374603793-7-11-2024-08-AS-JLOT-D7HT54-20240725142454

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603793
Report Date: 07/11/2024
Date Signed: 07/11/2024 09:38:33 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
01/26/2023 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20230126083528

FACILITY NAME:	SUNRISE OF SABRE SPRINGS		FACILITY NUMBER:	374603793
ADMINISTRATOR:	JESSICA ZEPEDA		FACILITY TYPE:	740
ADDRESS:	12515 SPRINGHURST DR		TELEPHONE:	(858) 391-9160
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY:	0	CENSUS: 0	DATE:	07/11/2024
		UNANNOUNCED	TIME BEGAN:	08:30 PM
MET WITH:	Facility Closed- Report Mailed to Last Known Address		TIME COMPLETED:	09:30 PM

ALLEGATION(S):

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Licensee failed to provide resident’s representative with notice of rate increase.
Licensee did not provide resident/POA with an itemized bill.

INVESTIGATION FINDINGS:

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The following determination of findings has been made by Licensing Program Analyst (LPA) Nacole Patterson regarding the above allegations. The facility closed on 3/15/24 due to a change of ownership, and this report was mailed to the last known address on record for the former licensee regarding the findings.

On 1/26/23 it was alleged that Licensee failed to provide resident’s representative with notice of rate increase, and Licensee did not provide resident/POA with an itemized bill. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, and interviews with facility staff and outside sources. Staff interviews revealed that during the timeframe of the complaint the facility was in transition with a new billing company, which resulted in certain billing errors and delays in processing. Staff interviews revealed that the Licensee was in process of correcting the issues with residents and families. Review of outside source and facility records revealed that the billing for the resident in question increased inconsistently with the resident's agreed upon rate.
(Continued on LIC9099-C p.1f)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

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-20230126083528

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 OF SABRE SPRINGS	FACILITY NUMBER: 374603793
	VISIT DATE: 07/11/2024

NARRATIVE

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(Continued from LIC9099)

However, additional interviews showed that the increase was due to the aforementioned billing issues, and the Licensee refunded the resident once the error was found. Additional records review corroborated that the Licensee refunded the resident/POA.

Review of outside source and facility records revealed that the resident in question was provided an itemized bill each month for the services charged. Although certain charges were incorrect due to the aforementioned billing issues, the invoices included an itemized list of the services being charged to the resident.

Based on interviews, and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were mailed to the last known address on file for the facility.

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

LIC9099 (FAS) - (06/04)

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