Inspection Reports for Sunrise of Sunnyvale
633 S Knickerbocker Dr, Sunnyvale, CA 94087, United States, CA, 94087
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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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Alberto Golia | Executive Director | Met with Licensing Program Analyst during inspection and involved in plans of correction |
| Kiran Jain | Licensing Program Analyst | Conducted the inspection and authored the report |
| April Cowan | Licensing Program Manager | Oversaw 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
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Executive Director | Met with Licensing Program Analyst during the investigation and named in findings |
| Kiran Jain | Licensing Program Analyst | Conducted the complaint investigation |
| April Cowan | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Executive Director | Met with Licensing Program Analysts during inspection and involved in addressing maintenance issues. |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Santino Fortes | Licensing Program Analyst | Conducted the inspection. |
| Sarah Yip | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Jairus Cabuena | Executive Director | Met with Licensing Program Analyst and Manager during the inspection |
| Mandeep Kaur | Licensing Program Analyst | Conducted the inspection |
| Sarah Yip | Licensing Program Manager | Conducted 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
| Name | Title | Context |
|---|---|---|
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Tayebeh Bagheri | Executive Director | Met with Licensing Program Analyst during investigation |
| Sarah Yip | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Tayebeh Bagheri | Executive Director | Met with Licensing Program Analyst during the infection control site visit. |
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the unannounced infection control site visit. |
| Sarah Yip | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Tayebeh Bagheri | Executive Director | Met with Licensing Program Analyst during investigation |
| Sarah Yip | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Tayebeh Bagheri | Executive Director | Met with Licensing Program Analyst and Health Facilities Evaluator Nurse during the visit. |
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the tele-Case Management visit. |
| Helen Widegren | Health Facilities Evaluator Nurse | Partnered 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Tayebeh Tina Bagheri | Executive Director | Met virtually during the tele-case management incident visit. |
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the unannounced tele-case management incident visit and authored the report. |
| Sarah Yip | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Tina Bagheri | Executive Director | Discussed the amended report during the Case Management tele-visit. |
| Gladys Kuizon | Licensing Program Analyst | Conducted the Case Management tele-visit and delivered the amended report. |
| Sarah Yip | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Anna Morales | Licensing Program Analyst | Conducted the unannounced Case Management visit and verified exclusion of employee S1. |
| Gayle Kelly | Manager on Duty | Met with Licensing Program Analyst during the visit and participated in exit interview. |
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