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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005223
Report Date: 02/19/2026
Date Signed: 02/19/2026 02:41:45 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
10/21/2022 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20221021140107
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: 113DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Monica Aguirre- Assistant Executive DirectorTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Residents are not being provided adequate food service.
Residents are being left in soiled diapers for an extended amount of time.
INVESTIGATION FINDINGS:
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On February 19, 2026, Licensing Program Analyst (LPA) made an unannounced subsequent visit for the purpose of continuing the investigation into the above allegations. LPA was greeted by Medication Technician Rebecca Ramos and explained the reason for the visit. LPA met with Assistant Executive Director (AED) Monica Aguirre approximately 10am. During the course of the investigation, LPA interviewed eight staff and nine residents, however LPA was unable to obtain a statement for one resident. LPA obtained the following documentation for review: Resident/Personnel Rosters, Face sheets, Physician's Reports, Care Plans, and dining menu.

The investigation is as follows: Regarding the allegation, Residents are not being provided adequate food service, it is alleged that residents have not been fed or not fed in a timely manner having residents to wait for hours. LPA observed one meal service in the dining room on February 19, 2026 approximately 7:40am. Residents were served on time with a wait time of approximately 5-10 minutes after residents were seated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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 3
Control Number 22-AS-20221021140107
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: 02/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2026
Section Cited
CCR
8755(b)(18)
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9877 General Food Service Requirements (b) The following food service requirements shall apply: (18) Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents.
This requirement was not met as evidenced by:
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AED will forward poof of server schedule and will submit a plan addressing server call-outs to LPA by POC due date.
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Based on interviews, ED confirmed the delay in food service due to staff turnover also corroborated by four out of eight residents/staff which poses a potential Health, Safety, and/or Personal Rights risk to persons in care.
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Type B
03/06/2026
Section Cited
CCR
87464(f)(2)
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87464 Basic Services (f) Basic services shall at a minimum include: (2) Safe and healthful living accommodations and services...
This requirement was not met as evidenced by:
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AED will forward a plan to mitigate diaper change delays which will also include a diaper change schedule log to track completion times to LPA by POC due date.
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Based on interviews, six of eight residents and three of eight staff confirmed the delay in diapers changes which poses a potential Health, Safety, and/or 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: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20221021140107
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: 02/19/2026
NARRATIVE
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LPA observed residents were served based on the dining menu which was chorizo scrambled eggs with toast or hot or cold cereal. Based on the interviews, four out of eight residents and four out of eight staff confirmed the delay in meal service. Three out of the four residents who confirmed the allegation were interviewed in October 2022. The three residents indicated that the wait time in the dining room in 2022 was approximately 1-2 hours due to staff shortages which was also confirmed by Executive Director Melanie Washington.

Regarding the allegation, Residents are being left in soiled diapers for an extended amount of time, it is alleged that the residents are left in soiled diapers for hours. Based on the interviews, six of eight residents and three of eight staff confirmed the delay. Six residents reported waiting to get changed 30-45 minutes after the pendant was pressed with one of the six residents reported waiting 3 hours.

The investigation revealed that the staff turnover caused delays in serving food on or approximately October 2022 and the wait time for diaper changes would range between 30-45 minutes.

Therefore, based on LPA's observations, interviews which were conducted, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegations, Residents are not being provided adequate food service and Residents are being left soiled in diapers for an extended amount of time are deemed SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D.

An exit interview was conducted with Assistant Executive Director Monica Aguirre, and a copy of this report including the appeal rights were provided at exit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3