Senior Care Records.

Facility Evaluation Report

Sunshine Care Home Facility LLC, San Bruno02/03/2026Licence 415601134

Capacity6
Census5
Date signed02/03/2026 11:05:44 AM
Name of licensing program analystMurial Han
Name of licensing program managerApril Cowan
The inspector’s account

On February 3, 2026 Licensing Program Analyst (LPA) Murial Han conducted a plan of correction visit for the annual inspection that was conducted on January 20, 2026. Upon entry, LPA met with caregiver, Don Gonzalez and explained the purpose of today's visit. Caregiver called and informed the administrator, Roxanne Eduarte of LPA's visit and arrived shortly thereafter.

During today's visit, LPA discussed the plan of correction with the administrator and observed the following deficiencies were cleared:

- 87405(c) Administrator - Qualification and Duties

The following deficiencies are not corrected:

- 87412(a) Personnel Records, the administrator was not able to provide proof that S1's health screen as completed or scheduled.

- 87463(a) Reappraisals, the administrator was not able to provide proof that the reappraisals were completed for R2, R3, and R4

- 1569.695(c) Other Provisions, the administrator was not able to provide proof that emergency drill was completed on 1/30/2026 as indicated on the plan of correction.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction