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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347001314
Report Date: 02/04/2025
Date Signed: 02/04/2025 05:04:02 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
12/10/2024 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20241210154153
FACILITY NAME:SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)FACILITY NUMBER:
347001314
ADMINISTRATOR:DICKEY, MAYEFACILITY TYPE:
735
ADDRESS:8139 WACHTEL WAYTELEPHONE:
(916) 725-6655
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 6DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Mindy Cailing, Co-Administrator TIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Staff are mistreating a resident while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver complaint findings to a complaint received on 12/10/24. LPA met with Co-Administrator, Mindy Cailing, and stated the reason for today's inspection. LPA observed (4) clients in the common area and (2) in their resident rooms.

During the investigation, LPA interviewed the Co-Administrator, (1) staff member, (3) clients, and an outside care provider. LPA utilized the non-verbal response page, with different emotional facial expressions, to assist with interviews for any non-verbal clients. LPA attempted to interview prior staff (S1) who reportedly interacted with (C1) during the incidents investigated. LPA also reviewed the police report, dated 2/6//24, relating to the alleged incidents.

The results of the investigation are as follows:

*continued on 9099C-1..

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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 6
Control Number 59-AS-20241210154153
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. (#2)
FACILITY NUMBER: 347001314
VISIT DATE: 02/04/2025
NARRATIVE
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9099C-1.. Allegation: Staff are mistreating a resident while in care. The allegation states that staff do not treat (C1) well and (C1) does not wish to live at the care home.

One staff (S2) stated"all staff are treating residents well" when asked if any staff mistreat clients. Client (C1) initially told LPA that staff treat them well and they feel safe living at the care home. A second client stated she is "treated very well" and commented "I treat everyone with respect and staff treat all residents very well". A third client was interviewed but was not able to respond verbally or by pointing to a facial expression for an answer.

The Co-Administrator stated that staff treat residents well but recently, a prior staff, (S2), "grabbed (C1’s) arm to take (C1) to the shower" after (C1) had an accident and told (C1) "to hurry up". The Co-Administrator explained that (S2) quit after the police came out, on 12/6/24 (evening) and talked to (C1) and told (S2) they could not work while the investigation was ongoing. (S2) called two days later and quit, stating they found another part-time job at another care home, confirming (S2) worked part time at this facility also.

On 1/21/25, LPA spoke to the Administrator of another care home who confirmed that (S2) only worked there for (3) days before quitting, stating they were not going to work there anymore due to a concern being looked into at a facility they previously worked for.

LPA attempted to contact (S2) two times by phone, in January 2025, and did not receive a return call. The Co-Administrator confirmed (S2's) full name and that (S2’s) name is pronounced slightly differently by (C1)

Later during the same inspection on 12/13/24, (C1) told LPA she did not like (S1's) attitude, stating (S1) was "too bossy and told me to hurry up". LW commented, "I don't like being rushed". (C1) stated she liked each of the other staff, expressing positive comments about them.

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: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 59-AS-20241210154153
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. (#2)
FACILITY NUMBER: 347001314
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/18/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:
(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:
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Licensee/Administrator agree to conduct staff training on client personal rights, specifically with how staff treat clients.

Co-Administrator agree to read Regulation 80072 and provide documentation to the Department by 2/18/25.
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Based on interviews conducted, the Licensee did not ensure that (S1) treated client (C1) with dignity on/around 12/6//24, when (S1) grabbed (C1's) arm to take her to the shower, after an incontinent accident, and told (C1) to hurry up, which posed a personal rights violation to clients in care.
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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: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
12/10/2024 and conducted by Evaluator Sabrina Calzada
COMPLAINT CONTROL NUMBER: 59-AS-20241210154153

FACILITY NAME:SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)FACILITY NUMBER:
347001314
ADMINISTRATOR:DICKEY, MAYEFACILITY TYPE:
735
ADDRESS:8139 WACHTEL WAYTELEPHONE:
(916) 725-6655
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Mindy Cailing, Co-Administrator TIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Staff pinched a resident while in care.
Staff inappropriately shoved a resident while in care.
Staff denied a resident from using their walker.
INVESTIGATION FINDINGS:
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During the investigation, LPA interviewed the Co-Administrator, (1) staff member, (3) clients, and an outside care provider. LPA attempted to interview prior staff (S1) who reportedly interacted with (C1) during the incidents investigated.

