345002828-8-1-2023-59-AS-MSEY-CURUCP-20230816152818

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002828
Report Date: 08/01/2023
Date Signed: 08/01/2023 04:28:59 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
07/28/2023 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20230728121345

FACILITY NAME:	SUNRISE SENIOR CARE		FACILITY NUMBER:	345002828
ADMINISTRATOR:	HEYDON, ANITA		FACILITY TYPE:	740
ADDRESS:	6729 SUGAR MAPLE WAY		TELEPHONE:	(916) 200-8447
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	5	CENSUS: 6	DATE:	08/01/2023
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Anita Heydon, Administrator		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff are abusing resident in care.
Staff are not background cleared to care and supervise residents in care.
Staff are stealing resident's medications.
Staff are financially abusing resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to commence a complaint investigation. LPA met with Danielle Fabyunkey Lawrence, caregiver, and identified herself. LPA spoke with the Administrator, Anita, by phone, and explained purpose of inspection. Administrator arrived to the facility at approximately 12:15 pm and caregiver, Steven Heydon, arrived at 12:20 pm. LPA observed (1) resident finishing lunch in the kitchen area and (5) residents to be in their resident rooms.

During the investigation, LPA interviewed the Administrator and caregiver, Steve Heydon about the allegations. LPA was able to interview (3) residents who were not sleeping. LPA reviewed documentation pertaining to resident (R1) who is the subject of the complaint and staffing files. LPA also discussed the complaint allegations with an Ombudsman. The results of the investigation are as follows:

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: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

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 3

Control Number 59-AS-20230728121345

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
	VISIT DATE: 08/01/2023

NARRATIVE

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9099C-1.. Allegation: Staff are abusing resident in care. Complaint alleges that the Administrator and another staff are abusing resident (R1) because resident he doesn't have sufficient funds to pay for all of the amenities he needs.

The Administrator and caregiver stated there is no abuse of any kind towards resident (R1) or any other resident. LPA observed R1 to be resting in his room and unable to express his words. The Ombudsman also tried to communicate with R1 on 7/31/23, and the resident was unable to verbally communicate or in writing. The Administrator stated that resident was recently admitted to hospice. LPA confirmed this information with the hospice binder. LPA did not observe any bruising or other signs of abuse on R1. LPA observed a hospice nurse arrive to check on R1 during the inspection at approximately 3:00 pm.

All (3) residents who were interviewed indicated they enjoy living at the facility, and staff is always kind and helpful to them and there is no abuse. LPA did not observe any bruising or other signs of abuse on the other (5) 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 a reasonable basis.

Allegation: Staff are not background cleared to care and supervise residents in care. Complaint alleges that the facility hires staff that are not authorized to work in the facility and do not have a background clearance. There is a specific staff mentioned (S1).

The Administrator stated that S1 last worked at her related facility, through last week, and is no longer employed by her. Administrator indicated that S1 was not illegal but did not have fingerprint clearance.
LPA reviewed staff clearance with the Administrator and caregiver and obtained an updated LIC500 during today's inspection. LPA observed that the Administrator and (3) staff (S2, S3 and S4) are fingerprint cleared and S3 is associated. Administrator and caregiver stated there were glitches in the Department's background clearance on-line system where attempts were made to associate S2 and S4. Administrator to ensure that all staff are associated as soon as possible and any new staff are fingerprint cleared.

Because S1 was not associated to this facility, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without a reasonable basis.
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: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20230728121345

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
	VISIT DATE: 08/01/2023

NARRATIVE

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9099-C-2... Allegation: Staff are stealing resident's medications. Complaint alleges that
Morphine for hospice residents have been stolen and administered by workers.

Administrator and caregiver, Steven, indicated that there are currently (2) residents under hospice care, and there has not been any missing morphine. LPA observed morphine supply for resident (R1) and was informed resident (R2), has not been provided with any morphine or "comfort kit" at this time, as R2 was newly admitted to hospice. LPA observed(3) pre-filled syringes of morphine for R1 that were provided by the hospice company. Administrator indicated that hospice staff informed the Administrator she/staff are able to administer the morphine as a PRN when resident shows signs/symptoms of being restless or frowning, in pain.

Interviews with (3) residents, who are not on hospice, revealed that there are no medication issues or concerns with residents receiving the correct medications on a daily basis.

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 a reasonable basis.

Allegation: Staff are financially abusing resident in care. Complaint alleges that the Administrator took R1's bank card and check book since resident owes the facility.

Administrator stated to LPA that resident (R1) does owe her funds for additional amenities such as incontinent products and medications, as she has been paying for them herself, due to resident's monthly budget. Administrator confirmed that R1's bank card, or debit card, was missing from the related facility about 4-5 months ago, and R1 got another card but then spent all of his funds. LPA observed a debit card in R1's name in the wallet caregiver showed LPA. Administrator stated that R1 has his check book, and LPA could check R1's room. Care staff was initially unable to locate the check book at this location and stated he would follow up with the Administrator.

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 a reasonable basis.

Exit interview. Copy of repot provided to caregiver who is authorized to sign today's reports.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

LIC9099 (FAS) - (06/04)

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