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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002828
Report Date: 06/18/2024
Date Signed: 11/05/2024 11:22:08 AM

Unsubstantiated


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
08/09/2023 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20230809091944
FACILITY NAME:SUNRISE SENIOR CAREFACILITY NUMBER:
345002828
ADMINISTRATOR:HEYDON, ANITAFACILITY TYPE:
740
ADDRESS:6729 SUGAR MAPLE WAYTELEPHONE:
(916) 745-4167
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 3DATE:
06/18/2024
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Anita Heydon, Administrator and Steve Heydon, Administrator Designee TIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff is financially abusing resident.
INVESTIGATION FINDINGS:
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**This document was amended on 11/5/2024 (11:05 am) to reflect updated findings following the Department granting an appeal. Some additional information has been added to this report as well as language removed that resident was financially abused by staff. **

Licensing Program Analysts (LPA's) Sabrina Calzada and Kevin Mknelly arrived unannounced to deliver findings to the above allegation for a complaint received on 8/9/23. LPA's met with Steve Heydon, caregiver and Administrator Designee, and explained purpose of inspection. Anita Heydon, Administrator, was contacted by phone and arrived to the facility around 2:30 pm.

During the course of the Audit investigation, the Department reviewed bank records for accounts belonging to resident (R1), facility records, other records and conducted interviews. (R1) was always responsible for his own financial and medical decisions and paid the facility with his own checks for rent and reimbursement for items he requested. Although there were some charges made to (R1's) debit card that did not appear to be for (R1), such as gasoline for a vehicle, there was no evidence found that the facility financially abused (R1). LPA's advised there may be additional citation(s) issued related to (R1). Further review indicated that (R1's) rate was not increased at this facility.

Based on documentation obtained and reviewed, the Department finds the above allegation to be UNSUBSTANTIATED- a finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview. Copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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 59-AS-20230809091944
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: SUNRISE SENIOR CARE
FACILITY NUMBER: 345002828
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed

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This page was amended on 11/5/24 to reflect the deficiency being dismissed after an appeal was granted.

There is no deficiency issued on this page.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2