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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002636
Report Date: 11/07/2024
Date Signed: 11/07/2024 02:14:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/28/2023 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20230428132836
FACILITY NAME:SUNFLOWER LIVINGFACILITY NUMBER:
306002636
ADMINISTRATOR:SUNITA CHANDFACILITY TYPE:
740
ADDRESS:9282 BLANCHE AVENUETELEPHONE:
(714) 534-7872
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:6CENSUS: 6DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Sunita ChandTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility staff verbally abused resident in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to continue the investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that facility staff verbally abused resident in care, the investigation revealed the following:Administrator indicated an incident where Resident 1 (R1) was verbally aggressive with Staff 1 (S1) after returning to the facility intoxicated. S1 confirms the incident. S1 denies verbally abusing the resident at any time and two out of two additional staff deny ever witnessing S1 be verbally abusive to residents. Three out of three residents deny any verbal abuse occurring at the facility and expressed satisfaction with all facility staff including S1. Based on interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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