Inspection Reports for Sundial

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-04-23 regarding staff not taking steps to prevent the spread of communicable disease, inadequate staff training, and insufficient Personal Protective Equipment (PPE) supplies.

The investigation substantiated all allegations: staff failed to prevent the spread of MRSA among residents, did not provide formal training to staff on MRSA care, and did not ensure adequate PPE supplies were available to staff. These deficiencies posed immediate risks to residents.

The complaint was received on 2025-04-23 alleging staff did not prevent the spread of communicable disease, failed to properly train staff, and did not ensure adequate PPE supplies. The investigation found these allegations substantiated based on interviews, observations, and record reviews.

A Case Management visit was conducted during the investigation of complaint #59-AS-20250423134418, which determined that the licensee/administrator did not request an exception for two residents diagnosed with MRSA.

The allegation that the licensee/administrator failed to request an exception for residents with Methicillin-Resistant Staphylococcus Aureus (MRSA) was substantiated based on observations, interviews, and record reviews.

Complaint #59-AS-20250423134418 was investigated and found substantiated.

An unannounced complaint investigation visit was conducted in response to allegations received on 2025-02-13 regarding residents' personal rights and food service at Sundial Assisted Living Facility.

The investigation found the allegations of residents not being accorded dignity in personal relationships with staff and not being provided meals of their choice to be unsubstantiated due to lack of preponderance of evidence. Residents reported feeling safe, comfortable, and content in placement.

Complaint allegations involved Personal Rights and Food Service. Both allegations were found unsubstantiated after interviews and observations during the investigation.

An unannounced complaint investigation was conducted in response to allegations received on 2024-10-24 regarding resident care issues including pressure injuries, medication distribution, call button response, incontinence care, and staff training.

The investigation found insufficient evidence to prove or disprove the allegations. Interviews and record reviews did not corroborate the complaints, resulting in all allegations being unsubstantiated.

The complaint investigation addressed multiple allegations including a resident developing a pressure injury, improper medication distribution, delayed response to call buttons, unmet incontinence needs, and inadequate staff training. All allegations were found unsubstantiated due to lack of corroborating evidence.

The inspection visit was an unannounced complaint investigation triggered by an allegation that staff stole a resident's medication.

The investigation substantiated the complaint based on review of submitted documentation and interviews. The alleged staff member was searched with no medication found and subsequently vacated the caregiver position. The facility was educated on ensuring staff competency to meet resident needs.

Complaint was substantiated. The allegation was that staff stole resident's medication. The investigation included interviews with the Administrator and a resident, review of documentation, and observation. The alleged staff member vacated the position.

The inspection was conducted unannounced on September 19, 2024, to review the facility's Plan of Correction.

The Licensing Program Analyst reviewed the entire Plan of Correction and found it appropriate. No deficiencies were observed or cited during this Plan of Correction inspection.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-08-22 regarding resident care and staff practices at Sundial Assisted Living Facility.

The investigation found all complaint allegations unsubstantiated except for one substantiated deficiency related to failure to properly report incidents to the Community Care Licensing Division. The substantiated deficiencies included failure to report incidents, leaving a resident on the commode for a long period, and failure to properly charge and maintain oxygen equipment.

The complaint investigation was triggered by allegations including residents not being changed timely, insufficient hydration, improper blood sugar checks, medication charting errors, missing narcotics, oxygen equipment neglect, medication refill failures, and staff COVID-19 positive status. All these allegations were found unsubstantiated except for the failure to properly report incidents, leaving a resident on the commode for a long time, and oxygen equipment issues which were substantiated.

The inspection was a required 1-year unannounced visit to evaluate compliance with licensing regulations at Sundial Assisted Living Facility.

The facility was generally clean and well-maintained with appropriate safety measures and supplies. However, a deficiency was found where 2 out of 5 residents did not have their prescribed medications secured or accounted for, posing a potential health and safety risk.

The visit was an unannounced pre-licensing inspection conducted to evaluate the facility's readiness for licensing.

The facility was found to be in substantial compliance with all physical plant requirements and other inspection criteria during the pre-licensing inspection.

report_8_455002959_inx7_2024-09-09.pdf