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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336425525
Report Date: 03/27/2024
Date Signed: 03/27/2024 11:32:32 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
03/19/2024 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240319101131
FACILITY NAME:SUNNY ROSE GLENFACILITY NUMBER:
336425525
ADMINISTRATOR:SALAS, DIANAFACILITY TYPE:
740
ADDRESS:29620 BRADLEY RDTELEPHONE:
(951) 679-3355
CITY:MENIFEESTATE: CAZIP CODE:
92586
CAPACITY:81CENSUS: 69DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Karen Roper - Executive DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff does not ensure that resident's hygiene needs are met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Crystal Colvin conducted an unannounced visit to the facility for the purpose of conducting a complaint investigation for the above allegation. LPA Colvin met with Executive Director Karen Roper and advised her of the purpose of today's inspection. Below is a summary of the investigation.

Regarding allegation "Staff does not ensure that resident's hygiene needs are met": LPA Colvin conducted interviews with staff, Resident One (R1), and other persons with knowledge of R1's care at the facility. The majority of interviews conducted did not reveal any concerns with R1's care and staff stated that they attend to R1's grooming and hygiene needs as much as possible, but that sometimes R1 is aggressive with staff and they need to take a break and try again when R1 is in a better mood. LPA Colvin met with R1 and observed that R1 appeared to be clean and well groomed. Therefore, due to lack of evidence to support the claim, the allegation "Staff does not ensure that resident's hygiene needs are met" is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tricia DanielsonTELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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 18-AS-20240319101131
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: 03/27/2024
NARRATIVE
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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 Executive Director Karen Roper and a copy of this report was provided.
SUPERVISOR'S NAME: Tricia DanielsonTELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2