StarlynnCare

California · Cupertino

Sunny View Retirement Community

CCRC

A Continuing Care Retirement Community (CCRC) offers multiple levels of care on a single campus — typically independent living, assisted living, and skilled nursing. Residents often enter under a long-term contract and can transition between care levels as their needs change. CCRCs in California are regulated by the California Department of Social Services.

22445 Cupertino Road · Cupertino, 95014

Quick facts

Licensed beds190
Memory careNot listed
Last inspectionApr 2026
Last citationJun 2025
Operated byFront Porch Communities and Services
Map showing location of Sunny View Retirement Community

Quality snapshot

Updated April 25, 2026

Compared to 19 California CCRC facilities of similar size, over the last 36 months.

Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →

Quality grade· click to show how this was calculated

Severity
6th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
22th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Sunny View Retirement Community scores C−. Better than 43% of comparable California RCFE-CONTINUING CARE RETIREMENT COMMUNITY facilities. Severity: bottom 6%. Repeats: top 0%. Frequency: 22th percentile.

Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / ccrc / xl beds (19 facilities).

Citation severity over time

stable

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

10

Last citation

Jun 25

Finding distribution

4 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG2HID2EFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

The rules that apply to this facility

California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.

What training are all staff required to complete?22 CCR §87411

All direct-care staff must complete:

  • 10 hours initial training within the first four weeks of employment.
  • 4 hours annual in-service every year thereafter.
  • Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.

Ask on tour: Ask when the last staff training was completed and how it's tracked.

How many staff must be on duty overnight?22 CCR §87415

Based on 190 licensed beds:

One awake caregiver on duty, one on-call caregiver physically on premises, and one additional on-call caregiver.

Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.

Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.

What health conditions can this facility legally accept or refuse?22 CCR §87612–87615

Restricted — allowed with physician order + care plan

  • Supplemental oxygen
  • Insulin and injectable medications
  • Indwelling or intermittent catheters
  • Colostomy / ileostomy
  • Stage 1 and Stage 2 pressure injuries
  • Wound care (non-complex)
  • Incontinence
  • Contractures

Prohibited — facility must refuse or discharge

  • Stage 3 or Stage 4 pressure injuries
  • Feeding tubes (PEG, NG, or J-tube)
  • Tracheostomies
  • Active MRSA or communicable infections requiring isolation
  • 24-hour skilled nursing needs
  • Total ADL dependence with inability to communicate needs

A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.

Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.

What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
  • ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
  • 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
  • 24 hrsAbuse without serious bodily injuryWithin 24 hours
  • Next dayDeath of a residentPhone by next working day; written within 7 days
  • Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
  • WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure

Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).

How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.

See how these rules have been applied to this specific facility:

View state inspection record and citations

State records

California Dept. of Social Services · Community Care Licensing
License number
435201317
License type
RCFE-CONTINUING CARE RETIREMENT COMMUNITY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
190
Operator
Front Porch Communities and Services

Inspections & citations

12

reports on file

4

total deficiencies

2

Type A (actual harm)

Other visitApril 7, 2026
No deficiencies

Plain-language summary

The facility reported to the state on April 1st that one resident had allegedly been abused by another resident; during a follow-up visit, staff said both residents denied any abuse occurred, and the resident allegedly involved reported no health or safety concerns when checked on multiple times since. The state found no violations during this visit and stated it will conduct further follow-up if needed. The facility said it will continue to supervise both residents closely.

View full inspector notes

Licensing Program Analyst Simi Rai conducted an unannounced case management to follow up on an report submitted by the facility to the Department on 04/01/2026. LPA met with Administrator Bradley Burgoyne explained the purpose of the visit. On 04/01/2026, the Department received a report regarding two residents at the facility. Per report, it was reported on behalf of resident R1's family that resident R1 was being abused by resident R2 at the facility. During today's visit, LPA Rai interviewed Administrator (ADM) Bradley Burgoyne and Director of Health Services (DHS) Adriana De La O. ADM stated they spoke with resident R1 and R2 and both residents reported there are no concerns of abuse. DHS has checked in with resident R1 multiple times since the incident was reported and resident R1 has not reported any health, safety or personal rights concerns. ADM and DHS stated they will continue to supervise both resident R1 and R2 and ensure the health, safety and personal rights risks are addressed. During today's visit, LPA Rai obtained the following documents but not limited to R1 & R2's Physician's Report and R1's Appraisal/Needs and Services Plan. At this time, this case in under review and the Department will conduct a follow up visit, if warranted. No deficiencies were cited during today's case management visit and copy of the report was provided.

