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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005793
Report Date: 07/20/2022
Date Signed: 07/25/2022 02:22:45 PM

Document Has Been Signed on 07/25/2022 02:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:SUNSHINE DAYS FOR THE ELDERLYFACILITY NUMBER:
306005793
ADMINISTRATOR:QUINTEROS, MAGALYFACILITY TYPE:
740
ADDRESS:13322 PROSPECT AVENUETELEPHONE:
(714) 673-4573
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: 6CENSUS: 3DATE:
07/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Administrator Magaly QuinterosTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Michelle Reed arrived at the facility to conduct a Required 1 Year inspection. The inspection focused primarily on Infection Control. LPA was greeted by Staff Maria Alvarez. Ms. Alvarez contacted Administrator Magaly Quinteros via telephone. Ms. Quinteros stated that there are no known Covid positives at the facility and that she would arrive shortly. LPA's temperature was taken prior to entry and a sign in sheet and hand sanitizer was available. Staff were observed wearing masks upon entry and throughout the visit. The facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden. The facility also has a Hospice waiver for 6 residents. Currently there are 3 residents of which 0 are receiving Hospice services.

At approximately 11:00 AM LPA Reed conducted a tour of the physical plant along with Administrator Magaly Quinteros. Resident’s were observed resting in their rooms and listening to music. Resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. Soap, paper towels and toilet paper were present. Resident bath towels and personal hygiene supplies were adequately stocked. LPA tested the hot water temperature in the resident bathrooms and the temperature measured at 110 degrees F.

LPA inspected the kitchen. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. The fire extinguishers were fully charged. The

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Michelle Reed
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: SUNSHINE DAYS FOR THE ELDERLY
FACILITY NUMBER: 306005793
VISIT DATE: 07/20/2022
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smoke and carbon monoxide detectors were tested and found to be operational. Medications, toxins and sharps were locked and inaccessible to residents/clients. The auditory alarms throughout the facility were in operating condition.

LPA toured the outside grounds. There is a swimming pool present. It meets Title 22 guidelines for bodies of water. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards and the exit gate had a self-closing latch.

No resident or staff files were reviewed at the time of this visit. LPA noted Covid precaution signs posted outside and inside the facility as well as a 30 day supply of PPE. Licensee also had the Infection Control Plan available for review.

LPA reviewed Assembly Bill 665. This bill requires residential facilities serving adults, residential care facilities for persons with chronic life-threatening illness, and residential care facilities for the elderly with existing internet service to provide at least one internet access device that can support real-time interactive applications, is equipped with video conferencing technology, and is dedicated for client or resident use.

There were no deficiencies issued during this 1 Year inspection. An exit interview was conducted with Magaly Quinteros and a copy of this report was provided at the time of this visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Michelle Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC809 (FAS) - (06/04)
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