336403516-6-29-2021-18-AS-JESL-C4PQJW-20210707121324

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403516
Report Date: 06/25/2021
Date Signed: 06/29/2021 06:08:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/08/2020 and conducted by Evaluator Crystal Colvin

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20201208112426

FACILITY NAME:	SUN CITY GARDENS		FACILITY NUMBER:	336403516
ADMINISTRATOR:	PENDING		FACILITY TYPE:	740
ADDRESS:	28500 BRADLEY ROAD		TELEPHONE:	(951) 679-2391
CITY:	SUN CITY	STATE: CA	ZIP CODE:	92586
CAPACITY:	74	CENSUS: 36	DATE:	06/25/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Bituin Garcia - Assisted Living Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff is not meeting residents needs.

Residents are not being provided appropriate food services.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Crystal Colvin made an unannounced visit to the facility for the purpose of following up on the open complaint investigation with the above allegation(s). LPA Colvin spoke with Assisted Living Director Bituin Garcia, as there is no current Administrator for the facility, and Garcia assisted LPA Colvin with identifying residents who would have been living at the facility during the period relevant to the complaint, as well as those in Memory Care who should be able to coherently answer questions. Below is a summary of LPA Colvin's findings:

Regarding the allegation "Facility staff is not meeting residents needs": During today's visit, LPA Colvin interviewed six residents (three Memory Care and three Assisted Living), and four staff members (including Kitchen Manager), as well as observed lunch being served in Assisted Living. The basis of the allegation is that residents were not being properly assisted with their meals, and/or their meals were being left at the front door of their rooms. Through LPA Colvin's interviews, LPA Colvin confirmed that during the COVID-19 pandemic in 2020, residents were having meals brought to their rooms instead of in the dining room.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal Colvin	TELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

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 18-AS-20201208112426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUN CITY GARDENS	FACILITY NUMBER: 336403516
	VISIT DATE: 06/25/2021

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 those interviewed regarding the meal service during this time, all persons stated that the meals were brought into the residents’ rooms for them to eat. Staff additionally stated that some residents need assistance with opening containers and/or silver wear, or need assistance with being fed, and so staff would help them with that as well when bringing in the food. Based on interviews conducted, the allegation of "Facility staff is not meeting residents needs" is UNSUBSTANTIATED.

Regarding the allegation "Residents are not being provided appropriate food services": LPA Colvin interviewed six residents, three caregivers, the Kitchen Manager; reviewed the facility menu, and observed lunch that was served in Assisted Living today. The majority of the individuals interviewed stated that there were no issues with the quality or quantity of food being served. On the contrary, several residents reported being served larger portions than they are able to eat. One complaint that was echoed a few times by residents was that of the names of the items on the menu being difficult to understand. Examples of this given by residents were "Mushroom Frittata" "Shrimp Linguine Florentine" and "Creamy Pasta Salad Rotini". While this is not a violation of Title 22 Regulations, LPA Colvin did suggest to Assisted Living Director Bituin Garcia that they talk to the Kitchen Manager about possibly renaming the dishes to something simpler or provide a description of the item on the menu.

During LPA Colvin's investigation, LPA Colvin observed signs in both the preparation kitchen in Assisted Living as well as the Main Kitchen, which reflected residents with special dietary needs and allergies. LPA Colvin additionally confirmed that the facility has an Alternative Menu that the residents can order from if they do not like what is being served for any given meal. A record book is kept in the kitchen office with a copy of past alternative orders for reference. LPA Colvin inquired about if residents were able to request alterations to items on the menu, such as requesting the breakfast burrito without cheese. LPA Colvin was informed by staff that residents are free to do this, and the kitchen will make the specialty order, and that it is the same process as ordering an item off the alternate menu. Some of the residents interviewed by LPA Colvin did not appear to be aware of this option and have not made such requests. LPA Colvin made another recommendation to Assisted Living Director Bituin Garcia, with this one being to re-educate caregivers (who take the residents' orders) on the options that residents have, and to have the caregivers educate the residents on these options when taking their order.

Due to observations, record review, and interviews, the allegation of "Residents are not being provided appropriate food services" is UNSUBSTANTIATED.

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal Colvin	TELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20201208112426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUN CITY GARDENS	FACILITY NUMBER: 336403516
	VISIT DATE: 06/25/2021

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	A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Assisted Living Director Bituin Garcia and a copy of this report was provided.

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal Colvin	TELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3