Sunrise at Sterling Canyon.

Licensing Program Analyst (LPA) Abeye Duguma met with Monica Chifamba for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 10:30 AM and the following was noted: The facility is fire cleared for one hundred forty (140) non-ambulatory with a hospice waiver for thirty (30). The facility is currently occupying ninety-three (93) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. There is parking available for residents and visitors. The common and dining areas neat and clean. The facility has a total of eighty-six (86) bedrooms and bathrooms. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene products provided by the licensee. Towels and washcloths are not shared. The bathroom was checked for cleanliness and proper operation. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. There was enough clean linen available in the cabinets. (continued on LIC 809-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 LPA observed toxins, medications, knives and sharps to be inaccessible to residents. The facility maintains a comfortable temperature at 75°F. Fire alarms are checked periodically and programmed to dispatch the Fire Department. Fire extinguishers are located throughout the facility and observed to be fully charged and last inspected 10/15/2024. The hot water temperature was measured at 118.3°F. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.

Licensing Program Analyst (LPA) Abeye Duguma m et with Monica Chifamba for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 8: 30 AM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of eighty-six (86) bedrooms and bathrooms were toured and observed to be clean and properly stocked with towels and soap. The facility is fire cleared for one hundred forty (140) non-ambulatory with a hospice waiver for thirty (30). The facility is currently occupying one hundred twenty-eight (128) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 77°F. Fire alarms are checked periodically and programmed to dispatch the Fire Department. Fire extinguishers are located throughout the facility and observed to be fully charged and last inspected 10/06/2023. (continued on LIC 809-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 The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117.4°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.

Menu also shows meals are not repeated within the same week. During interviews with staff, all staff stated they do not repeat meals back-to-back, and all meals are served hot and fresh. During interviews with residents, Resident #1 (R1) stated facility serves same meals back-to-back, the food is often served cold but that the food and service is getting better. All other residents stated the same meals are not served back-to-back and the food is served hot and fresh. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility is in disrepair. It was alleged that facility’s elevator was not working and there was honey on the walls from a beehive. To investigate the allegation, on 07/18/2024, LPA conducted a physical plant tour at around 10:30 AM, requested documents at around 11:30 AM, interviewed the Maintenance Coordinator from around 12:15 PM to 12:45 PM and thirteen (13) residents from 12:45 PM – 3:00 PM. During the physical plant tour, LPA observed both elevators in working condition and did not observe any honey on the walls. A review of the maintenance records indicates that the facility was made aware of the honey on the walls on 07/06/2024. The facility immediately contacted the elevator company and pest control for inspection and no disrepair or pests were found. During interviews with staff, they confirmed all the information from the records, that the elevator and walls were opened to check for any bees, beehive or elevator disrepair, but none were found. The honey was cleaned, the elevator was temporarily closed off from 07/06/2024 to 07/11/2024 for safety of the residents and made available after clean-up. Staff added that an alternate elevator was available to residents for the duration. During interviews with residents, eight (08) out of thirteen (13) residents stated facility elevator was in disrepair and confirmed honey on the wall. The remaining residents were did not witness any disrepair or honey. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview conducted and a copy of the report was issued.

R1 was discharged from the hospital 08/15/2023 with physician’s orders to begin receiving hospice services. R1’s pressure injuries were initially healing and then progressed from stage two (02) to stage three (03) and four (04) under hospice care. During interviews with staff, all staff stated they have six (06) to eight (08) staff providing hands on care for about four (04) to six (06) residents per shift. All staff stated that R1 was checked on and rotated every two (02) hours or less, as instructed by the hospice agency. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview was conducted and a copy of report was issued.