Sunny Village Care Center
SUNNY VILLAGE CARE CENTER in ALHAMBRA, CA — inspection on December 23, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 12/23/2025 at 8:20 AM with RN 2, RN 2 stated per facility protocol, when a psychiatrist/psychologist consult is ordered, nursing staff inform Psychiatrist 1 of the order the same day, and the psychiatrist or physician assistant (PA) will come to the facility the next day. RN 2 stated Resident 1 should have had a psych consult before 12/21/2025, unless he refused. RN 2 also stated nursing should have followed up to ensure Psychiatrist 1 was aware of the ordered consult and it was important that Resident 1 received the consult to evaluate if there is [new] problem because only Psychiatrist 1 has the expertise to evaluate. RN 2 stated if the evaluation is not done, appropriate modifications and or treatments cannot be provided to the resident.
During an interview on 12/23/2025 at 9:17 AM with Licensed Vocational Nurse (LVN) 1, LVN 1 stated Resident 1 had a psychiatrist/psychologist consultation ordered two to three weeks ago and did not think Resident 1 had been seen yet. LVN 1 stated she was busy and did not follow up to see if the psych consult was endorsed or completed.
During an interview on 12/23/2025 at 11:33 AM with LVN 2, LVN 2 stated per facility protocol, when a psychiatrist/psychologist consult is ordered, nursing is supposed to notify the psychiatrist in charge, and the psychiatrist will come to evaluate the resident. LVN 2 stated nursing staff should have endorsed the ordered consult each shift to ensure the consult is followed up and completed, and if Resident refused, documentation would be done regarding the refusal and doctor notification.
During a concurrent interview and record review on 12/23/2025 at 1:20 PM with RN 1, Resident 1's electronic and physical medical charts were reviewed.
The medical charts failed to indicate any offered or completed psych consults, MD notification, follow up, or refusal of psych consult(s) from 11/25/2025 to 12/18/2025. RN 1 stated Resident 1's medical chart should have had documentation regarding any refusals for psych consults, MD notifications, care plan regarding refusal or completed evaluations.
During a review of the facility's Policy & Procedure (P&P) titled, Behavioral Assessment, Intervention and Monitoring, revised 3/2019, the P&P indicated the facility will provide and residents will receive behavioral health services as needed to attain or maintain the highest practicable physical, mental and psychosocial well-being in accordance with the comprehensive assessment and plan of care.
The P&P also indicated the interdisciplinary team (IDT - a coordinated group of experts from several different fields) will thoroughly evaluate new or changing behavioral symptoms in order to identify underlying causes.that may have contributed to the resident's change in condition including emotional, psychiatric and/or psychological stressors.
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