Inspection Reports for Sunrise at La Costa

CA, 92011

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Inspection Report Complaint Investigation Census: 89 Capacity: 120 Deficiencies: 1 Sep 5, 2025
Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving alleged rough handling and physical abuse by a staff member towards two residents on June 1 and June 2, 2025.
Findings
The investigation found that Staff #1 was rough with two residents during transfers, including grabbing and pulling wrists and pushing a walker into a resident's knees. Staff #1 was suspended and subsequently terminated. One deficiency was cited for failure to protect residents from neglect and physical abuse.
Complaint Details
The visit was complaint-related due to a self-reported incident involving Staff #1 allegedly being rough with two residents. Staff #1 was suspended and terminated. The complaint was substantiated based on interviews and record reviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure residents were free from neglect, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse as two residents were subjected to physical abuse by Staff #1.Type B
Report Facts
Residents involved: 2 Staff involved: 1 Deficiencies cited: 1 Facility census: 89 Facility capacity: 120
Employees Mentioned
NameTitleContext
Jennifer OrtegaExecutive DirectorMet during inspection and exit interview.
Hannah RodgersLicensing Program AnalystConducted the unannounced case management visit and authored the report.
Marlen HernandezAdministrator/DirectorFacility administrator listed in report header.
Inspection Report Census: 89 Capacity: 120 Deficiencies: 0 Sep 5, 2025
Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving a missing $900 from a resident's bedroom.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst toured the facility, observed residents, reviewed records, and interviewed staff and residents. The incident may require further follow-up visits.
Report Facts
Missing amount: 900
Employees Mentioned
NameTitleContext
Jennifer OrtegaExecutive DirectorMet with Licensing Program Analyst during the visit and participated in exit interview
Hannah RodgersLicensing Program AnalystConducted the unannounced case management visit
Marlen HernandezAdministrator/DirectorNamed as facility administrator/director
Inspection Report Complaint Investigation Census: 90 Capacity: 120 Deficiencies: 0 Mar 12, 2025
Visit Reason
The inspection was conducted as a Case Management - Incident visit following a self-reported incident involving allegations of rough care by a staff member towards four residents on February 18, 2025.
Findings
Based on interviews and records review, there was no preponderance of evidence to conclude that the staff member was rough with residents. Conflicting staff interviews and inability to obtain reliable resident statements were noted. No deficiencies were cited during the visit.
Complaint Details
The complaint involved allegations that Staff #1 was rough with Residents #1, #2, #3, and #4 while providing care. Staff #1 was suspended and later resigned. Interviews with staff provided conflicting information, and residents were unable to reliably report due to memory loss. The allegation was not substantiated.
Report Facts
Residents involved: 4 Staff involved: 1
Employees Mentioned
NameTitleContext
Jennifer OrtegaExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
Hannah RodgersLicensing Program AnalystConducted the Case Management - Incident visit
Marlen HernandezAdministrator/DirectorNamed as facility administrator/director
Inspection Report Complaint Investigation Census: 90 Capacity: 120 Deficiencies: 0 Mar 12, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that neglect or lack of supervision resulted in a resident-on-resident altercation at the facility.
Findings
The investigation found that Resident #1 hit Resident #2 twice while exiting the elevator, but staff intervened immediately and separated the residents. Both residents attended the subsequent activity with supervision and did not interact further. The allegation was unsubstantiated as there was insufficient evidence to prove neglect or lack of supervision caused the altercation.
Complaint Details
The complaint alleged neglect/lack of supervision resulting in a resident-on-resident altercation. The allegation was unsubstantiated after investigation including interviews, record reviews, and staff observations.
Report Facts
Capacity: 120 Census: 90 Time of incident: 1420
Employees Mentioned
NameTitleContext
Hannah RodgersLicensing Program AnalystConducted the complaint investigation and authored the report
Jennifer OrtegaExecutive DirectorFacility representative met during the investigation and involved in the incident report
Inspection Report Annual Inspection Census: 87 Capacity: 120 Deficiencies: 0 Oct 30, 2024
Visit Reason
The inspection was an unannounced required One-Year Inspection to ensure substantial compliance with Title 22 regulations at the facility.
