Inspection Reports for Sunrise of Mission Viejo

CA, 92691

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Inspection Report Follow-Up Census: 83 Capacity: 110 Deficiencies: 0 May 9, 2025
Visit Reason
An unannounced case management incident inspection was conducted to follow up on an incident report submitted regarding a resident's allegation of being dragged to the bathroom.
Findings
The investigation found no injuries or deficiencies related to the incident. The resident's statement was interpreted as being pushed too fast in a wheelchair, and no violations of Title 22 Division 6 of the California Code of Regulations were cited.
Complaint Details
The visit was triggered by a complaint alleging that Resident #1 was dragged to the bathroom. The complaint was not substantiated as no injuries or violations were found.
Report Facts
Capacity: 110 Census: 83
Employees Mentioned
NameTitleContext
Maria T. DomingoExecutive DirectorMet with Licensing Program Analyst during inspection and involved in exit interview
Hanna GoughLicensing Program AnalystConducted the unannounced case management incident inspection
Inspection Report Annual Inspection Census: 80 Capacity: 110 Deficiencies: 0 Apr 17, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced annual required evaluation of the facility to assess compliance with licensing requirements.
Findings
The facility was inspected for physical plant safety, medication storage, staff training, and resident care. No deficiencies were cited and the facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations.
Report Facts
Fire extinguisher service date: Oct 4, 2024 Administrator certificate expiration: Jun 16, 2025 Earthquake drill date: Apr 3, 2025 Fire drill date: Apr 6, 2025 Hot water temperature range (Fahrenheit): 108.9-119.9 Food supply minimum days: 2 Food supply minimum days: 7 Resident records reviewed: 8 Staff training records reviewed: 4
Employees Mentioned
NameTitleContext
Maria T. DomingoExecutive DirectorMet with Licensing Program Analysts during inspection and participated in exit interview.
Roana CruzResident Care Director, RNObserved medication storage and reviewed centrally stored medications with Licensing Program Analyst.
Samer HaddadinLicensing Program AnalystConducted inspection including physical plant, medication observation, and resident interviews.
RoseMarie RuppertLicensing Program AnalystObserved medication storage, reviewed records, and confirmed administrator certification.
Inspection Report Annual Inspection Census: 91 Capacity: 110 Deficiencies: 0 Apr 19, 2024
Visit Reason
The inspection was an unannounced Required 1 Year Annual Inspection conducted by Licensing Program Analysts and the Licensing Program Manager to evaluate compliance with regulatory standards.
Findings
The facility was found to be in compliance with no deficiencies cited under Title 22, Division 6, Chapter 6 of the California Code of Regulations. Two Technical Violations were issued related to posting size and emergency assembly point identification.
Report Facts
Hospice waiver residents: 8 Technical Violations issued: 2 Facility capacity: 110 Resident census: 91
Employees Mentioned
NameTitleContext
Tisset DomingoExecutive DirectorMet with during inspection and exit interview
Jessica ChoLicensing Program AnalystConducted inspection and signed report
Lourdes MontoyaLicensing Program ManagerConducted inspection and named in report
Edward KimLicensing Program AnalystConducted inspection
Faith LaLicensing Program AnalystConducted inspection
Inspection Report Complaint Investigation Census: 85 Capacity: 110 Deficiencies: 0 Sep 7, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2023-08-02 alleging that staff did not monitor a resident's health changes.
Findings
The investigation found that the allegation was unfounded based on interviews with residents and staff and review of pertinent records. It was determined that the resident's attending physician was not affiliated with the facility and that the staff did monitor residents' health changes appropriately.
Complaint Details
The complaint alleged that staff did not monitor the resident's health changes. After investigation, including interviews and record review, the allegation was deemed unfounded, meaning it was false or without reasonable basis.
Report Facts
Complaint control number: 22-AS-20230802084533 Facility capacity: 110 Facility census: 85
Employees Mentioned
NameTitleContext
Jessica ChoLicensing Program AnalystConducted the complaint investigation and delivered findings
Maria DomingoExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Sheila SantosLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Follow-Up Census: 85 Capacity: 110 Deficiencies: 0 Sep 6, 2023
Visit Reason
This unannounced inspection was conducted to follow up on construction plans for renovating the kitchen floor submitted on 2023-06-27.
Findings
The kitchen floor renovation project was completed on 2023-08-11 without issues. The kitchen was observed to be clean, organized, and fully equipped with no health and safety concerns. No deficiencies were cited.
Report Facts
Food supply duration: 2 Food supply duration: 7
Employees Mentioned
NameTitleContext
Maria T. DomingoAdministratorMet with Licensing Program Analyst during inspection and provided information about kitchen renovation
