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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530159
Report Date: 10/02/2025
Date Signed: 10/02/2025 03:28:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
06/10/2025 and conducted by Evaluator Lavette Farlow
COMPLAINT CONTROL NUMBER: 56-AS-20250610175523
FACILITY NAME:SUNLIT GARDENS ASSISTED LIVINGFACILITY NUMBER:
365530159
ADMINISTRATOR:DEL JUNCO, TIRSOFACILITY TYPE:
740
ADDRESS:9428 19TH STREETTELEPHONE:
(909) 481-2600
CITY:ALTA LOMASTATE: CAZIP CODE:
91701
CAPACITY:172CENSUS: DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Luis Gonzales, Administrator TIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Resident is being over charged.
Medications not dispensed as prescribed.
Prescribed special diet not provided.
Staff ignores resident verbally abuse.
Dementia resident in Assisted Living unit.
Unable to watch TV
Not sufficient staff during meals.
INVESTIGATION FINDINGS:
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On October 2, 2025 at 2:07PM Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Administrator, Luis Gonzales. The investigation consisted of interviews, observation and record review.

Regarding the allegation that resident is being overcharged:
LPA interviewed ten (10) residents and nine (9) out of ten (10) residents stated their responsible party handles their financial affairs and they are not aware of any issues. R1 could not show any documents that would indicate the facility is over charging any fees. S1 stated that residents’ fees are based on needs and services and a point system. S1 stated that R1 charges are set by InnoVage and R1 receives all the amenities associated with the facility. LPA interviewed six (6) staff, and all six (6) staff stated they are not aware of and neither have the seen or heard families or residents being overcharged. LPA observed documentation by the facility detailing Resident one (R1) rental and admission agreement. Based on interviews, observation, and record review, this allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
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 6
Control Number 56-AS-20250610175523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING
FACILITY NUMBER: 365530159
VISIT DATE: 10/02/2025
NARRATIVE
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Regarding the allegation that medication not dispensed as prescribed:
LPA interviewed ten (10) residents and six (6) staff. LPA observed Med-Tech dispensing the residents medication. Staff stated residents receive medication in a timely manner. LPA interviewed residents and witnesses, and it was revealed that staff dispense the medication in a timely manner and as prescribed. LPA observed the medication room and reviewed the MARs and records appeared to be maintained and without any discrepancies. Based upon interviews, observation, and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation, the prescribes special diet not provided. Interview with R1 reveal R1 did not have a prescribed special diet from a physician. LPA reviewed R1 file and documents provided by R1 and R1 did not provide any documentation from a doctor regarding a special diet. LPA spoke with and toured the kitchen and observed how the facility documents and keeps track of residents with special dietary needs. The Dietary Service Director has a chart of residents with dietary needs posted in the kitchen for staff to maintain. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation staff ignore resident verbal abuse. LPA interviewed staff and residents. Interviews with six (6) staff revealed that staff intervene with resident’s verbal altercations. LPA Interviewed residents in care and nine (9) out of ten (10) residents stated they don’t have any issues with staff ignoring resident verbal abuse. R1 stated they are being bullied by R7 and R8 and staff are not assisting. Interviews with staff revealed that R1 has been observed being verbally abusive toward residents and staff. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation that Dementia residents are in the Assisted Living unit. LPA interviewed six (6) staff, and it was revealed that all residents are placed based on their needs and service. An interview with S1 revealed that they do not have Dementia residents in the Assisted Living cottage. The residents in the Assisted Living cottage may have mild cognitive impairment. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 56-AS-20250610175523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING
FACILITY NUMBER: 365530159
VISIT DATE: 10/02/2025
NARRATIVE
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Regarding the allegation, residents are unable to watch TV. LPA interviewed ten (10) residents and six (6) staff. During the interview it was revealed that residents have access to watch TV. The interview with residents in care stated residents have their own TV and when they desire, they will watch TV in the activity/Common area. The only issue was with Spectrum power outage or residents might misplace the remote control. Interview with staff revealed that residents have full access to watch TV in the activity/ common area. Staff reported the only issue is residents have misplaced or stolen the remote control. S1 stated due to the issues with the remote control, it is now maintained at the reception desk. Based upon interviews and observation, this allegation is UNSUBSTANTIATED.