ComplaintSeptember 30, 2025· Unsubstantiated
No deficiencies

Inspector: Manuel Monter

Unsubstantiated — the California Department of Social Services (CDSS) investigated and did not find a violation.

Plain-language summary

An investigation into allegations that one resident emotionally or sexually abused another resident found no evidence to support the claims. Staff, the accused resident, the resident making the complaint, and other residents interviewed all denied or had not witnessed any abuse, and facility records showed no reported incidents between the two residents. No violations were cited.

View full inspector notes

On January 7, 2025, the Department interviewed 3 staff (S1-S3). 3 out of 3 staff (S1-S3) stated they have not seen or heard of resident R2 emotionally or sexually abusing resident R1. 3 out of 3 staff (S1-S3) stated the facility staff will observe R1 and R2 in the common areas, such as the front lobby or dining room and they have not seen the residents upset or have concerns about abuse. 3 out of 3 staff (S1-S3) stated R1 is supervised 24 hours/7 days a week with a 1:1 companion in addition to facility staff conducting safety checks. 3 out of 3 staff (S1-S3) stated R1 has not brought up any concerns to facility staff. S2 stated they personally asked R1 if R2 has been emotional and/or sexually abusing the resident and R1 has refused the allegations. LPA Rai interviewed Administrator (ADM) Bradley Burgoyne. ADM stated R1 and R2 are friends and spend time with each other. ADM stated R1 is capable of making his/her own decisions and wants to hand out with R2. ADM stated R1 has a 1 on 1 care giver, so any instances where they come into contact would be supervised. On 8/22/2025, LPA Rai interviewed R1. R1 stated the emotional and sexual abuse allegations are false. R1 stated he/she feels safe in the community. R1 stated staff and residents, including R2, are not emotional or sexually abusing him/her. R1 stated he/she does not know how the allegations are true when R1 is fond of R2 and feels safe with R2. On September 12 and 23, 2025, LPA Monter interviewed residents R1-R8. 5 Out of 8 residents, (R1, R4, R5, R6, R7) stated they haven’t seen or heard residents speaking to each other in a negative or inappropriate way. R2 stated he/she hasn’t heard any inappropriate comments being made to other residents. R2 stated he/she has heard residents making mean comments, like saying “here comes trouble.” R2 stated in response he/she will make a mean comment back, regarding his/her weight. R3 stated R2 will make inappropriate comments to R3, but in response, R3 will make inappropriate comments to R2. R8 stated he/she hasn’t heard any inappropriate comments from residents or resident R2. R8 stated he/she heard that R2 was bossing around R1, but he/she didn’t witness this event. Page 2 Out of 3. 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 5 Out of 8 residents interviewed, (R1, R4, R5, R6, R7) stated they haven’t seen or heard residents touching other residents in an inappropriate manner. R2 stated he/she doesn’t touch other residents without their consent. R2 stated he/she hasn’t seen other residents who touch others in inappropriate manner. R3 stated he/she hasn’t personally seen R2 put arms around a resident/ touching resident, making them feel uncomfortable. R3 stated he/she has heard about this from other residents. R8 stated in terms of the inappropriateness, R2 will sometimes put his/her arm around you. On September 12 and 23, 2025, LPA Monter interviewed staff S4-S10. 7 Out of 7 Staff interviewed stated they haven’t seen residents speaking or touching other residents in an inappropriate manner. Based on review of R1 and R2’s facility file, there are zero incidents reported regarding R1 and R2 being involved in sexual/emotional/physical abuse. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Director of Health Services Adriana Delao and a copy of the report was provided.

InspectionSeptember 12, 2025
No deficiencies

Plain-language summary

An unannounced inspection was conducted on April 25, 2026, to review and amend a previous complaint investigation from August 2025 after new information was provided to the Department. No deficiencies were found during this visit. The administrator was informed of the findings and received a signed copy of the report.

