Sunrise Assisted Living of Carmichael.

Licensing Program Analyst (LPA) Lavinia Muscan arrived on 05/27/2026 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed five resident (5) and five staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, dining room, hallways, and common areas. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. LPA checked the kitchen area for the ability to prepare and store food. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector are operational. Fire extinguisher is ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to facility.

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the Executive Director, Jessica Sanders, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed three (3) bedrooms in Terrace Club Memory Care, three (3) bedrooms in Reminiscence Memory Care, and five (5) common area bathrooms. LPA observed apartments to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 113.9 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguishers and first aid kits are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed five (5) resident files and also reviewed five (5) staff files. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.

May 17, 2025, May 18, 2025, and May 20, 2025 to provide R1 with lice elimination treatments to their hair. According to R1's progress notes and email correspondence between the ED and RCD, R1 received lice elimination treatments to their hair on May 17, 2025, May 18, 2025, and May 22, 2025. On May 21, 2025, with the assistance of S1, LPA observed R1's head and did not observe any active lice; however, did appear as though there may be a few eggs remaining. Facility staff agreed to complete an additional treatment. LPA did not observe any fleas, lice, or other pests in R1's room. R1's progress notes indicated that on May 22, 2025, R1 had "3 head lice treatments given with no traceable lice now". Progress notes and interviews with facility staff indicated that R1's room was cleaned on May 17, 2025. Interview with Maintenance Director indicated that they completed a deep cleaning of R1's room on May 22, 2025 using a lice treatment. Maintenance Director provided LPA a receipt for the lice treatment purchased on May 22, 2025. LPA was unable to observe R1 on a second occasion as R1 moved out of the facility on May 31, 2025. Based on interviews conducted, documentation reviewed, and observations, the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. No deficiencies are being cited.

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, March 20, 2025, and met with the Senior Executive Director, Janelle Odishoo, to follow-up on an SOC341 received by the department on March 12, 2025. LPA also received the facility's internal investigation findings on March 14, 2025. According to the SOC341, on March 11, 2025, the Senior Executive Director received a report from staff (S5) alleging that abuse had been reported to them from staff (S2) regarding resident (R1). S2 alleged that, during the AM shift, they witnessed staff (S1) forcefully grab R1's arms when assisting them onto the toilet on March 6, 2025. S1 had not reported the allegation to their supervisor at the time of the event. S1 was placed on leave pending an internal investigation. According to interview with the Senior Executive Director and documentation obtained, staff (S4) and staff (S6) conducted a head to toe skin check of R1 as well as all other residents residing in Reminiscence Care. All residents in Reminiscence Care have advanced stages of Dementia. S4 and S6 observed that R1 had a small bruise on their hand from a TB blood draw conducted that morning as well as some slight redness on their upper arm from the tourniquet. There were no other residents with any unusual or unexplained bruising, skin tears, or discoloration of skin. S4 and S5 interviewed S1 and S2 who provided written statements that had discrepancies regarding the incident. S4 and S5 interviewed all staff in Reminiscence Care and no interviews corroborated with S2's statement. According to interviews with staff that routinely provide care for R1, staff provide incontinence care at bedside as opposed to in the restroom, due to R1's behavioral expressions. S4 notified R1's family and physician. S4 conducted an in-service training for all three shifts regarding abuse reporting requirements, internal event reporting requirements, techniques used for ADL care and transferring for residents with dementia and behavioral expressions. LPA obtained a copy of the in-service training documentation. The facility's internal investigation was completed on 3/12/25 with Unsubstantiated findings. S1 will be re-instated to their position and returning to work March 23, 2025. LPA toured facility observing residents receiving care and participating in today's event. No concerns were observed. During today's visit, no citations are being issued. Exit interview conducted and copy of report provided.

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 5/23/24 and met with the Resident Care Director, Doreen Ntale, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed five (5) bedrooms in Terrace Club Memory Care, three (3) bedrooms in Reminiscence Memory Care, and five (5) common area bathrooms. LPA observed apartments to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 114.7 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguishers and first aid kits are maintained and ready for emergency use. LPA continued reviewing resident and staff documents from previous visit. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 5/17/24 and met with the Doreen Ntale, Resident Care Director, to conduct a Required-1 Year Inspection. During today's visit, LPA reviewed five (5) resident files and five (5) staff files. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.

