361880793-4-4-2023-56-AS-NBRN-CRWNQF-20230517103953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880793
Report Date: 04/04/2023
Date Signed: 04/04/2023 02:14:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2023 and conducted by Evaluator Amber Coleman

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230328082017

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:	DATE:	04/04/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Brandy Herrera, Wellness Director & Scarlett Augafa, Administrator		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Staff are keeping a resident with a prohibited health conditions.
Residents are not receiving medications at night.
Residents do not have a physician's order for postural supports.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Sunlit Gardens Facility to initiate a complaint investigation regarding the allegations listed above and deliver findings. LPA introduced self to Office Staff Member, Gloria and stated purpose of the visit. Gloria contacted Management Staff to inform them of LPA's visit. LPA was met by Brandy Herrera, Wellness DIrector, LPA introduced self and stated purpose of the visit.

LPA's visit consisted of a walk through of the facility's, four, (4) buildings, staff and resident interviews, records reviews and collection of pertinent documents. It is alleged that the facility is maintaining residents in care who have prohibited health conditions. All staff deny that there are any residents in care who require a higher level of care than what can be provided. The facility does not accept/admit residents who require higher levels of care. Applicants are screened for prohibited health conditions before admission to the facility. Direct Care staff aide in this by monitoring the residents for change in health conditions. LPA reviewed ten, (10) resident charts. 10 out of 10

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber Coleman	TELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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 56-AS-20230328082017

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING	FACILITY NUMBER: 361880793
	VISIT DATE: 04/04/2023

NARRATIVE

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resident charts were in compliance with regulations. LPA observed no residents in care with a prohibited health condition.

It is alleged that residents are not receiving their medications at night. Interviews with staff revealed that the night shift is 10:00pm to 6:15am. One, (1) caregiver is scheduled for each of the 4 buildings for the night shift. Also, 1 to 2 Medication Technicians are scheduled for the night shift. The 1 or 2 Medication Technicians float between the facility's four, (4) buildings to assist with medications. At this time, there are three (3) residents in care who are scheduled to receive medications during the night shift. According to the Medication Administration Records, (MARS) no resident has missed their night time medications. All Medication Technicians denied that residents have ever missed a medication at night. In the event that a Medication Technician is absent, the scheduled Medication Technician is not permitted to leave the shift until they are relieved by another Medication Technician. If the scheduled Medication Technician is not relieved and can not stay for the following shift, the Wellness Director/ Coordinator is contacted and will cover the shift. Lastly, the staff schedule provided indicates a Medication Technician(s) is scheduled to work every night shift 10pm to 6am.

It is alleged that resident's do not have physician's orders, in place, that would allow the use of postural supports. During walk through, LPA observed no residents utilizing postural supports. LPA did not observe any resident's using wheelchairs with a "Lap Buddy" or seat belts. The bedrails observed being used, were in compliance with regulations. All staff denied witnessing the use of postural supports and denied using postural supports while on duty. Additionally, the facility does retain residents who are receiving hospice services.

We have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report was discussed, and a copy was provided to a facility representative.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber Coleman	TELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

LIC9099 (FAS) - (06/04)

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