View full inspector notes

Licensing Program Analyst Manuel Monter conducted an unannounced case management to amend a Complaint investigation, LIC9099 and LIC9099-D issued on August 22, 2025 . LPA met with Administrator Bradley Burgoyne explained the purpose of the visit. The complaint investigation closed on August 22, 2025 is being amended and re-opened due to new information provided to the Department. No deficiencies cited during todays visit. This Report was reviewed with Administrator Bradley Burgoyne . A signed copy was provided.

Other visitJune 6, 2025Type A
1 deficiency

Plain-language summary

During an unannounced follow-up inspection on a required annual visit, inspectors found that one resident's prescription medication was stored in an unsecured bathroom cabinet where the resident could access it, despite the resident being unable to safely manage their own medications. The facility otherwise maintained adequate food and supply storage, clean bathrooms, proper hot water temperatures, and functioning bedroom amenities. The facility was cited for this medication storage deficiency and given a deadline to correct it.

View full inspector notes

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced continuation of the Required 1 Year visit from 5/30/2025. LPA Rai met with Executive Director, Bradley Burgoyne and stated the purpose of today's visit. During visit, LPA Rai toured the inside and outside of the facility. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPA Rai toured the facility to include 5 resident rooms, dining room, activity room, kitchen and memory care unit. 5 Out of 5 resident bedrooms had available bedding, drawers, and functioning lights.  The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom sinks ranged from 111.6 - 113.7 degrees F. LPA Rai observed 1 prescription medication located in the bathroom mirror cabinet wall mounted above the sink in Resident R5's Room. Staff (S1) stated the medication should not be present in R5's room and R5's medications should be locked and inaccessible to resident. Based on review of R1's LIC 602A Physician's Report 3/6/2025, R1 has neurocognitive disorder and R1 is not able to administer own prescription medications, and not able to store own medications. Continuation on LIC 809-C, Page 1 of 2. 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 Page 2 of 2. Facility smoke detectors, sprinkler system and delayed egress doors were inspected by a third party vendor on 10/15/2024. The last disaster drills were conducted on 2/28/2025 and 3/5/2025. LPA Rai reviewed resident medications and central stored medication records. Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. LPA Rai informed Executive Director, Bradley Burgoyne about the Department’s Technical Support Program (TSP) and provided the website: Community Care Licensing Division (CCLD) website www.cdss.ca.gov . LPA Rai requested an updated LIC 500 to update the information on the current Administrator as Bradley Burgoyne. Executive Director agreed and understood. This report was reviewed with Executive Director, Bradley Burgoyne. A copy of the report was provided. Appeal Rights were provided.

Type ACCR §87465(h)(2)

Regulation

87465 Incidental Medical and Dental Care (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by:

Inspector finding

Based on observation and record review, Resident R5's prescription medication were accessible to R5 in the bathroom cabinet wherein R5 is not able to store or administer their own medication which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

InspectionMay 30, 2025
No deficiencies

Plain-language summary

This was a routine annual inspection visit where the inspector toured the facility inside and out, checked that emergency exits were clear, verified the fire extinguisher was current, and reviewed staff and resident records. The inspection is not yet complete—the inspector will return on another day to finish. No violations were found during this portion of the inspection.

View full inspector notes

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Director of Health Services, Adriana De La O and stated the purpose of today's visit. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. Fire extinguisher was observed and inspected on 03/07/2025. LPA Rai reviewed facility records for 5 staff and 5 residents. LPA Rai will return another day to complete annual inspection. This report was reviewed with Director of Health Services, Adriana De La O and a copy of the report was provided.

Other visitMay 24, 2024
No deficiencies

Inspector: Simranjit Rai

Plain-language summary

This was a continuation of the facility's annual inspection. Inspectors found a discrepancy in the medication count for one resident — the bottle contained 155 tablets when records showed there should have been 149 tablets — and cited the facility for deficiencies in staff competency and medication documentation practices in the medication storage room.

