Inspection Reports for Sun City Gardens

The inspection was an unannounced complaint investigation visit triggered by multiple allegations regarding staff not providing prescribed modified diet, inadequate room cleaning, lack of assistance with personal hygiene care, improper medication dispensing, and untimely medication refills for a resident.

The investigation found that the allegations were unsubstantiated. Staff provided thickened liquids as prescribed, rooms were regularly cleaned, personal hygiene care was provided with some duties handled by hospice staff, medications were administered as prescribed, and medication refills were the responsibility of the family or responsible party with no missed medications noted.

The complaint investigation was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to provide modified diet, inadequate room cleaning, lack of personal hygiene assistance, improper medication dispensing, and delayed medication refills. All were found unsubstantiated after review.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was retaining a resident who requires a higher level of care.

The investigation found that the resident in question was initially capable of self-care but later required a social worker and Power of Attorney for financial and medical affairs. The facility worked with Adult Protective Services and the resident's family to appoint a responsible party. The resident now resides in the facility's memory care unit and is well cared for. The allegation was deemed unsubstantiated due to insufficient evidence.

The complaint alleged that the facility was retaining a resident requiring a higher level of care. The investigation included interviews, record reviews, and observations. The complaint was found unsubstantiated.

An unannounced case management visit was conducted to check on the health, safety, and welfare of clients in care at the facility.

One deficiency was issued related to facility staff providing care outside of their scope, specifically med techs administering insulin injections without a skilled professional license. No immediate health and safety concerns were observed during the visit.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained unexplained injuries while in care.

The investigation involved interviews with staff and review of records, including hospice notes and interviews with hospice nurses. The bruises observed on the resident could not be conclusively explained or attributed to any cause. The allegation was determined to be unsubstantiated due to lack of corroborating evidence.

The complaint alleged that a resident sustained unexplained injuries while in care. The investigation found no corroborating evidence to determine the cause or source of the bruises, resulting in an unsubstantiated finding.

An unannounced complaint investigation was conducted due to an allegation that a resident sustained pressure injuries due to neglect while in care.

The investigation included interviews and record reviews which found no documentation or staff recollection supporting the allegation that the resident sustained pressure injuries while at the facility. The complaint was determined to be unsubstantiated.

The complaint alleged neglect resulting in pressure injuries to a resident. After review of records and staff interviews, the allegation was found unsubstantiated due to lack of evidence.

An unannounced complaint investigation visit was conducted to investigate allegations that facility staff failed to keep the facility free of pests including gnats, bed bugs, and maggots.

The investigation found evidence of dead bed bugs and insects in certain rooms, corroborated by some residents and staff acknowledging the pest issue. The facility has an ongoing pest control contract and is actively treating the infestation. The allegation was substantiated based on observations, interviews, and records reviewed.

The complaint was substantiated. The investigation included interviews with six staff members and eight residents, review of pest control service reports, and a tour of affected rooms and common areas. Evidence supported the allegation of pest infestation.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff did not timely replace a light bulb in a resident's room, which affected the resident's ability to see to get to the restroom.

The investigation found that the resident's room had two lamps with working light bulbs and the hallway light illuminated the pathway to the restroom. There was no service request for light bulb replacement, and a family member reportedly replaced the bulb. The allegation was determined to be unsubstantiated due to lack of evidence.

The complaint alleged staff did not replace a light bulb in Resident #1’s bedroom due to an outage, impacting the resident's ability to see to get to the restroom. The allegation was unsubstantiated after investigation.

An unannounced complaint investigation was conducted regarding allegations of wrongful eviction and staff retaliation against a resident for complaining.

The investigation found that the resident in question does not reside in the regulated assisted living or memory care areas but in the independent living area, which is not under the jurisdiction of the licensing agency. The complaint was determined to be unfounded.

The complaint alleged wrongful eviction and staff retaliation against a resident for complaining. The complaint was investigated and found to be unfounded.

An unannounced annual inspection was conducted by Licensing Program Analyst Yolanda Delgado to evaluate compliance with state regulations and facility requirements.

The facility was found to be in compliance with all reviewed areas including resident records, physical plant safety, food service, and employee records. No deficiencies were cited during this inspection.

An unannounced complaint investigation was conducted in response to an allegation that facility staff did not provide adequate supervision to a resident who eloped multiple times, including being found on the freeway.

The investigation found that the resident in question resided in an independent living unit, which is outside the department's jurisdiction. Therefore, the allegation of inadequate supervision was determined to be unfounded.

