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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361880793
Report Date: 02/08/2024
Date Signed: 02/08/2024 01:01:47 PM


Document Has Been Signed on 02/08/2024 01:01 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:SUNLIT GARDENS ASSISTED LIVINGFACILITY NUMBER:
361880793
ADMINISTRATOR:STEVENSON, CHERYLFACILITY TYPE:
740
ADDRESS:9428 19TH STREETTELEPHONE:
(909) 481-2600
CITY:ALTA LOMASTATE: CAZIP CODE:
91701
CAPACITY:100CENSUS: 69DATE:
02/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Tirso Del Junco, Executive DirectorTIME COMPLETED:
01:05 PM
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Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Sunlit Gardens Assisted Living, Residential Care Facility for the Elderly; unannounced to conduct the Annual Inspection. LPA met with staff who escorted LPA to the Executive Director Office. LPA met with Executive Director, Tirso Del Junco and Meriza De La Cruz, Clinical Support Specialist. LPA introduced self and stated purpose of the visit.


LPA was accompanied by Executive Director, Tirso Del Junco and Meriza De La Cruz, Clinical Support Specialist on a walk through of the facility inside and out. LPA observed the following during the walk through.

Physical Plant: The facility is comprised of four buildings. Each labeled as "A" "B" "C" and "D" Each building is designated for Assisted Living and Memory Care. During the walk through of each building, LPA observed the facility's temperatures to be comfortable. There was sufficient lighting provided by various lamps, fixtures and night lights throughout each building's interior and exterior. LPA observed fire extinguishers in cases posted through out the facility. Each fire extinguisher was last inspected June 2023 and found fully charged. Executive Director reported that disaster drills are conducted on a quarterly basis. The facility contracts a third party to conduct the fire/disaster drills. Last fire/disaster drill took place in September 2023. Each building has it's own courtyard. In each courtyard LPA observed adequate shaded seating available, clear and unobstructed pathways. Each exit was secure with Wander Guard, door alarms and key pad entry. Executive Director reported that each resident is assigned a pendent which functions as a call light and a Wander Guard bracelet. When residents approach the exit, the bracelet triggers an alarm to notify staff of the resident's location. Each courtyard also included various activities for residents in care.


LPA observed resident rooms. Each resident room contained adequate storage space, beds with all required linens, attached bathroom with operable appliances, hand soap and paper supplies. Bathrooms also included walk-in/roll in shower stalls equipped with handrails and non-slip materials for safety. Infection Control Stations were also observed throughout the facility. Each offering hand sanitizer and PPE supplies.
Please see LIC809-C
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber ColemanTELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 02/08/2024
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Food Service: LPA observed the facility's nonperishable and perishable food supply. The amount of food supply is sufficient for number of residents in care. Food for residents is centrally prepared in one building then dispersed among each building. LPA observed that snacks were made available in various places for residents in care. LPA observed that the kitchen is secure, also designated places for sharps and chemicals are also kept secure inaccessible to residents. Each Dining Room/Kitchen Area contained adequate seating and space for residents in care.
Care & Supervision: During each shift, there are two Caregivers and one Medication Technician assigned to each building to care for the residents. Three staff members work on call during the evenings, if needed.
Facility has sufficient care staff; who assist residents 24 hours and 7 days a week.

Record Review and Resident/Staff Files: LPA Coleman reviewed records for residents currently living at the facility. Resident records are complete with Physician Reports, Admissions Agreements and Needs and Services Plans. LPA reviewed five (5) staff files and confirmed that staff records reflect current CPR/First Aid Certification, Criminal Record Clearance, Fingerprint Clearances, Health Screenings, TB Tests and all required annual training.
Administration: LPA observed the following posters in each building: Disaster Plan / Facility Sketch, Long Term Care Ombudsman, Infection Control, Personal Rights, Activities Calendar, Food Menus and facility license are posted in a prominent location of the facility.
Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and secure in Medication Technician's Office in each building. Each office also included sufficient PPE supplies and a secure refrigerator.

Based on the information above, no deficiencies were cited during this inspection. An exit interview was conducted and copy of this report was reviewed, discussed then provided to Facility Representative.
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber ColemanTELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC809 (FAS) - (06/04)
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