Inspection Reports for Sunol Creek Memory Care

The inspection was conducted as a Case Management Inspection in response to an incident report received on 2025-10-22 regarding a resident who left the facility unassisted.

The inspection found that resident R1 left the facility without staff knowledge, posing a potential health and safety risk. The facility failed to comply with the requirement to regularly observe residents for changes in functioning, resulting in a cited deficiency.

The visit was triggered by a complaint/incident report received on 2025-10-22 concerning resident R1 attempting to open a window and subsequently leaving the facility unassisted. The complaint was substantiated by the findings.

The inspection was conducted as a case management visit in response to an incident report received on 2025-07-09 involving two residents exhibiting increased anxiety and physical interaction.

The investigation found that the incident involved resident R1 showing increased anxiety and yelling, with resident R2 attempting to calm R1 but grabbing R1's wrist. Staff intervened immediately, and no injuries were observed. Both residents' families and doctors were notified, and medication changes were made. No deficiencies were cited during this visit.

The visit was complaint-related due to an incident report. The complaint was investigated and found to have no injuries or deficiencies. Residents did not recall the incident afterwards.

The inspection was conducted as a case management visit in response to an incident report received on 2025-04-14 regarding a resident who was hospitalized with C. Diff infection.

The Licensing Program Analyst reviewed the resident's files and discharge summary, confirming medication treatment and staff monitoring of the resident's condition. No deficiencies were cited during this visit.

The visit was triggered by an incident report about resident R1 who was transported to the hospital due to lethargy, lack of appetite, and diarrhea, and diagnosed with C. Diff. The resident was placed in isolation with PPEs provided.

The inspection was an unannounced Required - 1 Year inspection conducted to evaluate compliance with licensing requirements at the memory care facility.

The Licensing Program Analysts toured the facility and reviewed resident and staff records, medications, and safety features. No deficiencies were cited during this inspection.

The inspection was conducted as a case management visit in response to an incident report received on 2024-10-25 regarding 8 residents missing their bedtime medications on 2024-10-19.

The investigation found that 8 residents missed their bedtime medications due to medication technician miscommunication and a misconception about crushed medications. No adverse reactions occurred. A deficiency was cited for failure to administer medication according to physician's orders, posing an immediate health and safety risk.

The visit was complaint-related based on an incident report about missed medications. The deficiency was substantiated as the licensee did not comply with medication administration requirements.

The inspection was conducted as a Case Management Inspection in response to an incident report received on 2024-08-29 regarding a resident who wandered off the facility without staff knowledge.

The investigation found that resident R1, who has a history of wandering behaviors, was missing during a head count after a delayed egress alarm. Staff did not see any residents outside initially. The facility was cited for failure to provide adequate care and supervision, posing a potential health and safety risk.

The visit was complaint-related based on an incident report received on 2024-08-29. The deficiency was substantiated as the resident was found outside the facility without staff knowledge.

The inspection was conducted as a case management visit in response to an incident report received on 2024-09-26 regarding a resident diagnosed with scabies following a dermatologist visit.

The Licensing Program Analyst reviewed the resident's medical and care records, interviewed staff, and found that the resident was appropriately seen by doctors and treated for a rash starting in August 2024. No deficiencies were cited during this inspection.

The visit was triggered by an incident report alleging a resident was diagnosed with scabies. The investigation found the resident was treated timely and appropriately with no deficiencies cited.

The inspection was conducted as a case management visit in response to an incident report received on 2024-06-25 regarding a resident's injury.

The Licensing Program Analyst reviewed the resident's medical records and interviewed staff, confirming the resident had a closed fracture and was given PRN medications for pain. No deficiencies were cited during this visit.

The visit was triggered by an incident report about a resident taken to the doctor for pain and weakness, resulting in a diagnosis of a closed fracture. The complaint was investigated and no deficiencies were found.