Sean HaddadLicensing Program AnalystConducted the inspection and authored the report
Inspection Report Census: 88 Capacity: 110 Deficiencies: 0 Jul 3, 2023
Visit Reason
This unannounced inspection was conducted to follow up on construction plans for renovating the kitchen floor submitted to the Orange County Regional Office on 06/27/2023.
Findings
The inspection included a tour of the facility, review of construction plans, and discussion of the renovation project. No health and safety concerns were observed, and no deficiencies were cited.
Report Facts
Construction project duration: 14 Number of holding cabinets: 2
Employees Mentioned
NameTitleContext
Sean HaddadLicensing Program AnalystConducted the inspection and authored the report
Maria DomingoAdministratorFacility administrator met with the Licensing Program Analyst during the inspection
Armando J LuceroLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Census: 89 Capacity: 110 Deficiencies: 0 Dec 8, 2022
Visit Reason
The visit was an unannounced case management inspection conducted to review three incident reports received on 09/19/2022, 11/16/2022, and 12/03/2022.
Findings
Interviews were conducted with three residents and staff, and pertinent records were reviewed. No immediate health and safety concerns were identified, and no deficiencies were issued during this visit.
Report Facts
Incident reports reviewed: 3
Employees Mentioned
NameTitleContext
Jessica ChoLicensing Program AnalystConducted the unannounced case management visit
Tisset DomingoExecutive DirectorMet with Licensing Program Analyst during the visit
Inspection Report Complaint Investigation Census: 85 Capacity: 110 Deficiencies: 1 Apr 5, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility is understaffed.
Findings
The investigation found substantiated evidence that the facility experienced staffing shortages, particularly in the Reminiscence Memory Care Unit, resulting in residents not being supervised or assisted timely. Observations included unsupervised residents during meals, delayed response to call lights, and staff shortages due to no-shows and breaks.
Complaint Details
The complaint alleging understaffing was substantiated based on interviews with twelve staff members, observations of unsupervised residents, and delayed responses to call lights. The Executive Director confirmed staffing challenges and agreed to corrective actions.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Personnel Requirements - General: Facility personnel were not sufficient in numbers and competent to meet resident needs, evidenced by unsupervised residents and delayed call light responses.Type A
Report Facts
Residents observed unsupervised: 16 Residents in Reminiscence Memory Care Unit with dementia diagnosis: 22 Care Managers on duty: 3 Call lights requiring assistance: 2 Plan of Correction due date: Apr 8, 2022
Employees Mentioned
NameTitleContext
Rosie QuirozLicensing Program AnalystConducted the complaint investigation and inspection
Roxanne PsenicnikExecutive DirectorFacility Executive Director who acknowledged staffing issues and agreed to corrective actions
Lucy YiBusiness Office CoordinatorMet with Licensing Program Analyst during inspection and verified observations
Patti DarsowDirector of SalesJoined inspection tour and verified call light response issues
Thais Andrade SouzaInterim Executive DirectorConfirmed staffing challenges but denied unmet resident needs
Ruby MendezAssisted Living CoordinatorConfirmed staffing challenges during investigation
Inspection Report Complaint Investigation Census: 84 Capacity: 110 Deficiencies: 0 Apr 5, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that residents sustained unexplained bruising while in care.
Findings
The investigation found the complaint allegation to be unfounded, meaning the allegation was false, could not have happened, or was without a reasonable basis. The complaint was dismissed.
Complaint Details
The complaint allegation was that residents sustained unexplained bruising while in care. The allegation was found to be unfounded after investigation.
Report Facts
Capacity: 110 Census: 84
Employees Mentioned
NameTitleContext
Rosie QuirozLicensing Program AnalystConducted the complaint investigation visit
Roxanne PsenicnikExecutive DirectorMet with investigator and participated in exit interview
Inspection Report Annual Inspection Census: 87 Capacity: 110 Deficiencies: 0 Apr 4, 2022
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation).
Findings
The facility was toured and inspected with no deficiencies cited. All safety equipment and emergency supplies were found in proper condition, and the facility submitted a mitigation plan pending approval.
Report Facts
Fire drill date: Mar 28, 2022 Fire sprinkler test date: Feb 21, 2022 Food supply duration: 2 Food supply duration: 7 Delayed egress door alarm delay: 15
Employees Mentioned
NameTitleContext
Joseph AlejandreLicensing Program AnalystConducted the inspection visit
Roanna CruzResident Care DirectorMet with Licensing Program Analyst during inspection
Roxanne PsenecnikExecutive DirectorMet with Licensing Program Analyst during inspection and consulted on mitigation requirements

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