View full inspector notes

Licensing Program Analyst (LPA) Simi Rai arrived unannounced to conduct a continuation of the annual inspection from 5/22/2024 and met with Director of Health Services, Adriana De La O and Administrator Ryan Golze. During today's visit, LPA Rai continued to review 10 resident files and 8 staff files. LPA Rai reviewed at random resident's Centrally Stored Medication Log and centrally stored medications in the Medroom. LPA Rai reviewed Resident #11's medication #1 the number of tablets in the bottle did not match the Central Stored Medication Record. Medication #1 should have 149 tablets in the bottle, LPA and Director of Health Services, Adriana De La O observed 155 tablets, which meant there were 6 extra tablets in the bottle. LPA Rai re-counted the medication with Staff S1 as well and the medication count in the bottle was 155. 87411 Personnel Requirements - General is being cited during today's visit. LPA Rai would like to clarify the facility personnel being in sufficient in numbers is not the concern, however the facility personnel's actions and documentation observed in Medroom are not competent to provide the services necessary to meet the resident's needs. Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. This report was reviewed with Director of Health Services, Adriana De La O and Administrator Ryan Golze. A copy of the report was provided. Appeal Rights were provided.

Other visitMay 22, 2024
No deficiencies

Inspector: Simranjit Rai

Plain-language summary

This was an unannounced annual inspection visit where the inspector toured the facility, bedrooms, bathrooms, and kitchen. The facility had adequate food supplies, secure storage for medications and cleaning supplies, functioning lights and bedding in all 10 resident bedrooms checked, and proper bathroom supplies including soap and paper towels. Fire safety equipment was current, water temperatures were appropriate, and the inspector will return to complete the full annual inspection.

View full inspector notes

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with Administrator, Ryan Golze and Director of Health Services, Adriana De La O and stated the purpose of today's visit. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPA Rai randomly toured 10 resident bedrooms. 10 out of 10 resident bedrooms had available bedding, drawers, and functioning lights. The resident bathrooms had available soap, paper towels, and trash cans with lids. The water temperature in the bathroom sinks ranged from 109.6 degrees F - 113.1 degrees F. Fire extinguisher was observed and inspected on 3/5/2024. Facility fire system was inspected by third party vendor on 3/11/2024. Facility fire sprinklers were inspected by third party vendor on 3/7/2024. Facility had 1 carbon monoxide detector next to the gas fireplace and the detector was in working condition. The last disaster drill was conducted on 5/6/2024. LPA Rai will return another day to complete annual inspection. This report was reviewed with Administrator, Ryan Golze and Director of Health Services, Adriana De La O and a copy of the report was provided.

Other visitFebruary 20, 2024Type B
2 deficiencies

Inspector: Simranjit Rai

Plain-language summary

During a follow-up visit regarding a previous complaint, inspectors found that a resident with nine falls in the past year was using bed rails without a doctor's order, and the facility's care plan did not explain how it would address the resident's fall risk. The facility's manager confirmed he was not aware of the regulation requiring a physician's order for bed rails and stated the resident was not receiving hospice care. The facility was cited for these deficiencies.

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Licensing Program Analyst (LPA) Simi Rai conducted an case management visit to address information obtained during the complaint investigation 8/10/2023. LPA Rai met with LVN Residential Manager, Fidel Manuel and stated the purpose of the visit. During investigation, it was disclosed that the resident (R1) did not have a physician's order to use bed rails. Resident Service Director (RSD) stated he/she was not aware of the regulation and did not have a physician's order on R1's file for using bed rails. RSD confirmed R1 was not receiving hospice services at the time of using the bed rails. During review of documents obtained during investigation, R1's has a history of falls, but Need and Services Plan did not state how facility will meet R1's fall-risk behavior. Based on review of R1's Appraisal dated 5/10/2023 stated R1 had a 9 episodes of fall in the past year. Based on review of R1's Physician's Report dated 6/17/2022, R1's physician has noted under "Other Conditions" as repeated falls. R1's Service Plan dated 5/10/2023 did mention the history of falls but it did not address R1's needs and how the facility would address this 'Physical/Health" concern. Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. This report was reviewed with LVN Residential Manager, Fidel Manuel. A copy of the report and Appeal Rights were provided.

Type BCCR §87608(a)(3)

Regulation

87608 Postural Supports (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. This requirement is not met as evidenced by:

Inspector finding

Based on interview and record review, R1 did not have a written order from a physician for the bed rail which was in use which poses/posed a potential health, safety or personal rights risk to persons in care.

