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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202734
Report Date: 04/10/2022
Date Signed: 04/10/2022 02:36:04 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,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/21/2021 and conducted by Evaluator Victoria Brown
COMPLAINT CONTROL NUMBER: 26-AS-20210521145832
FACILITY NAME:SUNRISE VILLA SALINASFACILITY NUMBER:
275202734
ADMINISTRATOR:AMY SAULNIERFACILITY TYPE:
740
ADDRESS:1320 PADRE DRIVETELEPHONE:
(831) 754-5532
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY:185CENSUS: 116DATE:
04/10/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Monica Zuniga, Marketing DirectorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility accepted a resident who required a higher level of care.
Staff did not have training on how to stabilize and redirect resident's behavior resulting to physical aggression and property destruction.



INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 4/10/2022 at 12:15pm to conclude the investigation of the above allegations. LPA was met by Monica Zuniga, Marketing Director and stated the purpose of the visit.

LPA reveiwed the interviews conducted by Community Care Licensing (CCL) on 5/25/21.

LPA Victoria Brown re-interviewed staff (S4) during this visit.

The investigation revealed that in regards to allegation, "Facility accepted a resident who required a higher level of care" LPA observed that Resident #1 (R1) did not need a higher level of care. R1 was being sent to the hospital for presenting a danger to themselves or others, threateningly unstable behavior and refusing medications.

Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Stephen RichardsonTELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Victoria BrownTELEPHONE: (209) 814-1955
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2022
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 26-AS-20210521145832
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: SUNRISE VILLA SALINAS
FACILITY NUMBER: 275202734
VISIT DATE: 04/10/2022
NARRATIVE
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Regarding allegation, "Staff did not have training on how to stabilize and redirect resident's behavior resulting to physical aggression and property destruction", LPA observed that during staff interviews all concur that although staff had never encountered managing R1's type of behavior, training and in-services is being provided.

Based on interviews the allegation(s) are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited during this visit. An exit interview was held and a copy of this report was provided.

SUPERVISOR'S NAME: Stephen RichardsonTELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Victoria BrownTELEPHONE: (209) 814-1955
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2