Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally adequate compliance with regulations. However, some reports cited deficiencies, mainly related to medication management, resident care, and documentation, including a recent July 10, 2025, inspection that found multiple serious medication management issues posing immediate health and safety risks. A prior complaint investigation in July 2025 involved a resident’s fall and death, with further investigation ongoing but no enforcement actions listed. Earlier substantiated deficiencies included failure to provide timely access to medical records and lapses in resident care plans and supervision. The facility’s record shows some concerning isolated incidents but no fines, license suspensions, or enforcement actions noted in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 4
Jul 10, 2025
Visit Reason
The visit was an unannounced Case Management inspection conducted to address deficiencies observed during a prior complaint visit.
Findings
The inspection found multiple deficiencies related to medication management, including residents storing and accessing medications without proper authorization, expired medications not discarded, and unsafe storage of cleaning solutions posing immediate health and safety risks.
Complaint Details
The visit was conducted as a follow-up to deficiencies observed during a complaint investigation. The report references addressing issues found during the complaint visit.
Severity Breakdown
Type A: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility staff did not assist R1 with medications as needed when R1 is not able to administer or store own medication, posing an immediate health, safety, or personal rights risk. | Type A |
| Facility staff did not discard R2's expired medication which was still present in R1's room, posing an immediate health, safety, or personal rights risk. | Type A |
| R2 medications were accessible to R2 who is not able to store own medication, posing an immediate health, safety, or personal rights risk. | Type A |
| Laundry/cleaning solution was observed in R2's room left unattended outside of locked storage, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Facility capacity: 80
Deficiency count: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Simranjit Rai | Licensing Program Analyst | Conducted the inspection and authored the report |
| Ann Lee | Health and Wellness Director | Observed resident rooms and medication storage with Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 80
Deficiencies: 0
Jul 9, 2025
Visit Reason
The visit was an unannounced case management inspection triggered by a death report received on 7/8/2025 regarding a resident (R1) who fell in the facility and later died in the hospital.
Findings
The investigation found that resident R1 fell on 7/3/2025 near the kitchenette in their room, was sent to the hospital, and died on 7/6/2025 due to internal brain bleeding. Staff and administrator interviews confirmed the incident and timely notification to emergency services and family. The case requires further investigation.
Complaint Details
The visit was complaint-related due to a death report involving resident R1. The report includes details of the fall incident, hospital treatment, and death. Substantiation status is not stated.
Report Facts
Facility capacity: 80
Resident census: 47
Incident time: 324
Resident move-in date: 5162025
Resident death date: 762025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Interviewed regarding resident R1's fall and death |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 80
Deficiencies: 1
May 15, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-05-24 alleging that staff did not provide medical records to an authorized representative.
Findings
The investigation found that the facility did not make available the requested records when the resident’s designated representative made a written consent, posing a potential health, safety, or personal rights risk. The complaint was substantiated and deficiencies were cited under California Code of Regulations, Title 22.
Complaint Details
The complaint was substantiated. The allegation was that staff did not provide medical records to an authorized representative despite written requests and follow-up communications. The facility eventually uploaded the records after a delay, but the failure to provide timely access was found to pose a risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have records and personal information remain confidential and to approve their release, except as authorized by law, as evidenced by not making available requested records despite written consent. | Type B |
Report Facts
Deficiencies cited: 1
Census: 45
Total Capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation visit |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Census: 45
Capacity: 80
Deficiencies: 0
May 15, 2025
Visit Reason
The visit was an unannounced case management follow-up to a previous visit regarding a resident who left the facility and passed away outside the facility.
Findings
The investigation found no deficiencies cited under California Code of Regulations, Title 22, related to the resident's death. The cause of death was determined to be a probable complication of an existing health condition.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Met with Licensing Program Analyst during the visit and was involved in the discussion of findings. |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 45
Capacity: 80
Deficiencies: 0
May 15, 2025
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in good condition with no deficiencies cited. Resident rooms, common areas, and kitchen were inspected, and records for residents and staff were complete and up to date.
Report Facts
Food supply duration: 2
Food supply duration: 7
Inspection start time: 926
Inspection end time: 1430
Hot water temperature: 105
Room temperature: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Met with Licensing Program Analyst during inspection |
| Grace Donato | Licensing Program Analyst | Conducted the inspection visit |
| Jackie Jin | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 80
Deficiencies: 0
Jan 10, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff were not providing resident's records to the responsible party.
Findings
The investigation found that the allegation was unfounded as the requested records were provided to the responsible party, and the department determined the allegation was false or without reasonable basis.
Complaint Details
The complaint alleged that facility staff were not providing resident's records, including medication administration records and incident reports, to the responsible party. The allegation was determined to be unfounded.
Report Facts
Capacity: 80
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation visit |
| Dominique Frommo | Health Wellness Director | Met with the Licensing Program Analyst during the investigation |
| Jasmine Latu | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 80
Deficiencies: 0
Jan 10, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including a resident being locked in a room, staff not administering medication, and a resident being left in a soiled diaper for an extended period.
