306004562-11-3-2023-22-AS-AORZ-CY3V8D-20231130151234

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004562
Report Date: 11/03/2023
Date Signed: 11/03/2023 01:14:29 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/02/2021 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210302181844

FACILITY NAME:	SUNRISE OF SEAL BEACH		FACILITY NUMBER:	306004562
ADMINISTRATOR:	LUIS RODRIGUEZ		FACILITY TYPE:	740
ADDRESS:	3850 & 3840 LAMPSON AVE		TELEPHONE:	(562) 594-5788
CITY:	SEAL BEACH	STATE: CA	ZIP CODE:	90740
CAPACITY:	261	CENSUS: 143	DATE:	11/03/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jennifer Turgeon		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff do not respond timely to resident calls
Facility is charging resident additional fees for services not being provided

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Joseph Alejandre made a unannounced visit to deliver the investigation findings for the allegations listed above. LPA met with Executive Director Jennifer Turgeon and explained the reason for the visit.

The investigation into the allegation, facility staff do not respond timely to resident calls revealed the following. It was alleged that the facility took up to 30 minutes to respond to calls for assistance from Resident 1 (R1) and Resident 2 (R2) when they requested assistance using the call system. R1 and R2 live in the same room. The facility has changed names and management companies since the complaint was filed. LPA attempted to contact R1 and R2 at the time the complaint was filed but no response was ever received so they were not interviewed. R1 and R2 have since moved out of the facility and their whereabouts are unknown. The facility changed/updated the call system in January of 2022. Three out of three staff interviewed who worked with R1 and R2 reported that all calls for assistance were answered quickly and never took longer than five minutes.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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 22-AS-20210302181844

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SUNRISE OF SEAL BEACH	FACILITY NUMBER: 306004562
	VISIT DATE: 11/03/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The call records are no longer available since the system has been changed. Based on the evidence gathered the allegation, facility staff do not respond timely to resident calls, is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

The investigation into the allegation, facility is charging resident additional fees for services not being provided revealed the following. It was alleged the facility was charging Resident 1 (R1) for catheter assistance but the service was not provided. R1 and R2 live in the same room. The Administrator reported that all of the services agreed upon in the admission agreement are being provided. The Administrator reported that enhanced services for R1 include assistance with catheter care which is provided by an LVN. LPA attempted to contact R1 and R2 at the time the complaint was filed but no response was ever received so they were not interviewed. R1 and R2 have since moved out of the facility and their whereabouts are unknown. R1’s admission agreement and billing statement show enhanced care was being charged which includes assistance for a catheter. None of the staff who provided catheter care assistance were available to be interviewed. Staff identified as possible witnesses are no longer working at the facility and could not be reached for interview. Based on the evidence gathered the allegation, facility is charging resident additional fees for services not being provided, is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2