Regarding the allegation there is not sufficient staff during meals. LPA interviewed six (6) staff and ten (10) residents. Interviews with 9 out of 10 residents revealed there is sufficient staff during meals. R1 stated they are always served last and seated last. Other residents reported things are good with meals being served in a timely manner. LPA interviewed six (6) staff, and it was revealed that yes, they have their normal call off but when needed they will pull staff from other cottages or units to assist with meals, but it has not been an issue or ongoing problem. Based upon interviews, observation, and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation staff unable to communicate to Spanish speaking residents. LPA observed several Spanish speaking staff interacting and assisting Spanish speaking residents. LPA interview staff and residents and it was revealed that the facility has several staff that are fluent Spanish speaker. Based upon interviews and observation, this allegation is UNSUBSTANTIATED.

Regarding the allegation, food is served cold and burnt. LPA interviewed ten (10) residents and six (6) staff. LPA interview with nine (9) out of ten (10) residents revealed that residents are satisfied with the meals and residents stated cold meals are cold and hot meals are hot. LPA observed the lunch meal being served during today’s visit, and ten (10) out of ten (10) residents were pleased with the meal and the temperature. LPA interviewed six (6) staff and the information from staff revealed meals are served hot and on time, and the meals that are delivered cold are cold meals. Based upon interviews and observation, this allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 56-AS-20250610175523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING
FACILITY NUMBER: 365530159
VISIT DATE: 10/02/2025
NARRATIVE
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Regarding the allegation there is an insufficient table setting during meals. LPA conducted a tour of the kitchen and dining area and observed enough table setting and sufficient eating utensil for residents in care. Interviews with residents and staff revealed the facility does provide sufficient table settings for residents in care. S1 stated the facility has made special arrangements for R1 to eat in the activity room due to conflict with residents but always has enough table settings for residents in care. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation there are dirty dishes and utensils. LPA interviewed ten (10) residents and six (6) staff. The interview with 6 out of 6 staff reveals the facility is good with maintaining clean dishes. If a dirty dish is observed, staff will replace it immediately. S1 stated the only thing they had observed was a dish with a water stain, but not any dirty dishes. The interview with 9 out of 10 residents reveals that the dishes are clean and if they observed dirty dishes staff would replace them. Based upon interviews this allegation is UNSUBSTANTIATED.

Regarding the allegation there are no alternative meals. LPA observed the facility meal schedule post on the facility board, with alternative meal options. During the tour of the facility LPA observed staff asking residents what they would like for lunch and provided residents with several meal choices. Interviews with residents revealed they have several meal choices and options for breakfast, lunch and dinner. LPA interview with staff revealed residents do have alternative meal options such as hamburgers, hot dogs, soups, hot and cold meals. S1 stated, the facility welcomes resident’s suggestion. S1 stated, the only thing we don’t offer is fries due to dietary needs. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation, the facility manager refused to provide contact information. R1 stated, S1 refused to provide the contact information of the owner. S1 stated, they provided the email for R1 to contact the owners of the facility. R1 stated, they had the brochure of the facility which had contact information for the facility as well. LPA asked R1 did they used the information provided to contact the owner and R1 stated they did not have any contact information. Based upon interview and information reviewed, the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 56-AS-20250610175523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING
FACILITY NUMBER: 365530159
VISIT DATE: 10/02/2025
NARRATIVE
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A finding that the complaint is UNSUBSTANTIATED means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations is unsubstantiated at this time.

No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed with, and a copy LIC9099 and LIC9099C was provided to the Administrator Luis Gonzalez.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
06/10/2025 and conducted by Evaluator Lavette Farlow
COMPLAINT CONTROL NUMBER: 56-AS-20250610175523

FACILITY NAME:SUNLIT GARDENS ASSISTED LIVINGFACILITY NUMBER:
365530159
ADMINISTRATOR:DEL JUNCO, TIRSOFACILITY TYPE:
740
ADDRESS:9428 19TH STREETTELEPHONE:
(909) 481-2600
CITY:ALTA LOMASTATE: CAZIP CODE:
91701
CAPACITY:172CENSUS: DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Luis Gonzales, Administrator TIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff unable to communicate to Spanish speaking residents.
Food served cold and burnt.
Insufficient table settings during meals.
Dirty dishes and utensils.
No alternative meals.
Facility manager refuses to provided contact information.
INVESTIGATION FINDINGS:
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***Continuation from LIC9099***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 6