Inspection Reports for Sunny View Care Center

The visit was an unannounced complaint investigation triggered by an allegation that facility staff were not addressing a resident's right to be free from emotional and sexual abuse.

After interviewing staff, residents, and reviewing records, the Department found no evidence to substantiate the allegations of emotional and sexual abuse between residents R1 and R2. The complaint was determined to be unsubstantiated with no deficiencies cited.

The complaint alleged that facility staff were not addressing resident R1 from receiving emotional and sexual abuse from resident R2. Multiple staff and residents were interviewed, and no evidence was found to support the allegations. The findings were unsubstantiated.

The visit was an unannounced case management inspection to amend a previously closed complaint investigation (LIC9099 and LIC9099-D) issued on August 22, 2025, due to new information provided to the Department.

No deficiencies were cited during this visit. The report was reviewed with the facility Administrator Bradley Burgoyne, and a signed copy was provided.

The complaint investigation closed on August 22, 2025, was amended and re-opened due to new information provided to the Department.

The inspection was an unannounced continuation of the Required 1 Year annual visit to evaluate compliance with licensing requirements at the Sunny View Retirement Community Facility.

The inspection included a tour of the facility and review of medication storage and safety measures. One deficiency was cited regarding accessible prescription medication in a resident's room, posing an immediate health and safety risk.

Licensing Program Analyst Simi Rai conducted an unannounced Required 1 Year visit to evaluate the facility's compliance with licensing requirements.

During the visit, the analyst toured the facility, observed that exits were clear of obstruction, and reviewed records for 5 staff and 5 residents. The fire extinguisher was inspected on 03/07/2025. The annual inspection was not completed and will be continued on another day.

The visit was a continuation of the annual inspection conducted unannounced to review compliance with personnel requirements and medication management.

Deficiencies were cited related to personnel competency and medication administration discrepancies, including extra tablets found in a resident's medication bottle and failure to administer medication, posing immediate health and safety risks.

An unannounced Required 1 Year visit was conducted to evaluate the facility's compliance with licensing regulations.

The Licensing Program Analyst toured the facility including resident bedrooms, kitchen, and outside areas, noting that exits were clear, food supplies were adequate, medications and sharps were secured, and safety equipment such as fire extinguishers and carbon monoxide detectors were in working order. The water temperature in bathrooms was measured and disaster drills were up to date.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 08/10/2023 regarding the facility's failure to ensure resident safety, resulting in a resident sustaining an injury.

The investigation found that resident R1 had multiple falls and injuries, including a comminuted distal femur fracture. Despite the incidents, the allegations were unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.

The complaint alleged the facility did not ensure resident safety, resulting in injury to resident R1. The investigation included review of incident reports, hospital records, staff interviews, and resident history. The allegations were found unsubstantiated.

The visit was a case management follow-up to address information obtained during a complaint investigation conducted on 08/10/2023 regarding the use of bed rails without a physician's order.

The investigation found that resident R1 did not have a physician's order for the use of bed rails, and the Service Plan did not adequately address R1's history of falls or how the facility would meet R1's fall-risk behavior. Deficiencies were cited related to these issues.

The visit was triggered by a complaint investigation regarding the use of bed rails without a physician's order. The complaint was substantiated as deficiencies were cited.

The visit was an unannounced case management follow-up on an incident that occurred on 2023-08-17, when a resident (R1) left the facility unassisted on an electric scooter after cutting off the wander guard.

The facility failed to provide adequate care and supervision to meet R1's needs, as staff were unaware that R1 had left the facility unassisted, posing an immediate health, safety, and personal rights risk. The Director of Health Services and Executive Director agreed with the findings.

An unannounced Case Management visit was conducted to deliver a letter of exclusion for facility staff member S1.

No deficiencies were cited during this visit as per California Code of Regulations Title 22. The exclusionary letter was delivered and acknowledged by the facility administrator.

The purpose of this Technical Assistance PCC Tele visit was to review the facility COVID-19 infection mitigation plan, ensure the plan is being carried out, and provide support and guidance to staff in mitigating the spread of the virus.

The inspection found that the facility had COVID-19 signage and screening procedures in place, with dining and activity rooms closed and social distancing maintained. Some trash bins lacked covers, and recommendations were made to replace them with covered or foot pedal bins. Staff demonstrated proper donning and doffing of PPE, with suggestions to ensure N95 masks are worn securely. No deficiencies were cited during the tele-visit.

An unannounced Infection Control site visit was conducted as a required 1-year routine inspection to evaluate the facility's compliance with infection control policies and procedures.

The facility was observed to have appropriate infection control measures in place, including symptom screening, mask usage, hand sanitizers, social distancing markers, and secured medications. No deficiencies were issued per Title 22 of the California Code of Regulations.

The visit was an unannounced Case Management tele-visit as a follow-up on the case management conducted on 10/08/20 regarding the death of a resident on 10/05/20.

No deficiencies were cited during the tele-visit. The resident's cause of death was determined to be complications of a clinically diagnosed neurologic disorder based on the death certificate received.

The visit was a Case Management - Other type conducted via tele-visit to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.

The virtual tour observed COVID-19 postings, screening stations, hand sanitizers, social distancing, and mask usage. Recommendations included designating an area for COVID-19 positive residents with dedicated staff and replacing trash bins with foot-operated lidded cans to prevent cross contamination.