Inspection Reports for Sunnycrest Senior Living

The inspection visit was an unannounced compliance check conducted following a Noncompliance Conference held on May 14, 2025.

During the inspection, a deficiency was cited related to water temperatures in resident bathrooms being below the required minimum, posing an immediate health and safety risk. The facility has implemented some corrective measures including hiring and training new staff and conducting quality assurance audits.

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An unannounced complaint investigation visit was conducted in response to allegations received on 2025-06-04 regarding quality of meals, foul odors, personal privacy, and cleanliness of facility floors at Sunnycrest Senior Living Facility.

The investigation found no evidence to substantiate the allegations. Observations, interviews, and record reviews indicated that meals were of good quality, no foul odors were detected, staff respected residents' privacy, and facility floors were clean and well maintained.

The complaint investigation was unsubstantiated. Allegations included poor meal quality, foul odors, lack of personal privacy, and unclean floors. The Licensing Program Analyst conducted tours, interviews, and record reviews and found no violations.

An unannounced required 1-Year annual visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.

Two Type A deficiencies were cited related to hot water temperatures exceeding safe limits in three rooms and unsecured medications in resident rooms, posing immediate health and safety risks. The facility otherwise met requirements for emergency preparedness, physical plant conditions, and food stock.

An unannounced complaint investigation visit was conducted due to an allegation that facility staff were not abiding by the terms and conditions of the Admission Agreement.

The investigation found that the facility did not provide all cable television channels as stated in the admission agreement, with issues including missing channels, poor picture quality with static interference on several channels, and no sound on one channel in a resident's room. The allegation was substantiated based on evidence gathered.

The complaint was substantiated. The investigation revealed ongoing issues with cable TV service quality since January 2025, verified by residents and staff, with the cable provider having visited multiple times without resolving the problem.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not ensure that a resident was provided a comfortable environment while in care.

The investigation included interviews with residents and staff, a tour of the facility, and review of pertinent documents. The department found no evidence to substantiate the allegation, noting that residents were informed about remodeling activities which did not affect their comfort or care, and the facility maintained appropriate room temperatures.

The complaint was unsubstantiated based on the investigation findings, which included interviews with 6 residents and staff, observations of the facility environment, and temperature measurements within regulatory standards.

The visit was an unannounced required annual inspection conducted to evaluate compliance with regulatory standards.

The facility was found to be in compliance with no deficiencies cited under Title 22 Division 6 of the California Code of Regulations. Two Technical Violation Advisory Notes were provided. The facility was observed to have adequate staffing, clean and well-maintained rooms, operational safety systems, and proper medication and food storage.

An unannounced complaint investigation visit was conducted due to allegations of neglect resulting in multiple falls and injuries to a resident.

The investigation found insufficient evidence to substantiate neglect or lack of supervision by facility staff related to the resident's falls. The resident had an established fall risk and the facility followed the fall prevention plan. The allegation was determined to be unsubstantiated.

The complaint alleged neglect causing a resident to sustain multiple falls resulting in injuries. The investigation included interviews, record reviews, and observations. The resident sustained falls including one on January 1, 2024, resulting in serious injury and subsequent death, but the evidence did not prove neglect by staff.

An unannounced case management visit was conducted for the purpose of issuing a civil penalty concluded during investigation of complaint control #22-AS-20230817163330.

A civil penalty was assessed on the date of the visit. An exit interview was conducted with the Executive Director, who was provided with a copy of the report, appeal rights, and civil penalty assessment documentation.

Visit was complaint-related, conducted following investigation of complaint control #22-AS-20230817163330. Civil penalty was assessed.

The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff did not make medication inaccessible to a resident, resulting in hospitalization.

The investigation found that staff failed to follow medication administration protocols, resulting in Resident 1 ingesting the wrong medication, leading to two hospitalizations and a stroke caused by a missed Eliquis medication dose. Both staff involved were terminated and the allegation was substantiated.

The complaint alleged that staff did not make medication inaccessible to the resident, resulting in hospitalization. The allegation was substantiated based on interviews and record reviews.

An unannounced visit was conducted to deliver findings on an investigation related to medication administration errors involving Resident 1 ingesting another resident's medication.

The facility failed to ensure medications were securely locked and properly administered, resulting in Resident 1 ingesting another resident's medication, becoming lethargic and unresponsive, and requiring hospital transport. The facility was cited for this deficiency under Title 22, Division 6 of the California Code of Regulations.

The investigation was complaint-related, involving medication errors where staff failed to properly supervise medication distribution, leading to Resident 1 ingesting the wrong medication. The complaint was substantiated as evidenced by the cited deficiency.