Findings
Based on interviews with staff and review of the allegations, the department determined there was insufficient evidence to substantiate the complaints; therefore, the allegations were unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident locked in a room, missed medication administration, and prolonged soiled diaper use. Interviews with staff and the reporting party did not provide sufficient evidence to prove violations occurred.
Report Facts
Capacity: 80
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jackie Jin | Licensing Program Manager | Reviewed the complaint investigation report |
| Dominique Frommo | Health Wellness Director | Interviewed during the investigation regarding allegations |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 80
Deficiencies: 1
Dec 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff left a resident outside for an extended amount of time.
Findings
The investigation substantiated the allegation that resident R1 was left outside on the balcony in the sun for an extended period, approximately 1 to 1.3 hours, exposing the resident to high temperatures which posed an immediate health, safety, and personal rights risk. Deficiencies were cited under California Code of Regulations Title 22.
Complaint Details
The complaint was substantiated based on interviews, observations, and records review. The resident was found outside in the sun for approximately 1 hour to 1 hour and 20 minutes on 10/11/2023, which violated personal rights and posed health risks.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to accord resident safe, healthful and comfortable accommodations by leaving resident outside on the balcony for a long period exposing them to high temperatures. | Type A |
Report Facts
Temperature: 73
Census: 43
Total Capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Jasmine Latu | Administrator / Executive Director | Facility administrator met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 80
Deficiencies: 1
Dec 19, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations including lack of administrator substitute designation, insufficient administrator presence, inadequate staff training, failure to maintain resident medication records, and residents lacking appraisals of individual service needs.
Findings
The investigation found that the allegations regarding lack of administrator substitute designation, insufficient administrator presence, and inadequate staff training were unsubstantiated or unfounded. However, the allegation that residents had no appraisal of individual service needs was substantiated, with 7 out of 7 resident files lacking needs and services plans, resulting in cited deficiencies.
Complaint Details
The complaint investigation was unannounced and conducted due to allegations received on 07/18/2022. The allegations included lack of administrator substitute designation, insufficient administrator presence, inadequate staff training, failure to maintain resident medication records, and residents lacking appraisals of individual service needs. The investigation concluded that most allegations were unsubstantiated or unfounded except for the lack of resident service needs appraisals, which was substantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 7 out of 7 resident files reviewed did not have a needs and services plan, posing an immediate health, safety, or personal rights risk to clients in care. | Type A |
Report Facts
Resident files without needs and services plan: 7
Staff with current CPR/AED/First Aid Training: 5
Staff with Dementia Training: 6
Facility capacity: 80
Census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation |
| Jackie Jin | Licensing Program Manager | Oversaw the complaint investigation |
| David Hahklotubbe | Administrator | Facility administrator named in allegations |
| Jasmine Latu | Executive Director | Met with Licensing Program Analyst during investigation and provided documentation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 80
Deficiencies: 0
Dec 19, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2023-11-02 regarding resident neglect and improper care at Sonnet Hill facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations of neglect, rough handling, forced feeding, inadequate showering, dressing assistance, or dental hygiene neglect. Staff and resident interviews indicated care was generally appropriate and allegations were unsubstantiated.
Complaint Details
The complaint involved multiple allegations including a resident sustaining a fracture due to staff neglect, rough handling of residents, forced feeding, lack of showering, dressing assistance, and dental hygiene. The investigation concluded all allegations were unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 80
Census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation |
| Jasmine Latu | Executive Director | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 80
Deficiencies: 1
Dec 16, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that the facility staff did not follow residents' care plans resulting in a resident sustaining a fall, and that staff were not following infection protocols during a COVID outbreak.
Findings
The investigation found the allegation regarding failure to follow infection protocols during the COVID outbreak to be unfounded. However, the allegation that the facility did not follow a resident's care plan, resulting in a fall, was substantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was triggered by allegations received on 08/14/2024 that staff did not follow infection protocols during a COVID outbreak and that the facility failed to follow a resident's care plan resulting in a fall. The infection protocol allegation was found to be unfounded. The fall allegation was substantiated with evidence showing the resident was not checked as required, posing a safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide care, supervision, and services that meet individual resident needs as required by CCR 87468.2(a)(4), evidenced by failure to conduct required status checks every 2 hours for resident R1, who is a moderate fall risk. | Type A |
Report Facts
Capacity: 80
Census: 43
Deficiency count: 1
Plan of Correction Due Date: Dec 17, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation report |
| Dominique Frommo | Health & Wellness Director | Facility representative interviewed during investigation |
| Jasmine Latu | Administrator | Facility administrator providing statements regarding infection control and care |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 80
Deficiencies: 0
Nov 20, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not addressing a resident's rash timely.
Findings
The investigation found the allegation to be unfounded. Interviews and records showed no outbreak of rash; the resident had an allergy which was managed appropriately with family communication and medication.