An unannounced complaint investigation was conducted in response to an allegation that the facility did not provide resident records as requested.

The investigation found that the facility received a record request on 2024-06-20 but did not send out the requested documents within the required two business days, substantiating the allegation of noncompliance with California Code of Regulations, Title 22.

The complaint was substantiated based on the preponderance of evidence standard. The allegation was that the facility did not provide resident records as requested. The facility did not comply with the requirement to provide photocopied records within two business days.

The inspection was an unannounced Required - 1 Year inspection conducted to evaluate compliance with licensing regulations for the memory care facility.

The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, interviews, and medication review. Safety equipment and emergency preparedness were verified.

The visit was an unannounced case management visit conducted to deliver an Immediate Exclusion letter to the facility and ensure compliance with licensing requirements.

An Immediate Exclusion letter was delivered to the Health Service Director after confirming the individual (S1) was currently employed at the facility. The facility was advised to disassociate the individual from their roster and submit updated documentation to the licensing authority.

The visit was an unannounced case management visit conducted in response to a death report received on 2023-08-23 regarding a resident who passed away at the hospital.

The Licensing Program Analyst reviewed the resident's medical documents and interviewed staff. The resident was hospitalized due to respiratory distress and later passed away. No deficiencies were cited during this visit.

The inspection visit was conducted as a result of a priority 1 complaint to perform a health and safety check at the facility.

The Licensing Program Analyst toured the facility and found no deficiencies. Observations included appropriate hot water temperature, sufficient food supplies, proper refrigerator and freezer temperatures, locked medication carts, functioning smoke and carbon monoxide detectors, a complete first-aid kit, and a fully serviced fire extinguisher.

The visit was triggered by a priority 1 complaint. No deficiencies were cited during the inspection.

The inspection was conducted as a Case Management Inspection in response to two SOC341 incident reports received regarding altercations and safety concerns involving residents.

The inspection found that incidents involving resident altercations were appropriately managed with staff intervention, family and doctors notified, and increased supervision and medication adjustments implemented. No deficiencies were cited during this visit.

The visit was complaint-related based on two SOC341 incident reports dated 2/9/2023 and 3/30/2023 involving resident altercations and safety concerns. Both incidents were investigated, and appropriate actions were taken including notification of responsible parties and doctors, 1:1 companion supervision for 72 hours, and medication adjustments. No deficiencies were substantiated.

The visit was an unannounced Case Management - Annual Continuation inspection conducted to evaluate compliance with licensing requirements.

The Licensing Program Analyst reviewed staff training records, observed medication administration, and found no deficiencies during the inspection.

The inspection was an unannounced Required - 1 Year inspection conducted to evaluate compliance with licensing regulations for the memory care facility.

The facility was generally found to be in compliance with regulations including fire safety, medication storage, food safety, and cleanliness. However, a deficiency was cited for one staff member (S4) who did not have a completed health screening on file, posing a potential health and safety risk.

The visit was an unannounced case management visit conducted regarding an incident report received on 2023-01-03 related to flooding caused by a storm water line on the south side parking lot.

The inspection found minor flooding and water damage affecting rooms 101-108, with 13 residents relocated to unoccupied rooms within the facility. All residents were fine with no injuries, and no deficiencies were cited during the visit.

The inspection was an unannounced Infection Control Inspection conducted as a required one-year visit.

The inspection found that the facility had appropriate COVID-19 screening, hand hygiene stations, signage, and sufficient PPE and supplies. No deficiencies were cited during this visit.

An unannounced complaint investigation was conducted in response to allegations that staff did not ensure a resident was taking their medications as prescribed and did not provide appropriate resident documentation for emergency personnel.

The investigation found that although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred; therefore, the allegations were unsubstantiated. Staff interviews and document reviews showed proper notification and emergency packet procedures were followed.

The complaint investigation was unsubstantiated based on the evidence reviewed, including medication refusal documentation and emergency packet contents provided to EMTs.