374603395-7-2-2024-08-AS-SJAB-D9LT2J-20240930142050

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603395
Report Date: 07/02/2024
Date Signed: 07/02/2024 02:14:55 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2022 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20220429162023

FACILITY NAME:	SUNRISE ASSISTED LIVING AT LA JOLLA		FACILITY NUMBER:	374603395
ADMINISTRATOR:	RICHARDSON, PAUL		FACILITY TYPE:	740
ADDRESS:	810 TURQUOISE ST		TELEPHONE:	(858) 488-4300
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92109
CAPACITY:	76	CENSUS: 58	DATE:	07/02/2024
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Jennie Ayersman, Business Office Director		TIME COMPLETED:	11:28 AM

ALLEGATION(S):

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Staff mismanaged resident's medication
Staff overcharged resident
Staff failed to provide activities for resident
Staff failed to meet resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced complaint investigation visit at the facility. LPA was greeted at the front entrance by Jennie Ayersman, Business Office Director and granted entry after identifying herself. LPA Holmes explained the purpose of the visit was to deliver findings for the above allegations.

The Department’s investigation consisted of record reviews, interviews with staff and outside sources.

It was alleged that staff mismanaged resident's medication. Records reviewed revealed that the residents are all given their medications as prescribed by the doctor. Interviews revealed that the residents get their medications and that they don't have any issues regarding the medications. Interviews revealed all staff have been trained on how to issue medications to the residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

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 08-AS-20220429162023

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SUNRISE ASSISTED LIVING AT LA JOLLA	FACILITY NUMBER: 374603395
	VISIT DATE: 07/02/2024

NARRATIVE

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It was alleged that staff overcharged resident. Interviews revealed the resident has not been over charged. All residents are charged by their needs which are reviewed upon their assessments. Interviews revealed any charges the residents receive it is for services that have been rendered. Upon moving in, the residents are all assessed and after the assessment the staff know how to meet the residents.

It was alleged that staff failed to provide activities for resident. Interviews revealed the facility has activities for the residents. Interviews revealed the activities are readily available for the residents when they want to do an activity. There is a calendar with activities for every day that a resident wished to do an activity. Residents are encouraged to participate in activities but they are never made too. After a records review, there was a form that was filled out stating what the resident enjoyed and did not enjoy doing.

It was alleged that staff failed to meet resident's needs. Interviews revealed the staff meet their needs by giving them things they need and or when they ask. Interviews revealed that staff come quickly and assist them. Interviews revealed staff noticed a change in R1s behavior and therefore they requested the assistance of a doctor for them. According to Doctors orders their medication was changed due to the resident and their wishes.

The Department has investigated the allegations listed above. Based on evidence obtained, including interviews and records reviewed, the above allegations are determined to be unsubstantiated as the Department could not meet the preponderance of the evidence standard. An exit interview was conducted with Jennie Ayersman, and a copy of this report,and Licensee/Appeals Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

LIC9099 (FAS) - (06/04)

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