315001968-1-12-2023-25-AS-MSEY-CN2TCQ-20230113133707

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315001968
Report Date: 01/12/2023
Date Signed: 01/12/2023 11:38:48 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/27/2022 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 25-AS-20221027102234

FACILITY NAME:	SUNRISE OF ROCKLIN		FACILITY NUMBER:	315001968
ADMINISTRATOR:	MORADHASEL, ROUZBEH		FACILITY TYPE:	740
ADDRESS:	6100 SIERRA COLLEGE BLVD		TELEPHONE:	(916) 632-3003
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	82	CENSUS: 48	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Romeo Vantosa		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff failed to protect resident from financial abuse.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 01/12/2023 to provide complaint findings. LPA met with manager on duty and explained the purpose of the visit. Prior to initiating the visit, LPA completed the Department’s required COVID-19 protocols. Upon arrival LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA were screened by facility staff upon entering the facility.

LPAs reviewed resident records, facility records and conducted interviews.
The department finds that facility met Tittle 22 requirements.

Video evidence provided to the department, on 1/6/23, by a local retailer showed a person who likely completed/ knew who completed the fraudulent use of R1’s credit card on 10/3/22 as a person known to R1 but who is not a staff... Report continued...

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

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 2

Control Number 25-AS-20221027102234

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: SUNRISE OF ROCKLIN	FACILITY NUMBER: 315001968
	VISIT DATE: 01/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

of this facility. R1 willingly met with the alleged person as they had known the person for some time. The person of interest has been identified to local law enforcement for further investigation.

This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted and report provided.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2