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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002959
Report Date: 12/12/2024
Date Signed: 12/12/2024 12:42:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/24/2024 and conducted by Evaluator Farhaan Sarangi
COMPLAINT CONTROL NUMBER: 59-AS-20241024103022
FACILITY NAME:SUNDIAL ASSISTED LIVINGFACILITY NUMBER:
455002959
ADMINISTRATOR:ELIZABETH AMLINFACILITY TYPE:
740
ADDRESS:395 HILLTOP DRIVETELEPHONE:
(530) 241-2900
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:65CENSUS: 41DATE:
12/12/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Elizabeth AmlinTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Resident developed a pressure injury while in care
Staff are not distributing residents' medications as prescribed
Staff are not answering residents' call buttons in a timely manner
Staff do not ensure that residents' incontinence needs are met
Licensee does not ensure that staff receives required training
INVESTIGATION FINDINGS:
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On December 12, 2024 at approximately 09:30 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Sundial Assisted Living for the purpose of conducting a subsequent complaint investigation inspection and delivering complaint findings. LPA was greeted at the door by Administrator, Elizabeth Amlin and was granted access into the facility.

During the course of the investigation, LPA conducted interviews with staff, residents and witnesses. LPA reviewed facility records and staff records.

Complaint alleges that Resident developed a pressure injury while in care. Based on interviews that were conducted, LPA could not prove or disprove the allegation. LPA conducted interviews with Resident #2 and Resident #3 and learned of no concerns with the care that is being provided. LPA received inconsistent statements and could not corroborate the allegation (Report continued on LIC 9099C).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 59-AS-20241024103022
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SUNDIAL ASSISTED LIVING
FACILITY NUMBER: 455002959
VISIT DATE: 12/12/2024
NARRATIVE
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Complaint alleges that Staff are not distributing residents' medications as prescribed. Based on interviews that were conducted, LPA could not prove or disprove the allegation. During interviews with residents, staff and witnesses, LPA learned of no concerns as it relates to the medication management and dispensing of medication to residents. LPA could not corroborate the allegation.

Complaint alleges that Staff are not answering residents' call buttons in a timely manner. Based on an observation of facility records, LPA could not prove or disprove the allegation. In addition, LPA conducted interviews and learned of no concerns as it relates to answering of the call bells in a timely manner. LPA could not corroborate the allegation.

Complaint alleges that Staff do not ensure that residents' incontinence needs are met. Based on interviews that were conducted, LPA could not prove or disprove the allegation. Furthermore, during interviews with residents and Witness #1, LPA learned of no concerns as relates to the care of residents in placement. LPA could not corroborate the allegation.

Complaint alleges that Licensee does not ensure that staff receives required training. Based on a review of facility records, LPA observed sufficient staff training for the Med Tech. In addition, during an interview with the Med Tech, LPA learned of no concerns as it relates to training of staff members at the facility. LPA could not corroborate the allegation.

A finding that the complaint allegations of Resident developed a pressure injury while in care, Staff are not distributing residents' medications as prescribed, Staff are not answering residents' call buttons in a timely manner, Staff do not ensure that residents' incontinence needs are met, Licensee does not ensure that staff receives required training are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2