Findings
The facility was found to be in substantial compliance with regulations, with operational safety systems, sanitary conditions, proper medication storage and administration, adequate staffing, and compliant resident and staff records. No deficiencies or violations were noted in the report.
Report Facts
Resident age and mobility: 120 Food supply duration: 2 Food supply duration: 7
Employees Mentioned
NameTitleContext
Jennifer OrtegaInterim Executive DirectorAccompanied LPAs during inspection and participated in exit interview
Amy RodgersLicensing Program AnalystConducted inspection and signed report
Angelica BoylesLicensing Program AnalystConducted inspection
Evelyn FrancoWellness NurseGranted entry to LPAs during inspection
Inspection Report Complaint Investigation Census: 92 Capacity: 120 Deficiencies: 0 Sep 27, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation that the licensee did not issue a timely refund to a resident’s authorized representative.
Findings
The investigation found that the facility issued a full refund to the resident’s responsible party within the required timeframe and an additional refund due to an accounting oversight. The allegation was unsubstantiated based on the evidence.
Complaint Details
The complaint alleged that the licensee did not provide Resident 1’s responsible party a full refund after the resident's death. The investigation included observations, records review, and interviews, concluding the allegation was unsubstantiated.
Report Facts
Capacity: 120 Census: 92 Dates: 15
Employees Mentioned
NameTitleContext
Amy RodgersLicensing Program AnalystConducted the complaint investigation and unannounced visit
Marlen Arguero HernandezExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 92 Capacity: 120 Deficiencies: 0 Sep 27, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not safeguard a resident's personal belongings.
Findings
The investigation included observations, records review, and interviews, and found no corroborating evidence that the facility failed to safeguard the resident's belongings. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff did not safeguard a resident's personal belongings. The investigation found that the required inventory document was incomplete and not presented at move-in, but no evidence of theft or loss was found. The allegation was unsubstantiated.
Report Facts
Capacity: 120 Census: 92
Employees Mentioned
NameTitleContext
Amy RodgersLicensing Program AnalystConducted the complaint investigation and unannounced visit
Marlen Arguero HernandezExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Denise PowellLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 91 Capacity: 120 Deficiencies: 1 Mar 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-10 regarding multiple allegations including failure to make licensing reports available for public viewing and other resident care concerns.
Findings
The investigation substantiated that the licensee did not make available for public viewing a licensing report from the preceding 12 months. Other allegations related to resident furniture, laundry service, activities director employment, incident reporting, and records provision were found unsubstantiated based on interviews, observations, and records review.
Complaint Details
The complaint investigation was substantiated for the allegation that the licensee did not make available for public viewing a licensing report from the preceding 12 months. Other allegations were unsubstantiated. The investigation included unannounced visits, staff interviews, records review, and observations. A Plan of Correction was developed and the deficiency was cited under California Code of Regulations, Title 22.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Licensee did not place copies of all licensing reports within the preceding 12 months in a conspicuous location.Type B
Report Facts
Capacity: 120 Census: 91 Deficiencies cited: 1 Plan of Correction due date: 2024
Employees Mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and authored the report
Jennifer LottLicensing Program ManagerOversaw the complaint investigation report
Marlen Arguero-HernandezExecutive DirectorFacility representative met during the investigation and exit interview
Erika CastileAdministratorFacility administrator named in the report
Inspection Report Annual Inspection Census: 84 Capacity: 120 Deficiencies: 0 Nov 27, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at the facility.
Findings
The inspection found the facility to be in substantial compliance with regulations, including proper operation of safety systems, sanitary conditions, adequate food and medication storage, compliant staff and resident records, and sufficient staffing to meet residents' needs.
