347005180-4-25-2022-27-AS-KHOS-CEAJVR-20220510072334

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347005180
Report Date: 04/25/2022
Date Signed: 04/25/2022 02:56:15 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/14/2022 and conducted by Evaluator Christina Valerio

COMPLAINT CONTROL NUMBER: 27-AS-20220414135925

FACILITY NAME:	SUNRISE ASSISTED LIVING OF SACRAMENTO		FACILITY NUMBER:	347005180
ADMINISTRATOR:	SARA WEININGER		FACILITY TYPE:	740
ADDRESS:	345 MUNROE ST		TELEPHONE:	(916) 486-0200
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	70	CENSUS: 51	DATE:	04/25/2022
		ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Sara Weininger		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Wrongful Eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christina Valerio and LPA Jamie Ivey Canady arrived unannouced to conduct a 10-Day Visit and complaint investigation. LPAs were met by Executive Director (ED) Sara Weininger and explained the purpose of the visit.

The investigation consisted of interviews with staff, interviews with responsible parties, and records review. The department has determined the following as it relates to the allegation: Wrongful Eviction.

According to an interview with the ED, there are two residents that have been issued an eviction. Resident 1 (R1) was issued an eviction notice on 02/17/2022 and Resident 2 (R2) was issued an eviction notice on 04/11/2022. According to the ED and records review, eviction notices were cross reported to CCL and local Ombudsman.

Continues on LIC 9099 - C...
Page 1 of 3

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Christina Valerio	TELEPHONE: 916-823-6323
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022

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 27-AS-20220414135925

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: SUNRISE ASSISTED LIVING OF SACRAMENTO	FACILITY NUMBER: 347005180
	VISIT DATE: 04/25/2022

NARRATIVE

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Continued from LIC 9099

Based on records review, resident 1 has not paid for services for months November 2021 to April 2022. An initial eviction notice was given in February of 2022 with an exit date of March 21, 2022. Another 30-Day notice to vacate due to failure to pay fees was issued to R1 on 04/20/2022. Based on records review, the eviction is valid.

Based on records review, resident 2 was given an eviction notice due to resident not meeting residency requirements, resident refuses to accept additional services when it is in the best interest of the resident, and resident has health care needs that cannot be met in the community.

According to an interview with the ED, a meeting regarding R2's need for a higher level of care was held with tR2 and responsible party for R2 in October of 2021. According to interviews and record review, LPA confirmed with R2 and responsible party that a meeting was held in October of 2021.

According to facility records, R2's re-appraisal and service needs plan have changed since the initial assessment and show an increase in needed services and care.

Based on facility documentation and staff interviews and records, the aforementioned allegation is unfounded. An exit interview was conducted, and a copy of the report was provided to Executive Director Sara Weininger.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Christina Valerio	TELEPHONE: 916-823-6323
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022

LIC9099 (FAS) - (06/04)

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