315001968-9-19-2024-59-AS-KHOS-D9EKQW-20240924080700

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315001968
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:22:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2024 and conducted by Evaluator Melissa Parks

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20240826123523

FACILITY NAME:	SUNRISE OF ROCKLIN		FACILITY NUMBER:	315001968
ADMINISTRATOR:	LAURIE SPURLOCK		FACILITY TYPE:	740
ADDRESS:	6100 SIERRA COLLEGE BLVD		TELEPHONE:	(916) 632-3003
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	82	CENSUS: 56	DATE:	09/19/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Vandhana Devi, RN		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility transceiver is in disrepair.
Staff does not assist residents in a timely manner.
Staff not providing residents meals in a timely manner.

INVESTIGATION FINDINGS:

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LPA Parks arrived on Thursday September 19, 2024, to deliver findings for a complaint investigation regarding the above allegations.

LPA met with RCD Vandhana to deliver the findings.

Throughout the course of the investigation, LPA interviewed the Administrator, Resident Care Director, AL Coordinator, Maintenance Director, staff and R1’s POA. The result of the investigation is as follows:

Allegation: Staff does not assist residents in a timely manner.
LPA interviewed R1’s POA who stated that they visit every day or every other day. They stated that they have been very happy with the care R1 has received. They stated that they did not have any concerns regarding care. LPA interviewed staff who stated that R1 is a two person assist. Staff stated that, at times, they must wait for another caregiver to assist because R1 requires a hoyer lift, but that R1’s care needs are being met.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa Parks	TELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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 59-AS-20240826123523

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SUNRISE OF ROCKLIN	FACILITY NUMBER: 315001968
	VISIT DATE: 09/19/2024

NARRATIVE

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Allegation: Facility transceiver is in disrepair.
LPA interviewed Administrator and Resident Care Director who both stated that there have been no complaints about radios not working. Per the Administrator, the facility is switching to iPhones for communication, but that they are waiting to ensure that there is full-service coverage before ending using the radios. Staff interviews stated that they currently have radios that work. The Maintenance Director will trouble shoot if radios are not working properly. Additionally, there are extra radios in the building that can be used, if necessary.

Allegation: Staff not providing residents meals in a timely manner.
According to memory care staff, there are two residents who prefer to eat meals in their rooms. They are served their meals as the rest of memory care is being served. The AL side of the facility has recently switched their meal delivery to be at the beginning of the meal. Per staff, there have not been any complaints from residents that their meals are being served late.

Based on information obtained during the investigation, LPA finds the allegations to be
UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred,

Exit interview conducted. A copy of this report was provided to the facility.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa Parks	TELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC9099 (FAS) - (06/04)

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