347000871-5-5-2025-59-AS-MSEY-DGESPA-20250506140250

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347000871
Report Date: 05/05/2025
Date Signed: 05/05/2025 04:16:24 PM

Substantiated

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
03/12/2025 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20250312164337

FACILITY NAME:	SUNRISE RESIDENTIAL CARE SERVICES, INC. (#1)		FACILITY NUMBER:	347000871
ADMINISTRATOR:	DICKEY, MAYE C.		FACILITY TYPE:	735
ADDRESS:	7880 VISTA RIDGE DRIVE		TELEPHONE:	(916) 725-6647
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	6	CENSUS: 6	DATE:	05/05/2025
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Lita Cailing, Co-Administrator		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff do not ensure that resident is provided comfortable clothing while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver investigative findings for a complaint received on March 12, 2025. LPA met with Lita Cailing, Co-Administrator, and stated the reason for today's inspection. During the inspection, (4) clients were home, and (1) client (C3) returned from day program. The facility is an Adult Residential Facility (level 6 home) that is vendorized through Alta California Regional Center.

During the course of the investigation, LPA interviewed (3) residential staff, (5) day program staff, (1) Regional Center staff, and client (C1). LPA reviewed docu5) To wear his/her own clothes.ntation from both (C1’s) residential and day program files. The results of the investigation are as folllow:

Client (C1) attended the day program from September 2006, through March 12, 2025. (C1) has a diagnosis of Dementia and Diabetes Mellitus 2, and needs assistance with bathing and dressing but is independent with feeding.
*cont on 9099C-1..

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

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-20250312164337

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 RESIDENTIAL CARE SERVICES, INC. (#1)	FACILITY NUMBER: 347000871
	VISIT DATE: 05/05/2025

NARRATIVE

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Allegation: Staff do not ensure that resident is provided comfortable clothing while in care. The allegation states that for about a year now, the facility has been sending client (C1) to program in bra(s) that is/are very tight which causes deep redlines that are uncomfortable and hurting (C1). The allegation further states that the day program staff has reached out to the facility, but the facility said the bra is fine and hasn’t taken any steps to improve it.

Multiple staff (4) at the day program where (C1) attended stated there have been "ongoing issues" with (C1’s) bra fitting too tightly, not correctly and causing (C1) discomfort.

One day program staff stated to LPA on April 9, 2025, that they have worked at the facility for one year, have known client, (C1), during this entire time and described (C1) as “opinionated and outspoken, and has never been afraid to voice (C1's) opinions”. This staff stated (C1) has issues "once a week" and “usually involved clothing” and gave an example of how (C1) became upset, a few times with (C1's) bra and with a specific pair of pants with butterflies on them. This staff stated the day program staff “consistently called home as (C1) said she doesn’t like them”. This staff recalled the incident with the bra on March 12, 2025, and explained how (C1) will regularly wear the same type and brand of bra, like a sports bra, but the designs have changed. This staff explained, “(C1) would say it hurts, and it’s too tight”, and confirmed, “on multiple occasions seeing indents on (C1’s) shoulders. This staff stated (C1) indicated she does not choose her own clothing. This staff confirmed that on March 12, 2025, they wrote a note to (C1's) residential care staff about the bra being too tight/small and sent it home in (C1’s) lunch box. This staff confirmed that (C1) returned home from the day program on March 12, 2025, without wearing (C1's) bra explaining, “Yes, I helped her take off the bra” as she was “very upset and I got permission from her to help- she asked me to take it off". This staff stated (C1) was happy after taking the bra off, explaining the bra “was too small for her everywhere- it was like a tween trainer bra, and “the tag read S/M when I went to read it”.

A second day program staff ,who has also worked at the program for more than a year, stated she recalls client, (C1) and stated the “only complaint was about her clothing”. This staff explained (C1’s) hygiene was “never poor but the home would dress here in clothes that were not appropriate- they would send her in pajamas a lot, pajama leggings or outside clothing-like sweats and oversized T-shirts”. This staff asserted (C1) had concerns related to the bra and would tell staff “my chest is hurting”. This staff described the bra to be “like a kids sports bra with no padding”, and the bra did not fit her well at all. This staff explained (C1) would tell staff the bra was “uncomfortable” and confirmed she helped (C1) take off the bra at least once. This staff commented that (C1) “would wear mismatched outfits” and felt (C1) and other clients from the same residential home were being dressed like “children” instead of adults.

*cont on 9099C-2..

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250312164337

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 RESIDENTIAL CARE SERVICES, INC. (#1)	FACILITY NUMBER: 347000871
	VISIT DATE: 05/05/2025

NARRATIVE

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9099C-2.. . This staff commented another client, (C2), also resides in the same care home, and she feels “a lot of her clothing look dirty or not appropriate for school”, commenting “they are dressed like children”. This staff further commented "(C2’s) hygiene and clothing could be better” and client (C3), another client who resides in the same house, is the “best put together of the three”. LPA observed client (C2’s) clothing at the end of this staff interview and observed (C2) to be dressed comfortably in a multicolored top, and to be walking well without a walker. This staff explained she observed (C1) on March 12, 2025 and she “ was upset because her chest was bothering her and asked that we take off the bra, explaining (C1’s) breasts were not visible without the bra due to the clothing she was wearing. This staff confirmed the same staff member helped (C1) on her last day, consistent with other interviews, and that “no one would have grabbed (C1’s) breasts- as (C1) was very vocal and would have told us about that”. This staff added that on many days, (C1) would sit in the front by her office in the lobby area, reading magazines and books, as “(C1) likes her alone time” as the day program can be very “dynamic and rowdy, commenting it’s possible someone could have upset (C1) that day as she “personally did not see it”; however, “no one ever teased (C1).