An unannounced visit was conducted to investigate complaints alleging that a resident's room was in disrepair and that the facility was not adhering to the admission agreement.

The investigation found the allegations to be unsubstantiated after verifying the operation of the resident's room fixtures and reviewing the admission agreement and billing statements. No preponderance of evidence was found to prove or refute the alleged violations.

The complaint investigation was unsubstantiated. Allegations included the resident's room being in disrepair and the facility not adhering to the admission agreement. Evidence did not support these claims.

An unannounced complaint investigation visit was conducted to follow up on allegations received on 2024-01-16 regarding the facility's admission agreement, description of services, additional fees, and medical evaluations prior to admission.

The investigation found all allegations to be unsubstantiated. Resident records reviewed included required medical assessments, and admission agreements on file were valid and unchanged despite a recent change in ownership. Some residents expressed confusion about prospective admission packets and fee statements, but no violations were substantiated.

The complaint investigation was unsubstantiated, meaning the allegations were found to be false, without reasonable basis, or not supported by evidence after review of resident records, interviews with residents and staff, and examination of admission agreements and fee schedules.

The visit was an unannounced complaint investigation conducted to follow up on allegations received on 2023-12-13 regarding staff not assisting residents with bathing needs, residents being billed for services not rendered, and failure to provide residents with a copy of admissions agreements.

The investigation found all allegations to be either unsubstantiated or unfounded. Staff were determined to have provided appropriate assistance and documentation, and billing practices were consistent with the admission agreement terms. No violations were substantiated based on interviews, record reviews, and billing analysis.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Kevin Saborit-Guasch. Allegations included failure to assist residents with bathing, improper billing, and failure to provide admission agreements. The allegation regarding bathing assistance was unsubstantiated, the billing allegation was unsubstantiated, and the failure to provide admission agreement was found to be unfounded.

The visit was an unannounced Case Management inspection conducted due to an investigation related to a complaint concerning a resident's injury and related documentation issues.

The facility failed to submit a written report within seven days regarding a resident's skin tear injury from a fall and lacked an updated Physician’s Report or doctor’s order for a wheelchair. Technical Violation Advisory notes were issued as a result.

Investigation connected to Complaint Control Number: 22-AS-20230911142552. The complaint involved a resident's fall and injury and related documentation deficiencies. Technical Violation Advisory notes were issued.

The visit was an unannounced complaint investigation initiated due to allegations received on 09/11/2023 regarding staff not seeking timely medical attention for a resident, mismanagement of resident's medication, and failure to provide a safe and comfortable environment.

The investigation found insufficient evidence to substantiate allegations related to medical attention, medication management, and environment safety, deeming these allegations unsubstantiated. However, the allegation that the facility is in disrepair was substantiated due to an uneven and unstable backyard patio ground posing a safety risk to a resident with mobility impairment.

The complaint investigation was initiated based on allegations received on 09/11/2023. The allegations included failure to seek timely medical attention, medication mismanagement, unsafe environment, and facility disrepair. The first three allegations were unsubstantiated, while the facility disrepair allegation was substantiated.

An unannounced case management visit was conducted to follow up on a previously referenced complaint regarding the exit gate latch on the left side of the community.

The Licensing Program Analyst observed that the exit gate latch had been vandalized and was bent, preventing proper operation. Maintenance was actively repairing the gate latch during the visit. No health concerns were observed.

An unannounced complaint investigation visit was conducted in response to allegations that facility gates were left unsecured and staff failed to provide a safe and comfortable environment for residents.

The investigation found that the facility gates were unlocked and operational as required for designated exits, with a one-way lock installed to prevent unauthorized entry. The facility was observed to be safe, clean, and comfortable with residents participating in activities and dining. Therefore, the allegations were deemed unfounded.

The complaint investigation was unannounced and based on allegations regarding unsecured facility gates and unsafe environment. The allegations were found to be unfounded, meaning they were false or without reasonable basis.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not meet residents' toileting needs, handled residents in a rough manner, and spoke inappropriately to residents.

After interviews with staff and residents and review of facility records, conflicting statements were found and there was no preponderance of evidence to substantiate the allegations. Therefore, all allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not meeting residents' toileting needs, rough handling of residents, and inappropriate speech. Interviews with 14 individuals provided conflicting statements and could not corroborate the allegations.

An unannounced complaint investigation visit was conducted in response to allegations received on 2022-09-14 regarding insufficient staff, inadequate incontinent care to a resident, and lack of administrator responsiveness to responsible party concerns.

