Inspection Reports for Sunrise of Sunnyvale

633 S Knickerbocker Dr, Sunnyvale, CA 94087, United States, CA, 94087

Back to Facility Profile
Inspection Report Annual Inspection Census: 81 Capacity: 103 Deficiencies: 1 Jul 28, 2025
Visit Reason
The inspection was an unannounced Required 1-Year Annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was generally found to be clean, well-maintained, and compliant with safety and operational standards. However, a medication administration error was identified involving one resident receiving two extra days of medication, posing an immediate health risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
The licensee did not ensure that one resident was given the correct dosage of 'Hydroxyzine HCL F/C 25 MG tablet' medication, resulting in two extra days of medication administered.Type A
Report Facts
Residents in care: 81 Facility capacity: 103 Medication discrepancy: 2 Resident rooms inspected: 10 Staff personnel records reviewed: 6 Resident records reviewed: 10 Emergency Disaster Drills: 1
Employees Mentioned
NameTitleContext
Alberto GoliaExecutive DirectorMet with Licensing Program Analyst during inspection and involved in plans of correction
Kiran JainLicensing Program AnalystConducted the inspection and authored the report
April CowanLicensing Program ManagerOversaw the licensing program and signed the report
Inspection Report Complaint Investigation Census: 73 Capacity: 103 Deficiencies: 0 Mar 4, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation received on 11/20/2024 that facility neglect led to serious bodily injury.
Findings
The investigation found that the allegation was unfounded based on medical records, staff interviews, and the power of attorney's statements. No deficiencies were cited under the California Code of Regulations, Title 22.
Complaint Details
The complaint alleged that facility neglect led to serious bodily injury. The investigation determined the allegation was false, could not have happened, and/or was without a reasonable basis, thus it was unfounded.
Report Facts
Capacity: 103 Census: 73
Employees Mentioned
NameTitleContext
Beena KumarExecutive DirectorMet with Licensing Program Analyst during the investigation and named in findings
Kiran JainLicensing Program AnalystConducted the complaint investigation
April CowanLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 71 Capacity: 103 Deficiencies: 0 Jul 25, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with regulations.
Findings
The facility was toured including assisted living and memory care units, with no deficiencies cited. Minor maintenance issues such as burnt-out light bulbs, a dusty bathroom fan, and low water pressure were identified and work orders were placed immediately. All resident and staff files reviewed were complete and compliant, and emergency and infection control plans were in place.
Report Facts
Resident files reviewed: 10 Resident medications reviewed: 5 Residents interviewed: 4 Staff files reviewed: 5 Staff training records reviewed: 5 Fire extinguisher last serviced: Oct 5, 2023
Employees Mentioned
NameTitleContext
Beena KumarExecutive DirectorMet with Licensing Program Analysts during inspection and involved in addressing maintenance issues.
Christine DoloresLicensing Program AnalystConducted the inspection and signed the report.
Santino FortesLicensing Program AnalystConducted the inspection.
Sarah YipLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Annual Inspection Census: 77 Capacity: 103 Deficiencies: 0 Jul 26, 2022
Visit Reason
An unannounced Required - 1 Year Annual Inspection was conducted by Licensing Program Analyst Mandeep Kaur and Licensing Program Manager Sarah Yip.
Findings
The facility was observed to be clean and in good repair with adequate supplies of PPE, food, and sanitation materials. No deficiencies were cited during the visit.
Report Facts
Capacity: 103 Census: 77
Employees Mentioned
NameTitleContext
Jairus CabuenaExecutive DirectorMet with Licensing Program Analyst and Manager during the inspection
Mandeep KaurLicensing Program AnalystConducted the inspection
Sarah YipLicensing Program ManagerConducted the inspection
Inspection Report Complaint Investigation Census: 78 Capacity: 103 Deficiencies: 0 Jun 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 07/01/2020 alleging that a resident sustained an injury while in care.
Findings
After multiple interviews with staff, residents, family members, and review of police investigation records, the department determined the allegation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.
Complaint Details
The complaint alleged that a resident sustained an injury while in care. The investigation included interviews with 7 staff members, 4 residents, 1 family member, and 1 private companion. All denied abuse or witnessing abuse. Police investigation found no indication of staff abuse. The allegation was determined to be unsubstantiated.
Report Facts
Staff interviewed: 7 Residents interviewed: 4 Family members interviewed: 1 Private companions interviewed: 1
Employees Mentioned
NameTitleContext
Yatfai Eric NgLicensing Program AnalystConducted the complaint investigation visit and interviews
Tayebeh BagheriExecutive DirectorMet with Licensing Program Analyst during investigation
Sarah YipLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Routine Census: 78 Capacity: 103 Deficiencies: 0 Jun 22, 2021
