336425525-10-3-2025-18-AS-RORN-DM8T9P-20251007143213

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336425525
Report Date: 09/19/2025
Date Signed: 10/03/2025 07:59:49 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
08/26/2022 and conducted by Evaluator Sparkle Day

COMPLAINT CONTROL NUMBER: 18-AS-20220826102909

FACILITY NAME:	SUNNY ROSE GLEN		FACILITY NUMBER:	336425525
ADMINISTRATOR:	SHANNON JOHNSON		FACILITY TYPE:	740
ADDRESS:	29620 BRADLEY RD		TELEPHONE:	(951) 679-3355
CITY:	MENIFEE	STATE: CA	ZIP CODE:	92586
CAPACITY:	0	CENSUS:	DATE:	09/19/2025
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:			TIME COMPLETED:	03:46 PM

ALLEGATION(S):

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Staff did not ensure a resident consumed an appropriate amount of liquids while in care.
Staff unlawfully evicted a resident while in care.

INVESTIGATION FINDINGS:

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On 8/30/2022 Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit to the facility to ascertain additional information regarding the above-mentioned allegation(s) and for the purpose of rendering the findings.LPA met with Executive Director, Diana Salas who assisted with the visit.

The investigation consisted of the following:
Allegation: Staff did not ensure a resident consumed an appropriate amount of liquids while in care.
It is alleged that R1 was admitted to hospital for dehaydration
On 8/30/2022 LPA Nwogene toured the facility, interviewed staff, reviewed resident files, and collected pertinent documents.
On 9/30/25 LPA Sparkle Day began the follow up investigation regarding the above allegations. LPA Day
attempted to call reporting party, however could not be reached at last number provided. This facility closed on11/26/2024. No residents are available for interview. No files were available for review. Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2025

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 18-AS-20220826102909

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SUNNY ROSE GLEN	FACILITY NUMBER: 336425525
	VISIT DATE: 09/19/2025

NARRATIVE

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Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation: Staff Unlawfully evicted a resident while in care

It is alleged that the facility refused to pick up resident from hospital.

On 8/30/2022 LPA Nwogene toured the facility, interviewed staff, reviewed resident files, and collected pertinent documents.

On 9/30/25 LPA Sparkle Day began the follow up investigation regarding the above allegation. LPA Day attempted to call reporting party, however could not be reached at last number provided. This facility closed on 11/26/2024. No residents are available for interview. No files were available for review. Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.

Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report will be mailed to the last known address: 29620 Bradley Rd Menifee, CA 92586

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025

LIC9099 (FAS) - (06/04)

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