Allegation: Staff are not ensuring that resident's hygiene needs are being met while in care. Interviews with the Reminiscence Coordinator (RC), Terrace Club Coordinator (TCC), staff (S1), and R1’s responsible party indicated that R1 is scheduled for assistance with bathing one time per week. RC and TCC indicated that if R1 refuses showering then care staff will offer on another day or another caregiver with try to encourage bathing. S1 stated that care staff check with R1 daily to find out if R1 would like to take a shower. R1’s responsible party indicated that care staff will try different strategies to encourage R1 to take showers. Interview with R1 indicated that care staff will provide them assistance when needed. Interview with witness indicated that R1 appeared well groomed. LPA observed R1 on 1/18/24 and 2/27/24 and R1 appeared to be well groomed and wearing clean clothing. According to facility’s Documentation Survey Reports dated November 2023, December 2023, and January 2024 indicated that bathing has been provided to R1 by care staff every 2-3 days. The Documentation Survey Reports also indicated that R1 is receiving grooming and dressing assistance from care staff at least twice daily. Allegation: Staff are not allowing resident to make and receive private phone calls while in care. According to the Superior Court of Sacramento documentation dated 12/21/23, R1 is to receive and make all phone calls through a Grandpad provided by R1’s responsible party. Prior to R1 receiving the Grandpad in February 2024, RC and TCC indicated that, when incoming calls were received for R1, they would instruct callers to contact R1’s responsible party to screen calls, due to a restraining order that was granted for 5 years, dated 9/11/20, restricting all contact with R1’s family member. Interview with R1 indicated that they can receive and make phone calls. R1 indicated that they receive phone calls from family and friends. R1 stated that they don’t use the phone to call out unless it is something important. Allegation: Staff are not ensuring that resident is provided with a sufficient amount of food while in care. Interview with RC indicated that R1 mostly eats meals in the dining area. Interview with S1 indicated that R1 will order their food, eat it, forget they ate, and order more food. S1 stated that the facility keeps snacks on hand as well when residents want a snack. R1’s responsible party indicated that R1 is eating three meals per day. Interviews conducted with R1 indicated that the food is good and that they get enough to eat at the care home. LPA toured the kitchen area with the Dining Services Coordinator (DSC) and the facility has the required 2-day perishable and 7-day nonperishable food supply on hand. LPA was provided the food menus **********************************************Continued on LIC9099-C************************************************ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 for January-May 2024 indicating a variety of food options for the residents in care. The facility has a binder indicating any special diets in the care home. DSC indicated that they have food delivered to the care home twice per week. Allegation: Staff did not ensure that resident's dental needs were met while in care. Interview with RC and TCC indicated that the facility has a dental hygienist come to the facility frequently to provide services to the residents in care. RC and TCC indicated that R1’s responsible party was notified when the dental hygienist was in the facility. Interview with R1’s responsible party indicated that, the next time the dental hygienist is at the care home, they will have R1 seen for services. Email correspondence between the facility and R1’s responsible party indicated that R1’s responsible party would like to be contacted the next time the facility offers dental services. Interview with R1 indicated that they have gone to the dentist with their private caregiver since residing at the care home. Based on interviews conducted, documentation obtained, and observations, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited during this visit. Exit interview conducted. A copy of this report provided. Signature on these forms acknowledges receipt of these documents.

Interviews conducted with residents (R1, R2, & R3) indicated that care staff treat them well. R1, R2, and R3 stated that they have never witnessed staff mistreating residents in care. R2 indicated that they have never witnessed staff emotionally abusing any residents and that they would say something if they saw something. R3 stated that they have never witnessed any type of abuse from staff towards residents in the care home. Interviews with staff (S1 & S2) indicated that they have never witnessed staff emotionally abusing residents in care. Interview with staff (S3) indicated that they have never witnessed any type of abuse from staff towards residents in care. S3 indicated that they have never witnessed staff mistreating residents. S2 indicated that residents are treated respectfully and with dignity. Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited during this visit. Exit interview conducted. A copy of this report provided. Signature on these forms acknowledges receipt of these documents.

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 7/6/23 to conduct a Required-1 Year Inspection utilizing CARE inspection tool. LPA met with the Executive Director and explained the purpose of the visit. LPA toured the interior of the facility together with Executive Director to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, 6 resident bedrooms as well as the rest of the physical plant. In the areas toured no immediate health, safety, or personal rights violations were observed. The residence was found to be clean, safe, sanitary and in good condition. Water temperature checked and water maintained in required range. Stairwells have required evac chair. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA reviewed resident files and staff files. 6 Resident files reviewed are complete and current for documents checked. 7 Staff files reviewed were complete for documents checked. LPA received a copy of liability insurance. As a result of this inspection, no deficiencies are noted. Report reviewed with Tania Langland. Copy of this report.