306005223-6-17-2023-22-AS-SSAS-CT8VRS-20230628164024

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005223
Report Date: 06/17/2023
Date Signed: 06/17/2023 12:19:09 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
06/05/2023 and conducted by Evaluator Patricia Velazquez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230605160431

FACILITY NAME:	SUNNYCREST SENIOR LIVING		FACILITY NUMBER:	306005223
ADMINISTRATOR:	MELANIE WASHINGTON		FACILITY TYPE:	740
ADDRESS:	1925 SUNNY CREST DRIVE		TELEPHONE:	(714) 992-1999
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92835
CAPACITY:	210	CENSUS:	DATE:	06/17/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Brenda Bravo, LV.N. - Resident Care Director		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff do not meet residents toileting needs
Staff handle resident in a rough manner
Staff speak inappropriately to resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation into the above allegations. LPA Velazquez was allowed entry into the facility and met Resident Care Director Brenda Bravo, L.V.N. and explained the purpose of the visit.

On today's visit LPA Velazquez conducted interviews with staff. LPA Velazquez also reviewed and obtained copies of facility records. During the course of the investigation the following was revealed. LPA Velazquez reviewed and obtained copies of facility, staff, and resident records. The records reviewed included Resident Face Sheets, Physician’s Reports, Sunnycrest Senior Living Level of Care Assessments, and Staff Training Records. LPA Velazquez also conducted interviews with residents and staff. 14 of 14 individuals interviewed provided conflicting statements and could not corroborate the above allegations.

Regarding the allegation: Staff do not meet residents toileting needs, 14 of 14 individuals interviewed

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (713) 334-2062
LICENSING EVALUATOR NAME: Patricia Velazquez	TELEPHONE: (949) 236-0556
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2023

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-20230605160431

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: SUNNYCREST SENIOR LIVING	FACILITY NUMBER: 306005223
	VISIT DATE: 06/17/2023

NARRATIVE

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provided conflicting statements and could not corroborate the allegation. 6 of 7 individuals interviewed felt facility staff met their toileting needs at all times.

Regarding the allegation: Staff handle resident in a rough manner, 14 of 14 individuals interviewed provided conflicting statements and could not corroborate the allegation. 5 of 7 individuals interviewed stated that staff have never handled them in a rough manner.

Regarding the allegation: Staff speak inappropriately to resident, 14 of 14 individuals interviewed provided conflicting statements and could not corroborate the allegation. 5 of 7 individuals interviewed stated that staff have never spoken to them in an inappropriate manner.

Based on the observations made by LPA Patricia Velazquez, interviews which were conducted and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the following allegations: Staff do not meet residents toileting needs, Staff handle resident in a rough manner, and Staff speak inappropriately to resident are deemed UNSUBSTANTIATED.

An exit interview was conducted with Resident Care Director Brenda Bravo, LV.N. and a copy of this report was provided at the time of this visit.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (713) 334-2062
LICENSING EVALUATOR NAME: Patricia Velazquez	TELEPHONE: (949) 236-0556
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2023

LIC9099 (FAS) - (06/04)

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