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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 365530374
Report Date: 10/13/2026
Date Signed: 10/13/2026 03:57:17 PM

Document Has Been Signed on 10/13/2026 03:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
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 LIVINGFACILITY NUMBER:
365530374
ADMINISTRATOR/
DIRECTOR:
RFACILITY TYPE:
740
ADDRESS:9428 19TH STREETTELEPHONE:
(909) 481-2600
CITY:ALTA LOMASTATE: CAZIP CODE:
91701
CAPACITY: 172CENSUS: 116DATE:
10/13/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:18 AM
MET WITH:Luis Gonzalez, Administrator TIME VISIT/
INSPECTION COMPLETED:
04:08 PM
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Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Sunlit Gardens Assisted Living, Residential Care Facility for the Elderly; unannounced to conduct the Comprehensive Annual Inspection. LPA met with Concierge, Joy Patterson and was given a designated area to work. Joy notified the Executive Director, Luis Gonzalez of LPA's arrival. LPA introduced self and stated purpose of the visit.

LPA was accompanied by Administrator, Luis Gonzalez, and Lauren Rodriguez, Wellness Director on a walk through of the facility inside and out. LPA observed the following during the walk through.

Physical Plant: The facility is comprised of four buildings. Each labeled as "A" "B" "C" and "D" Each building is designated for Assisted Living and Memory Care. During the walk through of each building, LPA observed the facility's temperatures to be comfortable. There was sufficient lighting provided by various lamps, light fixtures and night lights throughout each building's interior and exterior. LPA observed fire extinguishers in cases posted through out the facility. Each fire extinguisher was last inspected September 17, 2026 and found fully charged. Administrator reported that disaster drills are conducted on a quarterly basis. The facility contracts a third party to conduct the fire/disaster drills. Last fire/disaster drill took place in September 2026. Each building has it's own courtyard. In each courtyard LPA observed adequate shaded seating available, clear and unobstructed pathways. Each exit was secure with WanderGuard alarms and key pad entry or egress doors. Administrator reported that each resident residents room has a pull cord for emergency assistance. Each courtyard also included various activities for residents in care. LPA observed resident rooms. Each resident room contained adequate storage space, beds with all required linens, attached bathroom with operable appliances, hand soap and paper supplies. Bathrooms also included walk-in/roll in shower stalls equipped with handrails and non-slip materials for safety. LPA tested and measure the water temperature in several residents bathroom and the water tested at 113.4, 112.2, 110.4, 110.5, and 105.3 degrees F. All tested within regulation.


Please see LIC809-C
Nedra Brown
Lavette Farlow
DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 10/13/2026
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Food Service: LPA observed the facility's nonperishable and perishable food supply. The amount of food supply is sufficient for number of residents in care. Food for residents is centrally prepared in one building then dispersed among each building. LPA observed that snacks were made available in various places for residents in care. LPA observed that the kitchen is secure, also designated places for sharps and chemicals are also kept secure inaccessible to residents. Each Dining Room/Kitchen Area contained adequate seating and space for residents in care.

Care & Supervision: The Facility has sufficient amount of staff 24/7 for resident in care. All staff have a Criminal Background clearance.

Record Review and Resident/Staff Files: LPA Farlow reviewed records for residents currently living at the facility. LPA conducted an audit of 10 residents files for, Physician Reports, Admissions Agreements and Needs and Services Plans. LPA observed that 1 out of 10 physician reports was expired. LPA spoke with Corey, Care Coordinator with InnovAge and he explained the delay is with InnovAge and the report was completed and he will provided to the facility soon. A Technical Advisory issued. LPA reviewed nine (9) staff files and confirmed that staff records reflect current CPR/First Aid Certification, Criminal Record Clearance, Health Screenings, TB Tests and all required annual training. Staff files appeared to be maintained.

Administration: LPA observed the following posters in each building: Disaster Plan / Facility Sketch, Long Term Care Ombudsman, Infection Control, Personal Rights, Activities Calendar, Food Menus and facility license are posted in a prominent location of the facility.

Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and secure in Medication Technician's Office in each building.

Based on the information above, no deficiencies, one technical advisory was issued during this inspection. An exit interview was conducted and copy of this report was reviewed, discussed then provided to Administrator, Luis Gonzalez.
NAME OF LICENSING PROGRAM MANAGER: Nedra Brown
NAME OF LICENSING PROGRAM ANALYST: Lavette Farlow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
LIC809 (FAS) - (06/04)
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