306004562-3-10-2023-22-AS-LADS-CPYQZF-20230316123636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004562
Report Date: 03/10/2023
Date Signed: 03/10/2023 10:19:39 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 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
01/25/2023 and conducted by Evaluator Jenifer Tirre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230125102457

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: 111	DATE:	03/10/2023
		UNANNOUNCED	TIME BEGAN:	09:34 AM
MET WITH:	Associate Executive Director, Marlen Hernandez		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff do not ensure the residents have hot water while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to deliver findings on the complaint investigation. LPA met with and discussed the purpose of the visit with Associate Executive Director Marlen Hernandez
The department investigated the above allegation and the investigation consisted of interviews, observations, and documentation. It was alleged that Staff do not ensure the residents have hot water while in care. Based on observations, LPA tested water temperature in 11 resident rooms on each 3 levels in both Assisted Living and Memory Care areas. Water tested in these rooms tested between 109.5 to 117.0 degrees Fahrenheit. Per Title 22 Regulations. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree Fahrenheit and not more than 120 degree Fahrenheit. During investigation, two rooms tested at 103.5 and 103.8. These rooms during visit Maintenance Coordinator corrected water temperatures and temperatures in these rooms were re-tested at 114.6 and 117.0 Fahrenheit.
CONTINUED ON 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Jenifer Tirre	TELEPHONE: (714) 401-6844
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023

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 22-AS-20230125102457

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SUNRISE OF SEAL BEACH	FACILITY NUMBER: 306004562
	VISIT DATE: 03/10/2023

NARRATIVE

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LPA observed facility water temperature testing logs from November to December 2022. Logs indicated that facility conducts random water temperature testing 3x a week with water temperatures in compliance between 111.0 to 120.0 degrees Fahrenheit.

Interviews with residents revealed that 4 out of 4 residents all stated no complaints with water temperature in showers and all 4 residents stated they receive warm to hot water in rooms. Of residents interviewed 2 out of 4 residents claim water in sinks take a few minutes to warm up. Each resident room has a restroom with a shower and sink as well as a additional sink outside from restroom area. Interviews with staff revealed that facility has two water boilers one for each building. Interviews revealed that facility has a new mixing “Brain” water valve which gets checked once a month. During interviews staff indicated if water faucets have not been turned on or used in a while, water temperatures take a few minutes to warm up which staff state they have communicated to residents. Interviews also indicated that staff encourage residents to hand wash with warm water.

Based on conflicting information received in observations, interviews, and the lack of corroborating witness to the incident in question LPA is unable to determine if the alleged violation occurred as reported.

The department has found that the complaint allegation staff do not ensure the residents have hot water while in care is deemed UNSUBSTANTIATED, meaning although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation occurred as reported.

This report is being reviewed with Associative Executive Director and a copy of this report was left at facility.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Jenifer Tirre	TELEPHONE: (714) 401-6844
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023

LIC9099 (FAS) - (06/04)

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