A third staff indicated (C1) had “issues with clothes, including the size of her bra”, asserting it was “way too tight and (C1) would say her chest hurts”. This staff explained the bra was a “training bra, not a sports bra as it had no pads”, and it would “creep up and hover over her breasts”. This staff confirmed she “saw red marks on (C1's) back, many times” from the bra being too tight, explaining that (C1) would rotate between three bras throughout the week- they were blue-dark color and the bras “rode up” on her chest. This staff confirmed that she did take off (C1's) bra a “few times” and named the same staff, consistent with other staff interviews, that took it off the last time”. This staff stated she did not ever send a note, but named the staff who did send the note home the last time and the front desk staff who called the care home on multiple occasions. This staff described (C1) as someone who gets “upset when she is over-stimulated by noise or uncomfortable with her clothes being too big, as she wore a lot of pajamas to program, but is generally happy”. This staff stated “as long as (C1) communicated to staff, she was fine; she never complained of someone grabbing her breasts but did complain about her bra being too tight, but was fine as soon as they fixed it”.

A manager at the day program stated that day program staff tried to tell residential staff that it was an “ongoing issue” that the bra was “cutting into her skin and making deep lines”, but the facility wasn't open to their suggestions and recommendations, commenting, (C1) was “sent in pajamas to program all the time”, so when staff took off her bra, it wasn’t noticeable.

*cont on 9099C-3..

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250312164337

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 RESIDENTIAL CARE SERVICES, INC. (#1)	FACILITY NUMBER: 347000871
	VISIT DATE: 05/05/2025

NARRATIVE

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9099C-3.. On March 17, 2025, the administrator at the residential care home stated to LPA that on March 12, 2025, "(C1) came home crying" and told residential staff the day program staff "took off my bra". The administrator stated she didn’t have any other details and stated client (C1's) "bra makes her feel depressed". The Administrator provided additional information that on November 27, 2024, (C1) "had chest pain first" for the first time, around 11:00 am and the day program wanted her to meet (C1) at the day program and take her to the ER. When the Administrator stated she would meet (C1) at the hospital, they accused her of “abandoning the client”. The Administrator stated (C1) was taken tot he Emergency Room, with a diagnosis of acid reflux. LPA reviewed discharge paperwork provided during the inspection on May 5, 2025.

On March 14, 2025, a lead residential staff stated to LPA that (C1) "came home crying" two days ago, on Wednesday, from day program, and showed LPA the note sent home by day program staff in the backpack that read "stop sending (C1) in this bra. It is too small and stresses her out". This staff stated this incident was "the second time (C1) came home without wearing a bra". This staff explained (C1) wears bras that are all very similar in style, are brought several out to the common area for LPA to observe. With the assistance of staff, LPA also observed (C1’s) back, and confirmed (C1) was wearing a size 40, which did not appear to be snug. LPA did not observe any red marks either. This staff stated (C1) can currently wear a size 38 as (C1) has lost five pounds in the last year. LPA reviewed the documentation of weight which notes (C1) weighed (4) pounds less in February 2025 than in January 2024.

On May 5, 2025, The Co-Administrator stated that (C1) would not have been sent to day program wearing pajamas and showed LPA many very organized matching outfits, including knit leggings and tops in the closet. The . The Co-Administrator showed LPA two newly purchased outfits (C1) selected. Another client (C4) stated to LPA that he has never observed any clients to wear pajamas to day program and that clients attend program wearing clothing similar to what they are wearing now, pointing to the clients sitting in the couch. On March 14, 2025, (C1) was not able to articulate if she has a favorite bra to wear when asked but seemed to be trying to physically explain that the bra was causing her discomfort when asked questions about her last day at the day program. (C1) did not appear to be in uncomfortable clothing while being interviewed at the care home.

Based on information obtained during the investigation, the Department find the allegation to be SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) citation is issued on the 9099-D page. Exit interview with Co-Administrator. Copy of report and appeal rights provided.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250312164337

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 RESIDENTIAL CARE SERVICES, INC. (#1)	FACILITY NUMBER: 347000871
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/19/2025 Section Cited CCR 85072(b)(5)	1 2 3 4 5 6 7	85072 Personal Rights (b)The licensee shall insure that each client is accorded the following personal rights. 5) To wear his/her own clothes. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee/Administrator agree to allow client (C1), (C3) and any other clients to decide which clothing to keep or discard and to purchase new clothing if needed. Will consider organizing clients' closets by favorite clothes being easier to access.
	8 9 10 11 12 13 14	Based on interviews conducted, the Licensee did not ensure that client (C1) was wearing clothing (C1) had selected to wear, including undergarments in the correct size, when attending day program, including on March 12, 2025, which posed a personal rights violation to clients in care.	8 9 10 11 12 13 14	Co-Administrator showed me (4) newly purchased sport bras that (C1) likes to wear- All bras are sized XL. Documentation of the above being completed due by 5/19/25-
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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: 05/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025

LIC9099 (FAS) - (06/04)

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