The investigation included interviews with residents and staff, and review of facility and resident records. Conflicting statements were provided by all interviewed individuals, and no corroboration of the allegations was found. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint allegations were: insufficient staff, inadequate incontinent care to a resident, and the Administrator not responding to responsible party concerns. Interviews with 13 individuals showed conflicting statements and no corroboration. Observations during a prior visit showed adequate incontinent care. The Administrator was reported as responsive. The allegations were unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that the facility gate was left unsecured.

The investigation found that the side gate was left ajar on multiple occasions, confirmed by interviews and photographic evidence, posing a potential risk to resident safety. The allegation was substantiated.

The complaint was substantiated based on observations, interviews with five individuals who confirmed the gate was left ajar, and review of records including photographs. The facility failed to ensure the gate was secured at all times.

Unannounced complaint investigation visit conducted in response to allegations received on 09/13/2022 regarding the facility director being impaired while at the facility, failure to treat residents with respect and politeness, and excessive wait times for meals.

The allegation that the facility director was impaired while at the facility was substantiated based on interviews, observations, and record reviews. The allegations that the director did not treat residents with respect and politeness and that residents had to wait excessive amounts of time for meals were unsubstantiated due to lack of corroborating evidence.

The complaint investigation was substantiated for the allegation that the facility director was impaired while at the facility. The other allegations regarding disrespectful treatment of residents and excessive meal wait times were unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that staff do not respond to residents' call buttons in a timely manner.

The investigation included interviews with residents and staff, and review of facility records. Staff response times to call pendants ranged from 1 to 10 minutes with an average just under 5 minutes, though some residents reported longer response times. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff do not respond to residents' call buttons in a timely manner. The allegation was investigated and found to be unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility has inadequate staffing to meet residents' needs.

Interviews with residents and staff, along with a review of facility records, revealed conflicting statements regarding staffing adequacy. The investigation found insufficient evidence to substantiate the allegation, and the complaint was deemed unsubstantiated.

The allegation was that the facility had inadequate staffing to meet residents' needs. Twelve individuals interviewed provided conflicting statements; ten felt staffing was sufficient, while four felt more staff were needed. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation visit was conducted following a complaint received on 12/29/2022 regarding facility kitchen equipment disrepair and other allegations related to food quality, cleanliness, resident safety, communication, and snack availability.

The investigation substantiated the allegation that the facility kitchen equipment is in disrepair, citing a violation of California Code of Regulations. All other allegations regarding food quality, cleanliness, resident safety, communication, and snack quantity were deemed unsubstantiated based on interviews, observations, and record reviews.

The complaint investigation was substantiated for the allegation of kitchen equipment disrepair. Other allegations including food quality, facility cleanliness, resident safety, communication, and snack quantity were unsubstantiated. The investigation included interviews with residents and staff, review of facility and resident records, and facility tours.

An unannounced complaint investigation visit was conducted in response to allegations received on 07/28/2022 regarding staff mismanagement of resident's medication, unsafe environment, dehydration, and unkempt resident room.

The investigation included interviews with residents and staff, and review of records. Conflicting statements were found and no corroboration of allegations was established. Observations showed the facility and resident rooms were clean and well-maintained. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff mismanagement of medication, unsafe environment, dehydration, and unkempt resident room. No evidence was found to prove these allegations.

An unannounced complaint investigation visit was conducted to investigate the allegation that the facility did not properly notify a resident of a rate increase.

The investigation included interviews, record reviews, and communication analysis. Conflicting statements were found and there was insufficient evidence to substantiate the allegation. The complaint was deemed unsubstantiated.

The complaint alleged the facility failed to properly notify a resident of a rate increase. The investigation reviewed level of care assessments, invoices, and email communications. The facility waived additional charges for the resident due to notification concerns. The allegation could not be corroborated and was unsubstantiated.

The inspection was an unannounced complaint investigation triggered by allegations including ants in a resident's room, exposure to hazardous chemicals, medication mismanagement, and failure to change resident's bedding.

The investigation substantiated the allegations, finding that ants were present in a resident's bed, staff sprayed ant poison without removing the resident, medication was mismanaged resulting in a double dose given to the resident, and bedding was not changed promptly after contamination. These conditions posed immediate health, safety, and personal rights risks.

The complaint investigation was substantiated based on interviews and record reviews. The allegations included ants in the resident's room, hazardous chemical exposure, medication errors, and failure to change bedding. The findings confirmed these issues and posed immediate health and safety risks.