Type BCCR §87463(a)

Regulation

87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement is not met as evidenced by:

Inspector finding

Based on interview and record review, R1's Service Plan did not address R1's history of falls which did not keep the appraisal accurrate which poses/posed a potential health, safety or personal rights risk to persons in care.

Other visitSeptember 8, 2023Type A
1 deficiency

Inspector: Simranjit Rai

Plain-language summary

A case management follow-up visit found that a resident with cognitive impairment and mobility limitations cut off a wander guard and left the facility unassisted on an electric scooter on August 17, 2023, traveling about 7 miles away; staff were not aware the resident had left until the resident's family called to report the resident was missing and alone. The resident had done this once before in October 2022, and on the day of the incident, staff assumed the resident was with family rather than checking the sign-out log or the resident's room when medications could not be given at 8pm. Deficiencies were cited related to the facility's supervision and monitoring procedures.

View full inspector notes

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit today. LPA Rai met with Director of Health Services (DHS) Adriana De La O and stated purpose of today's visit. The purpose of the case management visit was to follow up on an incident which occurred on 8/17/2023 at 9:37pm when resident (R1) cut off the wander guard and left the facility unassisted on the electric scooter. Per Incident Report, the facility received a phone call from R1's child stating R1 was out of the facility and approximately 7 miles away from the facility. The incident was reported to the Department via Unusual Incident Report on 8/17/2023. During today's visit, LPA Rai interviewed DHS and two staff (S1-S2). DHS stated R1's child informed the facility about R1 was out of the facility unassisted and 911 was called. Law enforcement officers were with R1 and DHS met with them before they escorted R1 back to the facility. R1 informed DHS of cutting the wander guard from the scooter before leaving the facility from the front door. Upon arrival back to the facility, DHS and facility staff found the wander guard in R1's room. DHS believes R1 left the facility from the front door when staff were not present at the reception area. Per DHS, the receptionist is at the reception area until 8pm and after 8pm a security guard will take over the reception area. R1 has left the facility previous to this incident on 10/6/2022 and R1 had cut the wander guard before leaving the facility unassisted. Per DHS, R1 does not have cognitive impairment and R1 does have cognitive abilities to make decisions. Per R1's Resident Appraisal 8/30/2023, R1 needs special observation/night supervision due to confusion, forgetfulness wandering and it stated "Resident has wander guard". Per record review of R1's Physicians Report 8/4/2023, R1 is unable to leave the facility unassisted and R1 uses a motor scooter due to motor impairment. Continuation on LIC 809-C, Page 1 of 2. 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 Page 2 of 2. Based on the interviews, the day of the incident 8/17/2023, the facility staff were not aware resident had left the facility until R1's child informed the facility staff. R1 was being tracked by phone and was showing location approximately 7 miles away. The facility staff last saw R1 during dinner time at 6pm and DHS had last seen R1 at 7pm when R1 was done with dinner and back to the room. At 8pm, S1 went to R1's room to administer medications, R1 was not found in the room and the room lights were off. S1 assumed R1 was with family even though the log did not show R1 was signed out of the facility. 2 of 2 staff stated residents' families will often not sign out residents out of the facility, even though it is a facility policy. At 9:37pm, S2 received the phone call from R1's child, informing R1 was not at the facility and notified S2 that R1 was approximately 7 miles away and was alone and unassisted. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. LPA Rai spoke with Director of Health Services (DHS) Adriana De La O and Executive Director Randy Herzig and went over report and today's deficiencies and they both agreed and understood. Exit interview was conducted with Director of Health Services (DHS) Adriana De La O and a copy of this report was provided. Appeal Rights were provided.

Type ACCR §87468.2(a)(4)

Regulation

Additional Personal Rights of Residents in Privately Operated Facilities:(a)... residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in...qualifications, and competency to meet

Inspector finding

their needs. This requirement was not met as evidenced by: R1 was not provided care and supervision to meet R1's needs wherein R1 left the facility unassisted while facility staff were unaware which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Other visitDecember 1, 2022
No deficiencies

Inspector: Simranjit Rai

Plain-language summary

A state licensing analyst conducted an unannounced visit on December 1, 2022 to deliver an exclusion letter for a staff member, meaning that person is barred from working at the facility. The administrator signed to confirm receipt of the letter, and no deficiencies were found during the visit.

