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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002959
Report Date: 11/03/2025
Date Signed: 11/03/2025 02:35:30 PM

Substantiated


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
06/17/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250617124218
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: 31DATE:
11/03/2025
UNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH:Administrator Elizabeth AmlinTIME COMPLETED:
02:48 PM
ALLEGATION(S):
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Lack of staffing.
INVESTIGATION FINDINGS:
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On 11-3-25, Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 06/17/25. LPA Benson met with Administrator Elizabeth Amlin and explained the purpose of the visit.

During the interview process, three staff persons and two residents were interviewed. The following documents were received and reviewed: staff list with telephone numbers and work schedule, resident roster, care plans for two person assist residents, end of shift notes for all residents, Daily assignment sheets and incident reports.

Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Sarah Benson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2025
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 3
Control Number 59-AS-20250617124218
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: 11/03/2025
NARRATIVE
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It was alleged (ADLs) are not being completed for all residents, as resident R1 is requiring a great amount of care based on R1s time of a resident with a contagious medical confinement. .

During staff interviews its was reported the residents’ care needs were compromised, a bed bath instead of a full shower, not spending the time necessary to get to the residents in a timely manner. Staff reported when we go to lunch the other care staff can’t get to all of the call buttons and the medication technician is passing out the meds. Staff reported the residents have complained, some understand that we are busy.

During the resident interviews R2 stated it takes about five minutes and then they say the will be right back and that is fifteen more minutes. The resident reported, I don’t like being left on the toilet for a half hour. The resident stated it takes forever, sometimes a half hour when I need assistance to go to the bathroom or get off the pot.

Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Reulations, (Title 22), is cited on the attached LIC 9099D.

NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Sarah Benson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250617124218
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2025
Section Cited
CCR
87411(a)
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87411(a) Personnel Requirements, General - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…
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Staff have had training for contagious medical confinement PPE.
Staff have end of shift notes to record ADL's completed.
Monitoring of call button response times.
Sharing daily ADLs during shift change.
Administrator will notify LPA of Call Button response times.
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This requirement was not met as evidenced by: Based on interviews and records the residents ADL’s were not completed during the time of a resident with a contagious medical confinement. This poses an immediate risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Sarah Benson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3