361880793-3-22-2022-18-AS-NBRN-CCTVLP-20220324163212

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880793
Report Date: 03/22/2022
Date Signed: 03/22/2022 04:46:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/16/2021 and conducted by Evaluator Shaunte Henry

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20211216104646

FACILITY NAME:	SUNLIT GARDENS ASSISTED LIVING		FACILITY NUMBER:	361880793
ADMINISTRATOR:	STEVENSON, CHERYL		FACILITY TYPE:	740
ADDRESS:	9428 19TH STREET		TELEPHONE:	(909) 481-2600
CITY:	ALTA LOMA	STATE: CA	ZIP CODE:	91701
CAPACITY:	100	CENSUS: 94	DATE:	03/22/2022
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Cheryl Stevenson, Executive Director		TIME COMPLETED:	12:18 PM

ALLEGATION(S):

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1)Residents are not receiving showers
2)Staff are forcing residents to eat
3)Facility does not have enough food for residents in care
4)Staff are serving expired food
5)Facility does not have snacks for residents in care
6)Facility does not have enough diapers for residents in care
7)Facility does not have enough wipes for residents in care
8)Facility kitchen is dirty

INVESTIGATION FINDINGS:

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On 3/22/22, Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. The LPA met with Executive Director Cheryl Stevenson, explained the nature of the visit and was granted entry.

The investigation, which consisted of interviews and file review, revealed the following:
During resident interviews, 10 out of 10 residents denied all 8 of the above allegations. During staff interviews, 5 out of 5 staff denied all 8 of the above allegations.The Executive Director, Cheryl Stevenson, denied all 8 allegations.

Allegation #1: Residents are not receiving showers
The LPA observed Activities of Daily Living (ADL) logs for Resident 1(R1), Resident 3 (R3), Resident 5 (R5), Resident 8 (R8), Resident 11 (11), Resident 12 (12) and Resident 13 (13). All logs indicate residents are receiving showers. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.
***Continued on 9099C**

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022

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 18-AS-20211216104646

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING	FACILITY NUMBER: 361880793
	VISIT DATE: 03/22/2022

NARRATIVE

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***Continued from 9099***
Allegation #2: Staff are forcing residents to eat
The LPA observed residents having breakfast and lunch during the complaint visit. The LPA did not observe staff forcing residents to eat. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #8: Facility does not have enough food for residents in care
The LPA toured the kitchen and observed a more than sufficient amount of food and snacks available for the residents. The LPA observed food delivery invoices for 11/3/21, 11/9/21,11/10/21, 11/13/21, 11/17/21, 11/18/21, 11/20/2, 11/24/21 and 11/27/21. The invoices indicates there is more than enough food being delivered to the facility on a regular basis. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #4: Staff are serving expired food
The LPA observed refrigerated food, freezer food and pantry items to be within the expiration date. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #5: Facility does not have snacks for residents in care
The LPA observed a sufficient supply of snacks for the residents in care. The LPA observed food delivery invoices that indicates the facility is receiving snack items on a regular basis. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #6: Facility does not have enough diapers for residents in care
The LPA observed the admission agreement to include hygiene items as an additional service if desired. All of the residents supply their own hygiene items. There is a storage area in each of the 4 buildings that houses an emergency supply if needed. The LPA observed this supply. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #7: Facility does not have enough wipes for residents in care
The LPA observed the admission agreement to include hygiene items as an additional service if desired. All of the residents supply their own hygiene items. There is a storage area in each of the 4 buildings that houses an emergency supply if needed. The LPA observed this supply. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.

Allegation #8: Facility kitchen is dirty
The LPA observed the kitchen while it was in use by the kitchen staff. The LPA did not observe dirty or unsanitary conditions. The LPA observed the daily cleaning log for the month of March. The kitchen is cleaned during the AM shift and the PM shift and in between as needed. The LPA was not able to corroborate this allegation, therefore it is unsubstantiated.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report was provided to Cheryl Stevenson.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022

LIC9099 (FAS) - (06/04)

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