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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005180
Report Date: 04/27/2023
Date Signed: 04/27/2023 03:57:08 PM


Document Has Been Signed on 04/27/2023 03:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:SUNRISE ASSISTED LIVING OF SACRAMENTOFACILITY NUMBER:
347005180
ADMINISTRATOR:SARA WEININGERFACILITY TYPE:
740
ADDRESS:345 MUNROE STTELEPHONE:
(916) 486-0200
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:70CENSUS: 56DATE:
04/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sara Weininger, AdministratorTIME COMPLETED:
04:15 PM
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On 4/27/23 Licensing Program Analysts (LPA) Brandon Panariello and Kevin Gould arrived at Sunrise Assisted Living of Sacramento for the purpose of conducting an unannounced required 1 year annual inspection. A risk assessment call was performed prior to entry verifying there were no active covid cases. LPA met with Administrator, Sara Weininger and together conducted a tour of the facility.

LPAs Panariello and Gould and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms, resident bathrooms, common area and outdoor area. LPAs observed the facility to be free of odor, clean and in good repair. LPAs observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility.
LPAs measured the water temperature, temperature measured at 115.3 degrees F in the main kitchen and 117.1 in the memory care kitchen, which meets the 105-120 degree Fahrenheit regulation. LPAs observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. First aid kit was checked and is complete. LPAs observed centrally stored medications, toxins, and sharps kept locked and inaccessible to clients. LPAs reviewed Fingerprint clearance and associations to the facility. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility is in compliance with all infection control procedures. Common touch surfaces are cleaned after each use.

LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 610E Emergency Disaster Plan, Current Administrator Certificate, Liability Insurance, and current facility sketch.

Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) -26-4723
LICENSING EVALUATOR NAME: Brandon PanarielloTELEPHONE: 323-558-2130
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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