342700705-11-28-2023-59-AS-MSEY-CY32R5-20231129163656

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700705
Report Date: 11/28/2023
Date Signed: 11/28/2023 01:43:35 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/22/2023 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20231122093215

FACILITY NAME:	SUN OAK ASSISTED LIVING		FACILITY NUMBER:	342700705
ADMINISTRATOR:	SUMMERHAYS, CALEB		FACILITY TYPE:	740
ADDRESS:	7241 CANELO HILLS DRIVE		TELEPHONE:	(916) 722-2800
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	78	CENSUS: 31	DATE:	11/28/2023
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Daniel Torgersen, Asst Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Administrator is not present in the facility sufficient hours to oversee the management and operation of the facility.

Designated administrator substitute does not have qualifications adequate to be responsible and accountable for management and administration of the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to open a complaint received anonymously on-line on 11/22/23. LPA met with Daniel Torgersen, Assistant Administrator, and explained purpose of inspection.

During today's inspection, LPA interviewed the Administrator, Assistant Administrator and (4) managerial staff. LPA also toured the interior of the Assisted Living and Memory Care units. The results of the investigation are as follows:

Allegation: Administrator is not present in the facility sufficient hours to oversee the management and operation of the facility.

The complaint alleges that the Administrator of record is never present in the facility and is not involved in the daily operations of the facility.

Cont on 9099C-1..

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

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 59-AS-20231122093215

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SUN OAK ASSISTED LIVING	FACILITY NUMBER: 342700705
	VISIT DATE: 11/28/2023

NARRATIVE

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9099C-1... LPA discussed the allegation by phone with the Administrator, Caleb Summerhays, who indicated he is also an administrator over another assisted living facility but has been at the facility "quite a bit" and multiple times per week. The administrator stated he works a varied scheduled, from half days to full days, depending on the tasks needed, "occasionally" attends daily manager stand-up meetings, and has been assisting largely with personnel changes and training the assistant-administrator, who is new to the position. Additionally, Caleb stated he completes regular, daily tasks, including emails and phone calls, with the assistant-administrator, and feels comfortable he has been providing sufficient support and oversight to the community.

The Assistant-Administrator, Danny Torgersen, confirmed that the Administrator, Caleb, is at the facility weekly on a varied schedule, usually in the mornings. Danny indicated that the administrator has been involved with every personnel change and attends manager stand-up meetings on a regular basis.

Staff interviews uniformly confirmed that the administrator is present at the facility at 3-4 times weekly, often attends manager stand-up meetings and has been providing on-boarding/training support to the Assistant Administrator. Interviews additionally found that the administrator will talk to all managers, tour the building, attend nurse stand-up meetings and talk with residents.

Based on information obtained, LPA finds the allegation to be UNFOUNDED-meaning that the allegation was false, could not have happened and/or is without reasonable basis.

Allegation: Designated administrator substitute does not have qualifications adequate to be responsible and accountable for management and administration of the facility.
The complaint alleges that there has not been an RCFE certified administrator present in the building since August 2023, and management are not trained properly on regulations.

There was a change in management at the facility on 10/1/23, and a new administrator and assistant administrator were appointed. The prior administrator went out on medical leave in August 2023 and did not return. The assistant administrator stated to LPA in October 2023 that he just passed the RCFE Administrator test prior to taking the role of assistant administrator and Caleb Summerhays is the current Administrator. **cont on 9099C-2..

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20231122093215

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SUN OAK ASSISTED LIVING	FACILITY NUMBER: 342700705
	VISIT DATE: 11/28/2023

NARRATIVE

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9099C-2... Assistant Administrator, Danny, stated all other manager staff have remained and manager, Aida Ventosa, was the administrator designee prior to him starting. Interview with Aida confirmed that she "stood in" for the prior administrator following her leave at the end of August 2023 through the first week of October 2023. Aida confirmed she has worked for years in the industry, held a manager position(s) and kept current with training.

LPA confirmed on the Department's website, on 11/27/23, that the assistant administrator's application for an RCFE Administrator certificate was mailed on 9/25/23, reviewed as an application on 10/18/23, and currently has a "pending" status of being issued and has been assigned an RCFE Administrator certificate #.
The assistant administrator stated he is present at the facility nearly everyday, more than (8) hours per day, and is working with both the administrator and a regional manager to support the management and operation of the facility.

Based on information obtained, LPA finds the allegation to be UNFOUNDED-meaning that the allegation was false, could not have happened and/or is without reasonable basis.

The allegations are being dismissed and there are no citations issued.

Exit interview. Copy of report provided to the assistant administrator.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

LIC9099 (FAS) - (06/04)

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