often served cold but that the food and service is getting better. All other residents stated the same meals are not served back-to-back and the food is served hot and fresh.

Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Facility is in disrepair.

It was alleged that facility’s elevator was not working and there was honey on the walls from a beehive. To investigate the allegation, on 07/18/2024, LPA conducted a physical plant tour at around 10:30 AM, requested documents at around 11:30 AM, interviewed the Maintenance Coordinator from around 12:15 PM to 12:45 PM and thirteen (13) residents from 12:45 PM – 3:00 PM. During the physical plant tour, LPA observed both elevators in working condition and did not observe any honey on the walls. A review of the maintenance records indicates that the facility was made aware of the honey on the walls on 07/06/2024. The facility immediately contacted the elevator company and pest control for inspection and no disrepair or pests were found. During interviews with staff, they confirmed all the information from the records, that the elevator and walls were opened to check for any bees, beehive or elevator disrepair, but none were found. The honey was cleaned, the elevator was temporarily closed off from 07/06/2024 to 07/11/2024 for safety of the residents and made available after clean-up. Staff added that an alternate elevator was available to residents for the duration. During interviews with residents, eight (08) out of thirteen (13) residents stated facility elevator was in disrepair and confirmed honey on the wall. The remaining residents were did not witness any disrepair or honey.

Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were noted during the visit.

Exit interview conducted and a copy of the report was issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
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

LIC9099 (FAS) - (06/04)

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