306005223-7-26-2023-22-AS-AORZ-CTHKMQ-20230707080152

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005223
Report Date: 06/26/2023
Date Signed: 07/26/2023 12:35:10 PM

Unfounded

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
06/22/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230622114349

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: 89	DATE:	06/26/2023
		UNANNOUNCED	TIME BEGAN:	09:06 AM
MET WITH:	Melanie Washington		TIME COMPLETED:	11:42 AM

ALLEGATION(S):

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Facility gates are left unsecured
Staff failed to provide a safe and comfortable environment for residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility by Business Office Manager Gail Blessum and explained the reason for the visit. Administrator Melanie Washington arrived during the visit.
During the course of the investigation, LPA toured the facility and interviewed Administrator as well as reviewed and obtained pertinent documentation such as facility sketch. Regarding the allegations that facility gates are left unsecured and staff failed to provide a safe and comfortable environment for residents, the investigation revealed the following: Facility has 89 independent and assisted living residents. There are no memory care residents housed at the facility. LPA observed gates in question are designated exits on facility floor plan requiring the exits to be open and accessible at all times. LPA accessed all exit gates on the property which were unlocked and operational during the visit. Due to concerns regarding the gates, facility installed a one way lock which enables residents to leave through the exit but outsiders cannot enter. Administrator states gardeners were on-site CONTINUED ON LIC 9099C DATED 06/26/2023

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

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-20230622114349

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: 06/26/2023

NARRATIVE

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on June 8, 2023 and witness may have observed a gardener entering facility gate however, the gate is an exit and residents are permitted to enter and exit the property depending on their status. One of the back area gates opens onto a walking path which residents may utilize. LPA observed facility appears safe, clean and comfortable for residents with areas for activities and relaxing. LPA observed residents dining and participating in activities. Therefore, the allegations are deemed UNFOUNDED, meaning the allegations are false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was left at the facility.

*This is an amended report reflecting a change in verbiage.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly Lyman	TELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC9099 (FAS) - (06/04)

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