Report Facts
Resident age and condition: 120 Food supply duration: 2 Food supply duration: 7
Employees Mentioned
NameTitleContext
Amy RodgersLicensing Program AnalystConducted the inspection and authored the report
Thais Andrade SouzaInterim Executive DirectorFacility representative during inspection and exit interview
Inspection Report Census: 65 Capacity: 120 Deficiencies: 0 Jun 26, 2023
Visit Reason
Licensing Program Manager Simon Jacob conducted a case management visit to investigate the circumstances surrounding a Death Report received on June 23, 2023.
Findings
No deficiencies were issued during the visit. Relevant records were reviewed and interviews conducted, including a request for the Death Certificate and Coroner's Report.
Employees Mentioned
NameTitleContext
Erika CastileExecutive DirectorMet with Licensing Program Manager during the visit and participated in exit interview.
Simon JacobLicensing Program AnalystConducted the case management visit to investigate the Death Report.
Kimberly LyonLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Complaint Investigation Census: 62 Capacity: 120 Deficiencies: 1 Jun 7, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Resident #1 who briefly eloped from the facility's secured memory care unit on 06/03/2023.
Findings
The resident was quickly recovered unharmed. The inspection found that delayed egress doors and courtyard gates were functioning properly but lacked required signage as per California Health and Safety Code, resulting in one cited deficiency.
Complaint Details
The visit was complaint-related, triggered by an incident report of a resident eloping from the secured memory care unit. Resident was unharmed and the incident was investigated.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to provide required signs on delayed-egress doors within the secured memory care unit, posing a potential safety risk.Type B
Report Facts
Residents present: 62 Total licensed capacity: 120 Deficiency count: 1 Residents in affected area: 20
Employees Mentioned
NameTitleContext
Mikhail GrantResident Care Director, LVNMet during visit and involved in exit interview
Dang NguyenLicensing Program AnalystConducted the unannounced case management visit and authored the report
Lizzette TellezLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Complaint Investigation Census: 67 Capacity: 120 Deficiencies: 0 May 25, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not administer a resident's medication as prescribed and that the facility charged a resident for services not rendered.
Findings
The investigation found no evidence to support the allegations. Records, staff, resident, and outside source interviews confirmed that medications were administered within prescribed timeframes and that services were offered but sometimes declined by the resident. Observations showed no resident was denied assistance or services.
Complaint Details
The complaint was unsubstantiated based on interviews, direct observations, and records review. Allegations included failure to administer medication as prescribed and charging for services not provided. Evidence showed medications were given appropriately and services were declined by the resident, who exhibited disruptive behaviors affecting participation in activities.
Report Facts
Capacity: 120 Census: 67 Documented refusals: 10
Employees Mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and authored the report
Erika CastileExecutive DirectorFacility administrator involved in the investigation
Mikhail GrantResident Care DirectorFacility staff involved in the investigation
Misha AlvarezAssisted Living CoordinatorFacility staff involved in the investigation
Jose CardenasMaintenance DirectorParticipated in exit interview
Inspection Report Complaint Investigation Census: 67 Capacity: 120 Deficiencies: 0 May 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee did not safeguard resident belongings.
Findings
The investigation found no substantiation for the allegation. Interviews, record reviews, and direct observations showed no evidence that staff stole resident property, and the resident's property was secured with a private lock. Police investigations also found no proof of theft.
Complaint Details
The complaint alleged that a staff member stole from a resident. The investigation included interviews with staff, residents, and outside sources, facility tours, and records review. The allegation was found to be unsubstantiated due to lack of evidence and corroboration.
Report Facts
Capacity: 120 Census: 67 Police visits: 3 Police investigation date: Apr 19, 2023
Employees Mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation visit
Erika CastileExecutive DirectorFacility administrator present during investigation
Mikhail GrantResident Care DirectorFacility staff present during investigation
Misha AlvarezAssisted Living CoordinatorFacility staff present during investigation
Jose CardenasMaintenance DirectorParticipated in exit interview
Inspection Report Complaint Investigation Census: 73 Capacity: 120 Deficiencies: 0 Jan 27, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not following its infection control plan.
