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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002959
Report Date: 01/15/2026
Date Signed: 01/15/2026 01:32:49 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
09/09/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250909090827
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: 30DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Elizabeth AmlinTIME COMPLETED:
12:41 PM
ALLEGATION(S):
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Staff do not ensure there is a written record of dietitian consultation visits.
Staff did not address residents change in condition.
INVESTIGATION FINDINGS:
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On 1-15-26, Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09/09/25. LPA Benson met with Administrator Elizabeth Amlin, and explained the purpose of the visit.

During the interview process interviews were completed and records were reviewed. The following documents were received and reviewed: staff list with telephone numbers and work schedule, resident roster, care plans, end of shift notes for resident, weight records, written record of nutritionist/dietitian consult, daily assignment sheets and incident reports.

Continued on LIC9099C & LIC9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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-20250909090827
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: 01/15/2026
NARRATIVE
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Staff do not ensure there is a written record of dietitian consultation visits.

Document review revealed that the facilities last recorded dietitian consultation was dated 2018. During interviews the Administrator reported for years the facility has had no nutritionist, dietitian or economist for consultation.

Staff did not address residents change in condition

Document review revealed, on 7-30-23 the resident weighed 229 lbs. Record review revealed a hospital visit on 1-8-25 with a recorded weight of 178 lbs. Record review reported a reappraisal completed on 2-21-25 with a recorded weight of 174.3 lbs. Record review revealed a reappraisal completed 9-9-25 with recorded weight of 140 lbs. Record review found no reappraisal completed from 7-30-23 to 2-21-25.

The reappraisal report dated 9-9-25 stated the resident is experiencing nutritional problems. The report stated snack monitoring daily and daily documentation of food intake of meals. Document review revealed that the resident is diabetic with carbohydrate intake control. Document review states the resident is independent for dining with occasional reminders of mealtimes. The report states that staff will order a room tray if resident did not want to come to dining area.

It was reported staff contacted a family member on 9-2-25 with concerns of the residents’ weight loss. It was reported that the facility recommended hospice as an intervention for severe weight loss. It was reported the family didn’t agree and contacted the resident’s physician. It was observed the facility completed a change in condition report on 9-9-25.

Record review revealed the resident had severe weight loss as evidenced by a weight loss from 7-30-23 weight 229 lbs. to reappraisal on 2-21-25 weight of 174.3 lbs. Record review revealed the reappraisal did not address the weight loss. Record review revealed the next reappraisal completed 9-9-25 revealed further weight loss with recorded weight of 140 lbs. It was reported that the resident revealed significant fat and muscle waste.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals un-met needs.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250909090827
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: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/15/2026
Section Cited
CCR
87555(b)(17)
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General Food Service Requirements The following food service ...
(17) In facilities licensed for fifty (50) or more, and providing three (3) meals per day, a full-time employee qualified by formal training ... If this person is not a nutritionist, a dietitian, or a home economist, provision shall be made for regular consultation from a person so qualified. The consultation services shall be provided at appropriate times, during at least one meal. A written record of the frequency...
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The Administrator hired a dietitian that will perform the concultations and written records.
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This requirement is not met as evidenced by: Based on documentation reviewed, the facility did not ensure the facility had a nutritionist with written records. Which poses a potential health, safety, and personal rights risk to residents in care.
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Type B
02/15/2026
Section Cited
CCR
87466
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Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.
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Administrator will have a training with staff concerning reporting requirement of observation of the residents.
Administrator will send a copy of the training with staff signatures to LPA.
Administrator will weigh the residents on a regular basis.
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This requirement is not met as evidenced by: The licesenee did not address the residents weight loss. Which poses a potential health, safety, and personal rights 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.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3