This unannounced site visit was made for the purpose of a case management visit to amend a prior report dated September 24, 2022 regarding complaint control number 22-AS-20220823113818 and to address the plan of corrections for two deficiencies cited on that date.

The Executive Director indicated that the two deficiencies cited in the prior complaint report have been corrected. An exit interview was conducted and a copy of the report was provided to the Executive Director.

The visit was related to complaint control number 22-AS-20220823113818. The purpose was to amend the prior report and verify correction of two deficiencies cited on September 24, 2022. The deficiencies were reported as corrected.

Unannounced complaint investigation visit conducted due to multiple allegations received on 02/28/2022 regarding resident care issues including injuries, rough handling, insufficient staff, and inadequate cleaning.

The investigation substantiated several allegations including that a resident sustained multiple skin tears due to improper care and rough handling by staff, insufficient staffing to provide required two-person lifts, inadequate incontinent care, and failure to clean the resident's room and bathroom. One allegation regarding failure to feed the resident was found to be unfounded.

The complaint was substantiated based on a preponderance of evidence. Allegations included resident sustaining multiple injuries, rough handling by staff, insufficient staffing, inadequate incontinent care, and unclean living conditions. One allegation about staff not feeding the resident was found to be unfounded.

This unannounced site visit was made for the purpose of a case management visit following a substantiated complaint dated 09/01/2022.

Two deficiencies were cited on Section 87311 and Section 87468.1(a), initially classified as Type A violations but later lowered to Type B violations after an amended report was provided.

Complaint control number 22-AS-20220826102143 was substantiated on 09/01/2022, leading to the citation of two deficiencies.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not respond to a resident call button and did not adequately assist the resident with showering.

The investigation found that the resident fell and was assisted appropriately by staff, and that the resident was independent in bathing and showering. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations that staff did not respond to a resident call button and did not adequately assist the resident with showering. The allegations were found unsubstantiated after investigation, including interviews and record reviews.

An unannounced complaint investigation visit was conducted in response to allegations including roaches in a resident's room, facility cleanliness issues, disrepair of resident's closet and blinds, and unsecured front doors.

The investigation substantiated the allegations that the resident's room had roaches, the facility was dirty, the resident's closet and blinds were in disrepair, and staff did not ensure the front doors were locked for resident safety. One allegation regarding a resident not having a key to lock her room was found to be unfounded.

The complaint investigation was substantiated for allegations of roaches in a resident's room, facility dirtiness, disrepair of resident's closet and blinds, and unsecured front doors. The allegation that staff did not ensure the resident had a key to lock her room was unfounded.

An unannounced complaint investigation visit was conducted in response to allegations that staff were not assisting residents in a timely manner.

The investigation substantiated that staff were not assisting residents promptly due to a malfunctioning auditory call system installed on November 8, 2021, which caused delays in staff response to resident calls for assistance.

The complaint investigation was substantiated. Residents reported long wait times for staff assistance, with some waiting up to one hour. The malfunctioning auditory call system was identified as the cause of delayed staff response.

An unannounced complaint investigation visit was conducted following a complaint received on 08/30/2022 regarding medication technicians not being properly trained and staff not administering residents' medication as prescribed.

The allegation that medication technicians are not properly trained was substantiated based on observations and interviews, including a new medication technician failing to keep the medication cart with her and not knowing resident details. The allegation that staff are not administering medication as prescribed was found unsubstantiated after review and interviews.

The complaint investigation was substantiated for the allegation that medication technicians are not properly trained. The allegation that staff are not administering resident's medication as prescribed was unsubstantiated.

An unannounced complaint investigation was conducted following allegations that the facility mismanaged a resident's medication and failed to provide competent staff to meet resident needs.

The investigation substantiated that a medication technician gave a resident another resident's medications due to medication carts being labeled by room number only, posing an immediate health and safety risk. The facility staff failed to demonstrate competency in medication dispensing.

The complaint investigation was substantiated based on evidence that a medication technician gave the wrong medications to a resident and failed to use the medication cart with laptop to verify medications. The facility failed to provide competent staff to meet resident needs.

An unannounced complaint investigation visit was conducted in response to an allegation of lack of care and supervision resulting in a resident falling.

The investigation found that Resident 1 fell multiple times due to weakness and balance issues, staff promptly called 911 emergency personnel, and the complaint was determined to be unfounded as the allegation was false or without reasonable basis.

The complaint was investigated and determined to be unfounded, meaning the allegation was false, could not have happened, and/or was without reasonable basis. Resident 1 was interviewed and staff actions were verified.

