Sunrise at Yorba Linda.

CONTINUED FROM FORM LIC9099 Regarding the allegation that Resident fell due to lack of care and supervision , the following has been concluded: Based on the resident records provided by facility staff and reviewed during the investigation, R1 was admitted to the facility on May 28, 2019. At the time of admission, R1 was assessed to be ambulatory, with a primary diagnosis of Atrial fibrillation, hypertension, chronic kidney disease III, macular degeneration. R1 was assessed to be able to manage their own medication at the time and no indication of Mild cognitive impairment or dementia were noted at the time. Regular updates to R1's plan of care are noted based on changes in condition. For example, as of February 2020, R1 was placed on medication management. Per the physician orders reviewed, R1 had a PRN order for Albuterol which was documented to be administered regularly due to recurring shortness of breath. On or around January 12, 2021, R1 sustained an unwitnessed fall resulting in lacerations to the head which resulted in a call to the paramedics and evaluation at the hospital. R1 tested positive for COVID-19 while at the hospital and was placed on isolation as required upon being readmitted to the facility. As a result of the fall and COVID-19 diagnosis, recurrent follow-up assessments were conducted in the weeks that followed. Per incident reports submitted as well as charting notes reviewed, no other fall incidents occurred during R1's admission at the facility. R1 eventually passed while under hospice care in January 2024. The documentation reviewed fails to sufficiently evidence that inadequate supervision was being provided to R1 which would have resulted in the fall reported in January 2021. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

On September 10, 2025, at 8:45AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Executive Director (ED) Tyler Hawk and explained the purpose of the visit. The facility is licensed to operate for ten (10) ambulatory, eighty-three (83) non-ambulatory, of which ten (10) may be bedridden, and have a hospice waiver for fifteen (15) residents. Facility is approved for delayed egress. The facility is a two-story building, which consists of the following: seventy-eight (78) resident units, eight (8) office rooms, eighty-four (84) bathrooms, waiting area, casino room, bistro area, activity room, cinema room, dining room, hair salon room, gym, kitchen, underground parking garage, and two outdoor covered patio area. LPA Kim toured indoor and outdoor of the physical plant with ED Hawk. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, refrigerator, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following bedrooms were inspected in Assisted Living: Resident Room 102, Resident Room 107, Resident Room 117, Resident Room 202, Resident Room 222, and Resident Room 229. The following bedrooms were inspected in Memory Care: Resident Room 2, Resident Room 9, Resident Room 12, and Resident Room 16. Evaluation Report Continues 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 Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 110.8 degrees F and 117.6 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, Emergency water, and Emergency supplies are stored in the storage room in parking garage. A working telephone (714) 693-5368 and tablet for videoconferencing technology both remain available for resident use. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. Fire/Safety drills are conducted monthly and last conducted on September 9, 2025. The facility has twenty-six (26) fire extinguishers that were charged, and they were all serviced on November 20, 2024. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of resident files (R1-R10), staff files (S1-S8), and medication and medication administration records that were all in order and complete. LPA conducted interviews with seven (7) residents and seven (7) staff. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Executive Director Tyler Hawk.

On September 11, 2024 at 8:00AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Maintenance Coordinator (MC) Louie Placencia. MC Placencia called Executive Director (ED) Tyler Hawk and ED Hawk stated they would arrive to join the physical tour. LPA Kim explained to MC Placencia and ED Hawk the purpose of the visit. ED Hawk could not remain for the entire visit and Business Officer Coordinator (BOC) Cristine Taylor would sign at the end of the visit. The facility is licensed to operate for eighty-three (83) non-ambulatory, of which ten (10) may be bedridden, and have a hospice waiver for fifteen (15) residents. Facility is approved for delayed egress. The facility is a two story structure, which consists of the following: seventy-eight (78) resident bedrooms, eight (8) office rooms, eighty-four (84) bathrooms, waiting area, casino room, bistro area, activity room, cinema room, dining room, hair salon room, gym, kitchen, underground parking garage, and outdoor covered patio area. LPA Kim toured indoor and outdoor of the physical plant with MC Placencia. ED Hawk joined the tour around 9:30am. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, refrigerator, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following bedrooms were inspected: Resident Room 101, Resident Room 105, Resident Room 116, Resident Room 117, Resident Room 202, Resident Room 217, Resident Room 219, Resident Room 223, and Resident Room 247. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105.0 degrees F and 118.7 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility. Evaluation Report Continues 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 Due to technical error with the wrong signature date for LPA, this report was amended with the correct signature date. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, Emergency water, and Emergency supplies are stored in the storage room in the parking garage. A working telephone (714) 693-5368 remains available. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. The facility last conducted a Fire/Safety Drill on August 14, 2024. The facility has twenty-six (26) fire extinguishers that are charged and they were all serviced on October 25, 2023, smoke detectors, and carbon monoxide detectors were operable. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of nine (9) resident files (R1-R8), ten (10) staff files (S1-S10), and medication and medication administration record were all in order and complete. LPA conducted nine (9) staff interviews. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Business Office Coordinator Cristine Taylor.

need to make a phone call. Witness indicated that they have received calls from R1 when R1 needs to speak to them. Witness indicated that they are not sure how R1 makes the call if assisted or not but none the less they have received calls from R1 from their personal cell phone. Interviews with 2 of 2 staff indicated that R1 at times presses pendent to call for assistance and ask the staff to dial the numbers to make calls. Staff indicated that if R1 request not to receive calls or to speak to a caller that staff do not force R1 to speak to the caller. Staff indicated that there are times when R1 does not want to talk to anyone and makes that very clear to staff and staff indicated that R1 has that right to refuse calls. LPA toured the physical plant of the facility and observed R1 on their cell phone making a call and a care staff was in their room with them. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.