View full inspector notes

On 12/1/2022 at 10:15am, Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management visit and met with Administrator Nelson Rodrigues and explained the purpose of the visit was to deliver a letter of exclusion for facility staff S1. Administrator Nelson Rodrigues signed the Declaration of Service letter stating that the exclusionary letter for S1 was delivered. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Nelson Rodrigues and a copy of the report was provided.

InspectionJanuary 12, 2022
No deficiencies

Inspector: Chihhsien Chang

Plain-language summary

This was a routine inspection to review the facility's COVID-19 safety practices and procedures. Inspectors found the facility had proper screening stations, signage, and protective equipment in place, though they recommended improvements such as purchasing trash bins with covers, more frequent disinfection of high-touch areas, and staff training on infection control. No violations were cited.

View full inspector notes

Licensing Program Analyst (LPA) Steve Chang, licensing Program Manager (LPM) Romeo Manzano, and Program Clinical Consultant (PCC) Cristina Wong conducted Technical Assistant - PCC through tele-inspection (Zoom). Met with Administrator (ADM) Nelson Rodrigues and staff Adriana Delao. The purpose of this TA PCC Tele visit is to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus. During tele-visit inspection, a tour of the facility was conducted which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the COVID-19 posters at the main entrance including screening questionnaire forms, hand sanitizer, face masks, thermometer, glove, and a visitor log book at the screening station. ADM stated the facility already stopped the dining and activities. ADM stated the meals are delivered to resident rooms for residents. LPA toured the public area with ADM including the dinning room, activity room and public restrooms. Dining room and activity rooms were observed closed and the tables in dining room and activity rooms were observed kept social distance. During inspection, it was observed that some of the facility trash bins did not have covers. It was recommended to have facility purchased trash bins with covers or foot pedal. The facility kitchen, laundry room and memory care unit including residents' isolation areas were observed and inspected. During visit, donning and doffing of PPEs was demonstrated by a care staff. PCC suggested that staff must ensure that the use of N95 is securely worn without leaks. 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 Based on today's inspection, the facility is being recommended the following: 1. Facility to wipe and disinfect high touch areas as frequently. 2. Facility to replace trash bins with covers or with foot pedal bins. 3. Facility to ensure that residents' soiled clothing/linens are separated between the positive and negative residents. For drying clothes, it should be in high heat temperature. 4. Facility to conduct staff training regarding COVID infection and mitigation control. Staff training should be documented. No deficiencies cited during today's Tele Visit. Exit interview conducted with Administrator. A copy of this report emailed to the facility for signature.

ComplaintMay 28, 2021
No deficiencies

Inspector: Joanne Roadilla

Plain-language summary

An unannounced infection control inspection found the facility had proper screening procedures at entry, hand sanitizers available, staff wearing masks, bathrooms stocked with hygiene supplies, clear fire exits, and secured medications. The inspector reviewed the facility's COVID-19 policies and procedures and found no violations.

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Licensing Program Analyst (LPA) Joanne Roadilla conducted an unannounced Infection Control site visit today. LPA met with Executive Director (ED) Nelson Rodrigues and Director of Health Services (DHS), Adriana De La O. LPA toured the facility inside and out. Facility was observed to have a designated entry point for universal symptom screening including temperature check and a questionnaire log. Hand sanitizers were available to residents, staff and visitors; and markers were observed to promote social distancing. All staff present were observed wearing masks. Random bathroom and restroom were observed supplied with hygiene products and hand washing signs were posted. Bedrooms, kitchen, dining room, common/activity rooms, and the exterior of the facility were inspected. All fire exit routes were observed clear of obstructions. Medications are secured and only accessible to staff. LPA reviewed the facility COVID-19 related infection control policies and procedures with ED and DHS including surveillance testing, disinfecting, staffing, training, isolation, PPE use and inventory. No deficiencies issued per Title 22 of the California Code of Regulations. LPA reviewed report with and a copy provided to ED Nelson Rodrigues and DHS Adriana De La O.

Federal summary

CMS Care Compare

Not a CMS-certified facility

California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.

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