An unannounced visit was conducted to investigate a complaint alleging that staff did not provide resident records to the resident's authorized person.

The allegation that staff did not provide resident records to the resident's authorized person was substantiated based on observations, document review, and interviews. The facility failed to provide the August invoice to the resident's responsible party despite multiple requests, posing a potential health and safety risk.

The complaint alleging that staff did not provide resident records to the resident's authorized person was substantiated after investigation. The preponderance of evidence standard was met.

An unannounced visit was conducted to investigate a complaint alleging that staff did not ensure the facility was free from pests.

The investigation substantiated the allegation that the facility was not free from pests, with multiple staff and a witness reporting roach sightings in various areas of the facility. A deficiency was cited for failure to maintain a clean, safe, and sanitary environment.

The complaint was substantiated based on observations and interviews. Staff and a witness reported roach sightings in the kitchen, bathroom, Bistro area, and resident apartments. The Building Services Director acknowledged the issue and scheduled extermination services.

The inspection was an unannounced visit to investigate a complaint received on 2022-08-26 regarding the facility not having a working telephone on the premises and the back entrance being unlocked at night.

The investigation substantiated the allegations that the facility phones were not working on August 25, 2022, due to staff forgetting to charge cordless phones, and that the back entrance was unlocked and propped open by a rock at night, posing an immediate health and safety risk to residents.

The complaint was substantiated based on interviews and observations. The facility did not have working telephones on August 25, 2022, and the back entrance was unlocked and propped open at night, posing immediate health and safety risks.

The visit was an unannounced Case Management visit conducted to inform the Executive Director of the facility's overdue annual fees and to provide payment instructions.

No deficiencies were issued during this Case Management visit. The Executive Director was provided with a copy of the Facility Transaction History and payment instructions for the overdue fees.

This informal conference was conducted virtually to discuss proof of corrections for a recent visit to the facility as well as concerns and deficiencies issued to the facility.

The facility was found to have staffing issues impacting assistance to residents with activities of daily living, including missed medications, absence of showers, missed laundry, dining, and housekeeping. The licensee agreed to provide a staffing plan and updated personnel reports, and the Department will conduct additional visits over the next six months.

The visit was a case management follow-up on an incident report received by the Regional Office dated July 13, 2022, regarding an incident that occurred on July 1, 2022.

No deficiencies were observed during the visit. The resident involved in the incident was present and interviewed. An exit interview was conducted and a copy of the report was provided to the Business Office Director.

An unannounced complaint investigation visit was conducted following a complaint received on 2022-06-21 regarding insufficient staffing and failure to provide assistance with medications as prescribed.

The investigation substantiated that the facility did not have sufficient staff and failed to assist thirty-eight residents with their morning medications on June 19, 2022. The facility acknowledged the staffing shortage and the missed medications, which posed an immediate health and safety risk to residents.

The complaint alleged insufficient staff and failure to provide medication assistance. The investigation found these allegations substantiated based on interviews, observations, and documentation. The preponderance of evidence standard was met.

This unannounced case management visit was conducted to follow up on a death reported to Community Care Licensing on 05/02/22 for a resident who died on 05/01/22.

During the visit, documents related to the deceased resident were reviewed and staff were interviewed. No deficiencies were cited based on the information available at the time of the review.

Licensing Program Analyst Kathrina Chin conducted an unannounced required annual inspection of the Sunnycrest Senior Living Facility to assess compliance with regulatory standards.

The facility was found to be in good repair with operational safety alarms, adequate food stock, and proper infection control measures. No deficiencies were cited during this review as per Title 22 of the California Code of Regulations.

This unannounced case management visit was conducted as a follow-up to an incident report regarding a resident's death on 12/5/2021.

No deficiencies were cited based on the information available at the time of the visit per Title 22 of the California Code of Regulations.

This unannounced case management visit was conducted to follow up on an incident reported on 11/9/2021 regarding multiple falls concerning resident 1.

The facility failed to report the incident within seven days when resident 1 sustained an unwitnessed fall on 11/9/2021 and 911 emergency personnel was contacted. A deficiency was cited for this failure as per Title 22 of the California Code of Regulations.

Visit was complaint-related following a report on 11/9/2021 about multiple falls concerning resident 1. The facility did not report the incident to the licensing agency within the required timeframe.

Licensing Program Analyst Michelle Reed made an unannounced visit to the facility to conduct an Annual visit.

The facility was found to be clean and sanitary with Covid precautions in place, including signage, sanitization stations, PPE supply, and screening procedures. No deficiencies were noted during the visit.