336425958-10-29-2020-18-AS-RLAY-BUUTGQ-20201029144331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336425958
Report Date: 10/21/2020
Date Signed: 10/29/2020 02:39:42 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
09/11/2020 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200911162629

FACILITY NAME:	AT SUNNY HILLS HOME CARE		FACILITY NUMBER:	336425958
ADMINISTRATOR:	ZANDER, SHELLEY		FACILITY TYPE:	740
ADDRESS:	26600 IRONWOOD AVE.		TELEPHONE:	(951) 924-3289
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92555
CAPACITY:	8	CENSUS: 6	DATE:	10/21/2020
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Shelley Zander, Administrator		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Facility not providing a comfortable environment.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tricia Danielson contacted the facility via telephone to conclude a complaint investigation via telephone due to COVID-19 and for precautionary measures. LPA identified herself and discussed the purpose of the call with Licensee/Administrator (LIC) Shelley Zander. Regarding the allegation "Facility not providing a comfortable environment": It was alleged that residents were not able to sleep at night due to noisy roommates and that the facility did not address the issue. Based on interviews conducted during the investigation, the facility staff had been made aware that one of the residents was exhibiting a behavior during the night that another resident had taken offense to and which prevented a restful night's sleep. Due to the inability to move residents to other rooms, the facility took proper measures to help alleviate any disruptions from the behavior. Interviews conducted with facility residents revealed they are satisified with the mitigation efforts conducted by the facility in regard to the disruptive behavior. All residents interviewed stated they are happy with their residency at the facility. This agency has investigated the complaint alleging "Facility not providing a comfortable environment". We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with LIC via telephone and a copy of this report was provided to LIC via email and an electronic email read receipt confirms receiving this document. *This is an amended report*

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Reyna Lacey	TELEPHONE: (951) 836-3135
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2020

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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