Complaint Details
The complaint alleged that staff were not addressing a resident's rash timely. The investigation included interviews with the Executive Director, staff, residents, and review of communication logs. The allegation was found to be unfounded.
Report Facts
Complaint Control Number: 26
Capacity: 80
Census: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Executive Director | Interviewed regarding the rash allegation and investigation findings |
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation visit |
| Steve Chang | Licensing Program Analyst | Conducted initial investigation visit |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 42
Capacity: 80
Deficiencies: 0
Jul 5, 2024
Visit Reason
The visit was an unannounced case management follow-up on an Incident Report and Death Report of a resident who left the facility and passed away outside of the facility.
Findings
The Licensing Program Analyst conducted interviews and obtained relevant resident documents, determining that the case management requires further investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominique Frommo | Health and Wellness Director | Met with during the visit and participated in interviews related to the incident. |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 80
Deficiencies: 0
May 21, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2023-01-25 regarding staff handling residents roughly, lack of dignity in staff-resident relationships, medication training and management issues, failure to notify representatives of incidents, inadequate nutrition, and foul odor at the facility.
Findings
The investigation included interviews with staff, residents, and review of records. The allegations of rough handling and lack of dignity were unsubstantiated due to insufficient evidence. Allegations related to medication training, medication mismanagement, failure to notify representatives, inadequate nutrition, and foul odor were found to be unfounded based on interviews, observations, and documentation.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Grace Donato. Allegations included rough handling of residents, lack of dignity, medication training and management issues, failure to notify representatives of incidents, inadequate nutrition, and foul odor. The allegations of rough handling and dignity were unsubstantiated, while the other allegations were unfounded.
Report Facts
Capacity: 80
Census: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation |
| Johanna Moon | Business Office Manager | Interviewed during the investigation |
| Jasmine Latu | Administrator | Interviewed during the investigation |
Inspection Report
Annual Inspection
Census: 36
Capacity: 80
Deficiencies: 2
May 9, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and facility operations.
Findings
Deficiencies were noted related to staff first aid certification and maintenance of medication dosage records. The facility had adequate food supplies, proper temperature controls, and functional safety equipment.
Deficiencies (2)
| Description |
|---|
| Two out of three caregivers were observed without valid first aid certificates, posing a potential health and safety risk. |
| Staff were unable to provide medication dosage records for 5 out of 5 residents with centrally stored medications, posing a potential health and safety risk. |
Report Facts
Residents present: 36
Licensed capacity: 80
Staff without valid first aid certificate: 2
Resident medication records missing: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Latu | Administrator | Met with Licensing Program Analyst during inspection and involved in plan of correction discussions |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 80
Deficiencies: 2
Jun 22, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-03-09 alleging issues including overcharging a resident and failure to provide an itemized list of fees.
Findings
The investigation substantiated that the facility failed to provide an admission agreement listing the fee schedule for incontinent care to resident R1, resulting in unauthorized charges. The facility admitted to not including incontinence care charges in the initial contract and did not complete a new admission agreement upon realizing the mistake.
Complaint Details
The complaint was substantiated based on records review and interviews. The facility did not provide an admission agreement for R1 at admission, only a reservation agreement without incontinent care fees. The facility admitted to the omission and agreed to absorb charges for two months but sought to charge going forward without agreement from the responsible party.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to complete the admission agreement for R1 during the entire time of admission, resulting in unauthorized separate charges for incontinent care. | Type B |
| Resident R1 was not given a copy of an admission agreement listing the fee schedule; only a reservation agreement was provided which did not list the fee for incontinent care. | Type B |
Report Facts
Facility capacity: 80
Resident census: 17
Deficiencies cited: 2
Plan of Correction due date: Jun 29, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Jackie Jin | Licensing Program Manager | Oversaw the complaint investigation report |
| David Hahklotubbe | Administrator | Facility administrator involved in interviews and correspondence regarding admission agreements and charges |
| Jasmine Latu | Met with during the investigation and reviewed the report |
Report
January 17, 2024
File
report_8_435202780_inx7_2024-01-17.pdf
Report
November 28, 2023
File
report_7_435202780_inx6_2023-11-28.pdf
Report
June 7, 2023
File
report_6_435202780_inx5_2023-06-07.pdf
Report
June 22, 2022
File
report_15_435202780_inx14_2022-06-22.pdf
Report
June 22, 2022
File
report_16_435202780_inx15_2022-06-22.pdf
Report
June 22, 2022
File
report_5_435202780_inx4_2022-06-22.pdf
Report
June 2, 2022
File
report_4_435202780_inx3_2022-06-02.pdf
Report
May 10, 2022
File
report_3_435202780_inx2_2022-05-10.pdf
Report
May 13, 2021
File
report_2_435202780_inx1_2021-05-13.pdf
Report
December 3, 2020
File
report_1_435202780_inx0_2020-12-03.pdf
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