11/26/2019

Internal Web Data

Department of

SOCIAL SERVICES
Community Care Licensing

FACILITY EVALUATION REPORT
Facility Number: 336426498
Report Date: 11/22/2019
Date Signed 11/22/2019 03:28:43 PM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL
SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200
MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNBROOK RESIDENTIAL CARE

FACILITY
NUMBER:
ADMINISTRATOR:SYKES, RAMONA
FACILITY TYPE:
ADDRESS:
43-574 PARKWAY ESPLANADE E.
TELEPHONE:
CITY:
LA QUINTA
STATE: CA
ZIP CODE:
CAPACITY:
6
CENSUS: 2
DATE:
TYPE OF VISIT: Case Management - Other
UNANNOUNCEDTIME BEGAN:
MET WITH:
Ramona Sykes
TIME
COMPLETED:

336426498
740
(760) 404-0872
92253
11/22/2019
01:30 PM
03:38 PM

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Licensing Program Analyst (LPA) Christine Le and Investigator Lori Wood conducted an unannounced
case management visit to follow up on Resident 1 (R1)'s death. LPA and Investigator met with licensee
Ramona Sykes and co-licensee Ronald Sykes.
LPA and Investigator toured the facility, conducted interviews, and reviewed two (2) residents files. LPA
and Investigator were informed by the licensee that R1's facility file was not available during the visit as
the files were in possession of law enforcement.
LPA and Investigator also conducted a Health & Safety Check of the facility with co-licensee Ronald
Sykes. LPA and Investigator toured the facility inside and out. Two (2) residents were observed in their
rooms. During this visit, LPA and Investigator did not observe imminent health & safety concerns.
The licensee was advised that there is an open investigation in regards to R1's death. Additional time is
needed to complete this investigation.
No deficiencies were cited during this visit. An exit interview was conducted where this report was
discussed and provided to the licensee.

SUPERVISOR'S NAME: Edna Musoke
LICENSING EVALUATOR NAME: Christine Le
LICENSING EVALUATOR SIGNATURE:

TELEPHONE: (951) 248-0336
TELEPHONE: (951) 897-2618
DATE: 11/22/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and
https://secure.dss.ca.gov/ccld/TransparencyAPI/api/FacilityReports?facNum=336426498&inx=10

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 11/26/2019

Internal Web Data

received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)

https://secure.dss.ca.gov/ccld/TransparencyAPI/api/FacilityReports?facNum=336426498&inx=10

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