Visit Reason
An unannounced infection control site visit was conducted as a required 1-year inspection.
Findings
The facility was observed to be sanitary with adequate infection control measures including PPE supply, hand sanitizers, and social distancing. No deficiencies were cited, but an advisory note was issued.
Employees Mentioned
NameTitleContext
Tayebeh BagheriExecutive DirectorMet with Licensing Program Analyst during the infection control site visit.
Yatfai Eric NgLicensing Program AnalystConducted the unannounced infection control site visit.
Sarah YipLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 78 Capacity: 103 Deficiencies: 0 Jun 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2020-11-03 regarding alleged limited visitation by family members with a resident.
Findings
The investigation found that the facility does not limit any resident’s visitation unless there is a court order. One resident had a court order limiting visitation, which the facility was following. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff limited visitation by family members with a resident. The investigation found the allegation unsubstantiated.
Report Facts
Complaint Control Number: 26-AS-20201103113407 Capacity: 103 Census: 78
Employees Mentioned
NameTitleContext
Yatfai Eric NgLicensing Program AnalystConducted the complaint investigation and interviews
Tayebeh BagheriExecutive DirectorMet with Licensing Program Analyst during investigation
Sarah YipLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Census: 79 Capacity: 103 Deficiencies: 0 Feb 10, 2021
Visit Reason
The visit was a Case Management - Other conducted via FaceTime to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.
Findings
The virtual tour and observations confirmed infection control practices such as mask wearing, hand sanitizer availability, social distancing, and proper cleaning procedures. No deficiencies were cited during the visit.
Employees Mentioned
NameTitleContext
Tayebeh BagheriExecutive DirectorMet with Licensing Program Analyst and Health Facilities Evaluator Nurse during the visit.
Yatfai Eric NgLicensing Program AnalystConducted the tele-Case Management visit.
Helen WidegrenHealth Facilities Evaluator NursePartnered in conducting the tele-Case Management visit.
Inspection Report Complaint Investigation Census: 81 Capacity: 103 Deficiencies: 1 Jan 26, 2021
Visit Reason
The visit was conducted as a health and safety check in response to an unusual incident report regarding a resident who wandered off the facility unassisted and sustained injury.
Findings
A deficiency was cited due to failure to provide ongoing assistance with activities of daily living, as evidenced by a resident found outside unassisted despite a physician's report indicating the resident was unable to leave the facility unassisted.
Complaint Details
The visit was triggered by a complaint incident report (LIC 624) dated 12/29/2020 about a resident wandering off unassisted and sustaining injury. The resident's physician's report dated 6/30/2020 indicated the resident was unable to leave unassisted.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Failure to provide ongoing assistance with activities of daily living, resulting in a resident leaving the facility unassisted and sustaining injury.Type A
Report Facts
Deficiency count: 1 Capacity: 103 Census: 81
Employees Mentioned
NameTitleContext
Tayebeh Tina BagheriExecutive DirectorMet virtually during the tele-case management incident visit.
Yatfai Eric NgLicensing Program AnalystConducted the unannounced tele-case management incident visit and authored the report.
Sarah YipLicensing Program ManagerSupervisor named in the report and responsible for licensing oversight.
Inspection Report Capacity: 103 Deficiencies: 0 Dec 21, 2020
Visit Reason
The visit was a Case Management tele-visit conducted to deliver an amended report to the facility and discuss the report with the Executive Director.
Findings
The Licensing Program Analyst delivered an amended report and provided a copy of the original and amended reports from a December 7, 2018 Case Management visit for review and signature.
Employees Mentioned
NameTitleContext
Tina BagheriExecutive DirectorDiscussed the amended report during the Case Management tele-visit.
Gladys KuizonLicensing Program AnalystConducted the Case Management tele-visit and delivered the amended report.
Sarah YipLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Census: 91 Capacity: 103 Deficiencies: 0 Dec 7, 2018
Visit Reason
The visit was an unannounced Case Management visit to verify and confirm that the facility received the Immediate Exclusion Letter for employee S1 and that S1 is no longer present at the facility.
Findings
The Licensing Program Analyst verified that the individual employee S1 is not present, employed, or residing at the facility. The licensee was advised to disassociate the individual from their roster and submit an update LIC500. Verification of removal is complete.
Employees Mentioned
NameTitleContext
Anna MoralesLicensing Program AnalystConducted the unannounced Case Management visit and verified exclusion of employee S1.
Gayle KellyManager on DutyMet with Licensing Program Analyst during the visit and participated in exit interview.

Loading inspection reports...