The results of the investigation are as follows:

Allegation: Staff pinch a resident while in care. The allegation states that care staff pinch client (C1) on their forearms every morning to wake them up.

Staff (S2) stated she has never pinched (C1), seen another staff pinch (C1) or any other clients. (S2) explained that she wakes (C1) up before all other clients and by gently touching their hair.
The Co-Administrator stated that no staff have pinched (C1), or any other clients. The police report taken notes (C1) was not observed to have any injuries on their forearms, on 12/6/24, and there was no other evidence of any physical abuse observed.

*continued on 9099A-C-1...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 59-AS-20241210154153
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. (#2)
FACILITY NUMBER: 347001314
VISIT DATE: 02/04/2025
NARRATIVE
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9099A-C-1... The Co-Administrator explained that "most of the mornings (C1) has an accident", due to being incontinent and (C1) will "wake up and start playing with a thread from their sock", not making it a priority to go to the bathroom first and staff may have told (C1) to "hurry up and go to the bathroom".

The Co-Administrator explained that (C1) uses a bed pad also as their family member gives them coffee and soda in the evening, causing (C1) to have an accident the next morning and reiterated that staff will ask (C1) to go to the bathroom every 2-3 hours, and the "problem is mostly at night".

Client (C3) stated she has never been pinched by a staff member or another resident and is "perfectly fine here". Client (C2) indicated "no" when she was asked if staff have ever pinched her.

Client (C1) indicated she has not been pinched ever by staff. Staff (S1) was not available for an interview by phone after attempts were made.



Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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.

Allegation: Staff inappropriately shoved a resident while in care. The allegation states that staff take their anger out on (C1) and shove (C1) on their back out the door in the morning and in their room at night.

(S2) stated the clients attend (2) different adult day programs. First, clients (C3 and C4) are picked up by the day program and then clients (C1 and C2) are picked up. (S2) stated she tells the clients "come-on, the driver is here" and she gives the driver their bags. The Co-Administrator was adamant that staff do not push (C1) or any other client towards the bathroom, and when the clients hear the driver for the adult day program honk the horn, they know it's time to "hurry up". Staff (S1) was not available for an interview.

Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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.
*cont on 9099A-C-2..
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 59-AS-20241210154153
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. (#2)
FACILITY NUMBER: 347001314
VISIT DATE: 02/04/2025
NARRATIVE
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9099A-C-2.. Allegation: Staff denied a resident from using their walker. The allegation states that (C1) is restricted from using their walker in the home.

(S2) confirmed that (2) clients currently use a walker. The Co-Administrator explained that (C1’s) family member purchased a walker for (C1) but (C1) prefers to use (C2’s) walker due to the color of it. The Co-Administrator stated (C1’s) family member indicated she would try and get (C1) a walker like (C2’s) and the Administrator spoke to the family member who agreed to ask the payee to purchase one.

The Co-Administrator stated that (C1) uses a walker due to a fracture they have, wears a brace, and does try to use the "red walker" that belongs to client (C2). The Co-Administrator stated she and other staff will remind (C1) to "use her own walker" and have talked to the family member about getting (C1) a walker like (C2’s), explaining (C1) prefers a walker she "can sit down" on.

The Co-Administrator explained that (C1) has been doing their walking exercises and physical therapy since November 2024, which involves walking 15 minutes in the morning and afternoon each day in the inside common areas of the care home. The Co-Administrator asserted "every day (C1) asks to use (C2’s) walker and sometimes (C2) says "Yes" and sometimes (C2) says "no" and confirmed that (C1) "is respectful when (C2) says "no".



C1) stated she has been told by staff to "use my own walker" and this happened one time when she used (C2's) walker. (C2) indicated by shaking their head they have not been denied using their walker.

On 1/12/25, the Administrator emailed LPA that a walker similar to (C2’s) had been ordered last week for (C1) and is scheduled to arrive on 1/13/25. On 2/4/25 ,LPA observed (C1) to have a newly purchased walker, with a seat, and (C1) stated to LPA that they really like it.

Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6