Sunrise at Canyon Crest.

Allegation #1: Staff did not provide adequate supervision, resulting in a resident pushing another resident out of bed onto the floor. The complaint alleged that another resident became aggressive and pushed the client out of the bed onto the floor. The department interviewed the administrator (A1), who denied the allegation and stated that a staff member found resident #1 (R1) sitting on the floor next to the bed. A1 also mentioned that R1 has a history of scooting off the bed, so staff regularly checked on R1 and confirmed that no injuries were found. It was noted that R1 often tries to interact with other residents, though sometimes they are not receptive. Additionally, the department interviewed three staff members (S1, S2, S3), all of whom also denied the allegation. They reported that other residents enjoy playing with R1 and that R1's room is located across from several other residents. At the time of the incident, the staff noticed another resident (R2) in the room and attempted to ask for help. Upon inspection, no injuries were found, and the staff notified the responsible party about R1 sitting on the floor. The department attempted to interview R1 and R2 but could not gather any information due to their cognitive impairment. Meanwhile, resident #3 (R3) stated that R3 enjoys living in the facility and feels that the staff treats them well. Report continued on LIC9099C 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 A review of the Unusual Incident Injury Report submitted to the Community Care Licensing Division (CCLD) by the facility on December 11, 2023, confirmed that R1 was found sitting on the floor near the bed. The department also reviewed several individual Team member dementia training courses with various titles. The department also attempted to interview the responsible party, but, they declined to answer any questions, stating that R1 had moved out of the facility two years ago and had no further information. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation (s) did or did not occur; therefore, the allegation is unsubstantiated . No deficiencies cited. An exit interview was conducted, and a copy of the report was given to Administrator Heather Segura.

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. There is an Infection Plan on file. Resident record review began- Eight (8) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Employee records review began- Eight (8) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current 02/01/2027. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 108.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. (Continued on LIC809C) 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 (Continuation from LIC809) LPA verified there is a telephone working at this location. Food Service- Food supply meets the of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Emergency food was unable to be verified as it was in a closet that was packed with boxes to the ceiling. Fire extinguishers are tested or replaced annually and were last done so on 12/19/2024. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 06/12/2025. Based on the information received during this visit today, One (1) Technical Advisory is being issued per Title 22, Division 6 of The California Code of Regulations. This report was reviewed with Heather Segura and a copy will be emailed and confirmation of receipt will be requested

Information obtained from interview with S1 stated R1 did share at that time this is insulting but not that R1 was uncomfortable or that R1 felt S1 touched her inappropriately. Information obtained from additional interviews with residents, who receive assistance with toileting, stated there were no concerns or complaints with caregivers touching them inappropriately or making them feel uncomfortable in any way. LPA obtained the police report pertaining to the incident and it was documented that R1 denied being inappropriately touched by S1. A review of the records confirmed there were no prior disciplinary actions or written documentation regarding staff members inappropriately touching residents in care. Based on interviews, and record reviews the evidence received was not sufficient information regarding the listed allegations, that staff inappropriately touched a resident. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur: therefore, the allegation is “UNSUBSTANTIATED,"at this time. An exit interview was conducted, and a copy of this report was given to Administrator, Heather Segura.

On July 10, 2024, Licensing Program Analyst (LPA), Venus Mixson conducted an unannounced visit to the facility for the Required One Year Annual inspection, and met with Administrator Heather Segura who was informed of the purpose of the visit. The facility file review was conducted at the Regional Office and additional forms were requested and reviewed on site. LPA Mixson toured the facility, along with Administrator Segura and made observations following is a summary of what was observed. LPA Mixson toured the facility and inspected the inside and outside of the facility. The facility is located at 5265 Chapala Dr. Riverside, CA. 92507. Physical Plant: The physical plant is clean, neat, and orderly. Outdoor and indoor passageways are free of obstruction currently and well shaded for visits. The facility is made up of three cottages, two of which are designated for assisted living and one for memory care. The facility is licensed for 88 non-ambulatory residents and is currently providing serve to 69 Elderly Adults. The memory care unit is approved for delayed egress. During the tour, LPA Mixson sampled several of the delayed egress doors and observed those sampled to be operational. The facility has a Hospice waiver for 20 residents and Administrator Segura informed LPA that there are currently 19 residents who reside on hospice. Medications : Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There was a Wellness center and/or nurses station and it was clean and locked. There are about ten to 15 Med-techs and Nurses on staff for medication management and to assist residents with medications. CONTINUED ON NEXT PAGE 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 Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharps are locked. LPA observed a menu. Care & Supervision : Facility has sufficient staff, at the time of this visit. Staff were observed engaging the residents in activities, and the noon day meal. Records Review: LPA Mixson reviewed six resident and six staff files, conducted staff interviews and resident interviews. Previous Community Care Licensing forms were reviewed. Based on LPA's observations there were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview : was conducted and a copy of this report was explained and proved to Administrator, Heather Segura.

LPA conducted (2) interviews with R1's representatives which provided conflicting information. (1) interview conducted revealed that it is "extremely difficult" to get a hold of R1, while the other interview conducted revealed there are no issues with communicating with R1 via phone. LPA was provided with phone numbers for R1's private phone, LPA called this number and did not receive a response. LPA conducted a phone call to the facility phone and received an answer from the front desk. Therefore, based on the interviews conducted, the allegation that the facility is not answering calls from R1's representatives in a timely manner is unsubstantiated. Findings that are unsubstantiated mean that although the allegation is valid, the preponderance of the evidence standard has not been met. An exit interview was conducted with Administrator, Heather Segura where this report was reviewed and provided to them.

n 7/21/2023, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator Heather Segura who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior with Administrator Segura. The facility is made up of three (3) cottages, two (2) of which are designated for assisted living and one (1) for memory care. The facility is licensed for 88 non-ambulatory residents of which three (3) may be bedridden. The memory care unit is approved for delayed egress. During the tour, LPA tested the delayed egress and observed it to be operational. Facility has a hospice waiver for 20 residents and Administrator Segura stated the facility currently has 13 residents on hospice. The facility has large dining rooms, kitchen, and other areas throughout the building for residents to sit and relax. The outside area provides shaded seating available for resident use. Indoor and outdoor passageways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors and fire extinguishers throughout the cottages. There are no bodies of water on the premises. Food was stored in a safe and healthful manner. Facility met Departmental requirements for 2-day perishables and 7-day non-perishable food items. Resident interviews revealed kitchen staff accommodate residents’ dietary needs. There are several activities and outings available for resident leisure. Medications are secured in medication carts, only accessible to authorized personnel such as wellness nurses and/or MedTechs. Cleaning solutions, knives and sharp instruments are secured and inaccessible to the residents. Fireplaces have appropriate barriers to make them inaccessible for residents. During this visit, LPA did not observe any deficiencies. A copy of this report was discussed and provided to Administrator Segura.