Findings
The investigation found that the facility was following infection control protocols, including proper use of PPE and appropriate resident isolation. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint alleged that Resident 2 was not separated from Resident 1, who tested positive for COVID-19, to prevent exposure. The investigation found that Resident 2 was moved to an unoccupied apartment on the same day Resident 1 tested positive, and all exposed residents were response tested as required. The complaint was unfounded.
Report Facts
Capacity: 120 Census: 73
Employees Mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and authored the report
Mikhail GrantResident Care DirectorInterviewed during the investigation and recipient of the exit interview
John RanteLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 79 Capacity: 120 Deficiencies: 0 Jul 28, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the admission agreement was not signed by the resident who was their own responsible party and that the resident was not provided with a copy of the admission agreement.
Findings
The investigation found that the admission agreement was signed by the resident on 12/24/19 and that it was standard facility procedure to provide a copy of the signed agreement to residents. However, there was uncertainty whether the resident received a copy at admission. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint was unsubstantiated, meaning there was not sufficient evidence to prove the alleged violations occurred.
Report Facts
Capacity: 120 Census: 79
Employees Mentioned
NameTitleContext
Liliana SilveiraLicensing Program AnalystConducted the complaint investigation visit and shared findings
Erica CastilleExecutive DirectorMet with Licensing Program Analyst during the investigation and received report
Wesley D LavenderAdministratorNamed as facility administrator
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Annual Inspection Census: 79 Capacity: 120 Deficiencies: 0 Nov 29, 2021
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with regulations, including infection control measures.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan.
Employees Mentioned
NameTitleContext
Wesley LavenderExecutive DirectorMet with Licensing Program Analyst during the inspection and participated in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced Required 1-Year Visit and evaluation.
Denise PowellLicensing Program ManagerNamed in the report header.
Inspection Report Census: 73 Capacity: 120 Deficiencies: 0 May 5, 2021
Visit Reason
An unannounced case management virtual visit was conducted due to the COVID-19 pandemic following a self-reported resident death.
Findings
The Licensing Program Analyst conducted a virtual health and safety check, interviewed facility leadership, and reviewed records. No deficiencies were cited during this visit.
Employees Mentioned
NameTitleContext
Wesley D LavenderExecutive DirectorMet with Licensing Program Analyst during the visit.
Elizabeth SmithResident Care DirectorMet with Licensing Program Analyst during the visit.
Liliana SilveiraLicensing Program AnalystConducted the unannounced case management virtual visit.
Denise PowellLicensing Program ManagerNamed in the report header.
Inspection Report Census: 73 Capacity: 120 Deficiencies: 0 Apr 30, 2021
Visit Reason
An unannounced case management virtual visit was conducted due to the COVID-19 pandemic following a self-reported incident involving a resident injured by a staff member.
Findings
No deficiencies were cited during the visit after reviewing facility records and interviewing the administrator.
Report Facts
Capacity: 120 Census: 73
Employees Mentioned
NameTitleContext
Wesley LavenderAdministratorInterviewed during the visit and involved in the incident report
Kristina RyanLicensing Program AnalystConducted the unannounced case management virtual visit
Simon JacobLicensing Program ManagerNamed in the report header
Inspection Report Complaint Investigation Census: 67 Capacity: 120 Deficiencies: 0 Apr 13, 2021
Visit Reason
The visit was an unannounced case management virtual visit triggered by a self-reported incident involving Resident 1 who was hospitalized with an injury and later passed away.
Findings
The Licensing Program Analyst and Manager toured the facility, reviewed records, and interviewed staff. No deficiencies were cited during this visit.
Complaint Details
The visit was conducted due to a self-reported incident regarding Resident 1, who was hospitalized on February 15, 2021, and passed away on February 27, 2021.
Report Facts
Capacity: 120 Census: 67
Employees Mentioned
NameTitleContext
Wesley LavenderExecutive DirectorMet with during the visit and involved in exit interview

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