365530374-3-16-2026-56-AS-NBRN-DSNT7V-20260330142921

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 365530374
Report Date: 03/16/2026
Date Signed: 03/16/2026 02:24:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/12/2025 and conducted by Evaluator Lavette Farlow

COMPLAINT CONTROL NUMBER: 56-AS-20251112094720

FACILITY NAME:	SUNLIT GARDENS ASSISTED LIVING		FACILITY NUMBER:	365530374
ADMINISTRATOR:	R		FACILITY TYPE:	740
ADDRESS:	9428 19TH STREET		TELEPHONE:	(909) 481-2600
CITY:	ALTA LOMA	STATE: CA	ZIP CODE:	91701
CAPACITY:	172	CENSUS: 98	DATE:	03/16/2026
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	Luis Gonzalez, Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not provide resident records to resident's authorized representative

INVESTIGATION FINDINGS:

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On 3/16/2026 at 12:57 PM, Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced at the facility to conclude the investigation and deliver findings for the above-mentioned allegation. LPA Farlow was greeted and granted entry by staff member, Joy Patterson. LPA Farlow explained the purpose of the visit. Joy notified Administrator Luis Gonzalez of LPA Farlow’s arrive.

The investigation was conducted by LPA LaVette Farlow. The investigation consisted of records review and interviews with staff and relevant parties. The allegation indicated that staff did not provide resident records to resident’s authorized representative. LPA's interview with S3 indicated that the facility did attempt to provide the resident records to the responsible party via email and the email address was incorrect. S3 stated they made several attempted to verify the email address, without any success or response. S3 stated they did reach family and provided the documents via email. In an email dated September 2, 2025, S3 communicated with executive staff stating that a second request was submitted and documents were scheduled to be released within 5 days and 10 days to resident’s responsible party.
***Continued LIC9099***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

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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Control Number 56-AS-20251112094720

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNLIT GARDENS ASSISTED LIVING	FACILITY NUMBER: 365530374
	VISIT DATE: 03/16/2026

NARRATIVE

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Documents provided to LPA revealed that the responsible party did receive documents from the facility. LPA’s interview with W1 revealed that the facility did provide documents to resident representatives on September 2, 2025, but W1 stated that documents were missing. LPA asked W1 what documents were missing and what you are looking for specifically? W1 refused to answer and became agitated and stated they did not want to continue the interview. LPA's interview with staff revealed that R1 was only a resident in the facility for approximately four (4) days and was sent out to the hospital due to a fall. Staff also revealed that R1 did not return to the facility after the release from the hospital. LPA’s interview with S1, S4, S5 revealed that they were not responsible for receiving the request and sending the documents to the residents’ responsible party but were aware that either S3 or S5 is responsible for completing the task, or would have more knowledge of the request. S1, and S5 stated documentation were provided by S3.

Based on LPA Farlow’s observation, interviews, and record review, the allegation mentioned in this report are Unsubstantiated. Unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report was discussed, and a copy of this report LIC9099 and LIC9099C were provided to Administrator Luis Gonzalez at the conclusion of the visit.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

LIC9099 (FAS) - (06/04)

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