The complaint alleged that Resident #1 eloped multiple times due to lack of adequate supervision and absence of a security guard during night hours. The allegation was investigated through observations, interviews, and records review and was found to be unfounded.

The inspection visit was an unannounced complaint investigation triggered by an allegation that facility staff did not dispense medications as prescribed.

The investigation found that Resident One (R1) had not been receiving their prescribed medication for months due to staff only administering medications listed on the MAR, which did not include the updated dosage. The allegation was substantiated based on interviews, observations, and records review.

The complaint investigation was substantiated. The allegation was that facility staff did not dispense medications as prescribed. Evidence showed Resident One did not receive the prescribed medication with the correct dosage for months.

An unannounced complaint investigation was conducted due to an allegation that a resident sustained pressure injuries and bruises due to neglect.

The investigation found that the resident was admitted with wounds and bruises present, and the allegation of neglect causing these injuries was determined to be unfounded.

The complaint alleged neglect resulting in pressure injuries and bruises to a resident. The investigation concluded the complaint was unfounded as the resident had the wounds upon admission.

An unannounced visit was conducted regarding an open complaint currently under investigation related to deficiencies in care for residents with dementia.

The inspection found that Resident One's Physician Report was last dated 08/10/2020, and an updated annual Physician's Report was not available as required for residents diagnosed with dementia, constituting a deficiency under Title 22 Regulation 87705(c)(5).

The visit was complaint-related and is currently under investigation.

An unannounced complaint investigation visit was conducted regarding allegations that staff did not ensure a resident's room was free of rodents and that staff were not providing a healthful environment for the resident.

The investigation found that the resident in question lives in the facility's independent living units, which are not licensed by the Department and Community Care Licensing does not have jurisdiction over them. Therefore, the allegations were deemed unfounded.

The complaint was investigated and deemed unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention for a resident and that a resident was exposed to hazardous gas while in care.

The investigation found that the resident involved lives in the independent living section of the facility, which is outside the jurisdiction of the Community Care Licensing Division. Therefore, the complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.

The complaint was received on 2024-02-26 alleging staff did not seek medical attention for a resident and that the resident was exposed to hazardous gas. The complaint was investigated and found to be unfounded due to jurisdictional limitations.

The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.

The facility was found to be in good condition with no regulation violations observed. The physical plant was neat and orderly, safety equipment was functional, and required documentation and procedures were in place and reviewed.

An unannounced complaint investigation was conducted following a complaint alleging the facility did not provide the responsible party of a resident a 60-day written notice of a new charge and did not include new charges in the resident's admission agreement.

The investigation found that the resident in question was not residing in the licensed facility but in an independent living unit not licensed by the Department. Therefore, the complaint was deemed unfounded as the Department did not have jurisdiction over the unit.

The complaint was unsubstantiated and deemed unfounded because the resident was not listed as residing in the licensed facility, and the Department does not have jurisdiction over the independent living unit where the resident lived.

An unannounced complaint investigation visit was conducted in response to allegations including an uncleared adult providing care to residents and financial abuse of a resident by staff.

The investigation found that the alleged uncleared adult was not working in the licensed facility but was a private caregiver contracted by a resident in the independent living unit, which is not licensed by the Department. The financial abuse allegation was also unfounded as the resident resides in the independent living unit outside the Department's jurisdiction. Therefore, all allegations were deemed unfounded.

The complaint investigation was triggered by allegations that an uncleared adult was providing care to residents and that a resident was being financially abused by staff. Both allegations were investigated and found to be unfounded due to jurisdictional and staffing clarifications.

An unannounced complaint investigation was conducted due to allegations including staff not responding to resident call buttons and not safeguarding residents' personal property.

The investigation substantiated that there were insufficient working pagers for staff to respond timely to residents' calls, and mail delivery to residents was inconsistent, posing personal rights risks. Other allegations regarding toilet support, bathroom accessibility, and answering the facility phone were found unsubstantiated.

The complaint was substantiated based on the preponderance of evidence for allegations related to call button response and mail delivery. Other allegations regarding toilet support, bathroom entry, and phone answering were unsubstantiated.

The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensing approval.

The facility was found to be clean, well-maintained, and compliant with safety regulations including operable smoke alarms, fire extinguishers, and carbon monoxide detectors. The signal system was operable and staffing levels were deemed sufficient for resident needs.