361880793-9-26-2022-56-AS-NBRN-CJPV6U-20220928161005

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880793
Report Date: 09/26/2022
Date Signed: 09/26/2022 04:33:30 PM

Unsubstantiated

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
09/23/2022 and conducted by Evaluator Rohit Lama

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20220923105849

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: 89	DATE:	09/26/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Brandy Herrera, Wellness Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Facility does not ensure hospice care plans accurately match services being provided to hospice residents.
-Facility does not allow residents and their representatives the right to participate in decision-making regarding care and services provided.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 12:45 PM on 09/26/2022, Licensing Program Analyst (LPA) Rohit Lama conducted an unannounced visit to initiate a complaint investigation and deliver the findings for the allegations listed above. LPA met with Brandy Herrera, Wellness Director.

Interviews were conducted with: Administrator, Staff #1 (S1), Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), Resident #5 (R5), and Resident #6 (R6).

Client files were reviewed for: R1, R2, R3, R4, R5 and R6

The first allegation states that the facility does not ensure that Hospice providers are providing the care that is stated in the hospice care plan. LPA spoke with R1, R2, R3, R4, R5, and R6. 5 of 6 residents stated that they are getting adequate care.
***CONTINUED ON LIC 9099-C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Rohit Lama	TELEPHONE: 951-217-9826
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

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 2

Control Number 56-AS-20220923105849

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: 09/26/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

***CONTINUED FROM LIC 9099***

The same residents also stated that Hospice care providers show up several times per week to assist them with all their needs. 1 of 6 residents was not able to answer LPA's questions. Client records for 6 of 6 residents also show that hospice care providers come to the facility as outlined in the Care Plan. During the interview with S1, S1 stated that the Hospice Care providers provide the care as stated in the Care Plan. S1 also stated that there has never been an issue with care providers not arriving to provide the care needed.

The second allegation states that the facility does not allow residents and representatives to participate in the decision making process when it comes to care and service providers. More specifically, that the facility does not allow residents and representatives to pick a Hospice Provider of their choice. During interviews with residents, 5 of 6 residents (R1, R2, R3, R4, and R5) stated that they had never been told by the facility to select or avoid any particular Hospice Company. R6 was unable to answer LPA's questions. During the interview with S1, S1 stated that the facility does not tell residents which Hospice Program to select. S1 also stated that whenever a resident requires Hospice Services, the facility always provides a comprehensive list of Hospice Programs that the facility has had a good working relation with. Records Review revealed that there are a total of six (6) Hospice Programs providing care for residents in the facility that require hospice services, indicating that there is not a preference for one Hospice Program over another.

Based on the evidence gathered during the investigation, the above allegations are found to be 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 allegation is Unsubstantiated.
LPA conducted an exit interview where this report was discussed with the Wellness Director. A copy of this report was provided to the Wellness Director at the conclusion of this investigation.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Rohit Lama	TELEPHONE: 951-217-9826
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2