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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005223
Report Date: 01/13/2026
Date Signed: 01/13/2026 04:31:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
09/07/2022 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220907120801
FACILITY NAME:SUNNYCREST SENIOR LIVINGFACILITY NUMBER:
306005223
ADMINISTRATOR:SARAH CLEESENFACILITY TYPE:
740
ADDRESS:1925 SUNNY CREST DRIVETELEPHONE:
(714) 992-1999
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:210CENSUS: 123DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Exective Director Melanie WashingtonTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff lost resident's diapers
INVESTIGATION FINDINGS:
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On January 13, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Melanie Washington was present and assisted on today's visit.

During the course of the investigation, the Department reviewed facility records, and conducted resident and staff interviews. Regarding the allegation, staff lost resident's diapers, the following has been concluded: It was alleged that Resident #1 (R1) diapers were lost by a staff. The Department was unable to conduct an interview with R1 due to R1 no longer residing at the facility. The Department conducted an interview with R1's hospice agency who confirmed that a supply of R1's diapers were delivered to the facility on September 1, 2022. The hospice agency stated that R1's diaper supply was accepted by Staff #1 (S1). The Department conducted an interview with S1 who admitted that they lost R1's diaper order and were no longer able to locate them. CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
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 5
Control Number 22-AS-20220907120801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SUNNYCREST SENIOR LIVING
FACILITY NUMBER: 306005223
VISIT DATE: 01/13/2026
NARRATIVE
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Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation that, staff lost resident's diapers. The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D. An exit interview was conducted with Exective Director Melanie Washington. A copy of the report and Appeal Rights were provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20220907120801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SUNNYCREST SENIOR LIVING
FACILITY NUMBER: 306005223
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2026
Section Cited
CCR
87217(b)
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87217 Safeguards for Resident Cash, Personal Property, and Valuables: (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property....
This was not evidenced by:
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The Executive Director stated that they will complete a statement of understading for this regulation. The Executive Director agreed to provide LPA the statement via email or fax by POC date.
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Based on interviews conducted, the Licensee did not ensure that R1's diapers were appropirately safeguarded. This poses a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
09/07/2022 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220907120801

FACILITY NAME:SUNNYCREST SENIOR LIVINGFACILITY NUMBER:
306005223
ADMINISTRATOR:SARAH CLEESENFACILITY TYPE:
740
ADDRESS:1925 SUNNY CREST DRIVETELEPHONE:
(714) 992-1999
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:210CENSUS: 123DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Exective Director Melanie WashingtonTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Resident left in soiled diapers
Staff are not following physicians orders for oxygen
Staff do not make the food accessible to resident
Residents sheets are not being changed timely
INVESTIGATION FINDINGS:
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On January 13, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Melanie Washington was present and assisted on today's visit.

During the course of the investigation, the Department reviewed facility records, and conducted resident and staff interviews. Regarding the allegation that, resident left in soiled diapers, the following has been concluded: It was alleged that Resident #1 (R1) was left in soiled diapers. The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Deparment conducted eight resident interviews. However, only two of the eight residents interviewed reported using diapers. Both of those residents denied the allegation and stated that they have never been left in a soiled diapers. CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20220907120801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SUNNYCREST SENIOR LIVING
FACILITY NUMBER: 306005223
VISIT DATE: 01/13/2026
NARRATIVE
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The Department conducted four staff interviews. Four out of the four staff interviewed denied the allegation and stated that they have not heard of a resident being left in a soiled diaper.

Regarding the allegation, staff are not following physicians orders for oxygen, the following has been concluded: It was alleged that staff were not following R1's physician orders for oxygen. The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Department conducted eight resident interviews. However, only two out of the eight residents interviewed reported using oxygen while at the facility. Both of those residents denied the allegation and stated that they have not had any issues with their oxygen while at the facility. The Department conducted four staff interviews. Four out of the four staff interviewed also denied the allegation.

Regarding the allegation, staff do not make the food accessible to resident, the following has been concluded: It was alleged that staff did not make food accessible to R1. The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Department conducted eight resident interviews. Eight out of the eight residents interviewed denied the allegation and denied having any issues with accessing food. The Department conducted four staff interviews. Four out of the four staff interviewed also denied the allegation.

Regarding the allegation, residents sheets are not being changed timely, the following has been concluded: It was alleged that R1's sheets were not being changed timely. The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Department conducted eight resident interviews. Eight out of the eight residents interviewed denied the allegation and reported no issues with their sheets not being changed timely. The Department conducted four staff interviews. Four out of the four staff interviewed denied the allegation and reported not hearing any issues with residents sheets not being changed timely.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the four allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Melanie Washington and a copy of the report was provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5