Inspection Reports for Sonrisa Senior Living

CA, 95678

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Inspection Report Census: 121 Capacity: 199 Deficiencies: 0 Oct 30, 2025
Visit Reason
The inspection was a case management visit conducted due to incident reports regarding a resident's behavioral episodes requiring medical assessment.
Findings
No deficiencies were noted as a result of the inspection. The Licensing Program Analyst and Executive Director discussed the resident's behavioral expressions plan and ongoing strategies.
Report Facts
Incident dates: Behavioral episodes occurred on 2025-10-16 and 2025-10-18 requiring medical assessment
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the case management visit
Michael ClymoAdministrator/Executive DirectorMet with Licensing Program Analyst during the visit
Inspection Report Annual Inspection Census: 119 Capacity: 199 Deficiencies: 2 Sep 10, 2025
Visit Reason
The inspection was a required annual unannounced inspection conducted by Licensing Program Analyst Kevin Mknelly to assess compliance with licensing requirements using the full CARE tool.
Findings
The facility was observed to be clean, safe, and in good repair. However, deficiencies were found related to staff training documentation, with some staff lacking required training, posing potential health, safety, or personal rights risks to residents.
Complaint Details
The complaint was substantiated based on the preponderance of evidence, indicating valid allegations related to staff training deficiencies.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Licensee did not comply with training requirements including additional 20 hours annually with dementia care and specific training for postural supports, restricted health conditions, and hospice care for 4 staff files.Type B
Licensee did not ensure that employees assisting residents with self-administration of medications completed required 24 hours of initial training for 2 medication technician records reviewed.Type B
Report Facts
Staff files reviewed: 4 Resident files reviewed: 6 Personnel files reviewed: 2 Medication technician records reviewed: 2 Plan of Correction Due Date: Oct 8, 2025
Employees Mentioned
NameTitleContext
Michael ClymoExecutive DirectorMet with Licensing Program Analyst during inspection and discussed findings
Kevin MknellyLicensing Program AnalystConducted the inspection and authored the report
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 124 Capacity: 199 Deficiencies: 2 Apr 9, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including failure to ensure reporting requirements were followed, medication dispensing errors, and staffing qualifications.
Findings
The investigation substantiated that staff failed to notify a resident's family timely about an infectious illness due to an administrative error, posing a potential health risk. Other allegations regarding medication errors and staffing qualifications were found unsubstantiated or unfounded after review of records and interviews.
Complaint Details
The complaint was substantiated regarding failure to notify family of an infectious illness due to an administrative error, leading to exposure risk. Other complaints about medication errors and staffing were unsubstantiated or unfounded.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Observation of resident- The licensee shall ensure that residents are regularly observed for changes such as physical health condition and brought to the attention of the resident's physician and responsible person. This requirement was not met.Type B
Based on statements that found responsible party was not notified timely of an infectious illness. This posed a potential risk to others.Type B
Report Facts
Capacity: 199 Census: 124 Deficiencies cited: 2
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Michael ClymoExecutive Director/AdministratorMet with Licensing Program Analyst during investigation and received report
Inspection Report Complaint Investigation Census: 133 Capacity: 199 Deficiencies: 2 Feb 11, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that staff did not ensure infectious disease protocols were followed to prevent the spread of scabies and that there were insufficient staff to meet residents' needs.
Findings
The investigation substantiated the allegations, finding that infection control measures were not comprehensively implemented at the onset of the scabies outbreak and that staffing shortages occurred, leading to delays in resident care. Deficiencies were cited related to infection control and staffing.
Complaint Details
The complaint was substantiated. The investigation found that infectious disease protocols were not fully followed to prevent scabies spread and that staffing was insufficient at times to meet resident needs, leading to delays in care.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Infection Control Requirements (a) A licensee shall ensure that infection control practices are maintained. This requirement was not met based on interviews and records review which found that the infection control for this outbreak was not consistently and effectively implemented, posing a risk to residents.Type B
Additional Personal Rights of Residents in Privately Operated Facilities (a) residents shall have the right to care, supervision, and services that meet their individual needs and are delivered by staff sufficient in numbers to meet their needs. This requirement was not met based on records and interviews which found that for a period of time, there were insufficient staff to meet residents' needs, posing a potential risk.Type B
Report Facts
Residents treated prophylactically for scabies: 12 Staff treated prophylactically for scabies: 7 Facility capacity: 199 Census: 133
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Carol PickardAdministratorFacility administrator met with during investigation and report review
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager overseeing the investigation
Inspection Report Complaint Investigation Capacity: 199 Deficiencies: 1 Dec 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations of staff mismanaging resident's medication and falsifying medication administration records.
Findings
The investigation substantiated the allegation that staff mismanaged a resident's medication, specifically an inhaler with zero doses remaining was used and recorded as administered, posing an immediate health and safety risk. The allegation of falsifying medication administration records was found unsubstantiated due to lack of evidence.
Complaint Details
The complaint investigation was substantiated for staff mismanaging resident's medication but unsubstantiated for falsifying medication administration records.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Failure to develop and follow a plan for incidental medical and dental care, specifically medication administration compliance, resulting in an immediate risk to resident R1.Type A
Report Facts
Facility capacity: 199
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Carol PickardAdministratorFacility administrator met with during investigation and report delivery
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 115 Capacity: 199 Deficiencies: 1 Nov 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-09-24 regarding inadequate monitoring of a resident's oxygen administration, failure to ensure resident's room was cleaned, and failure to seek timely medical attention for a resident.
Findings
The investigation substantiated the allegation that staff did not adequately monitor the resident's oxygen administration, resulting in potential health and safety risks. The allegations that staff did not ensure the resident's room was cleaned and did not seek timely medical attention were found to be unsubstantiated.
Complaint Details
The complaint investigation was substantiated for inadequate monitoring of oxygen administration, with evidence showing the resident was not always escorted or monitored as per care plan, leading to non-use of oxygen as prescribed. The allegations regarding room cleanliness and timely medical attention were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Oxygen Administration - The licensee failed to monitor the resident's ongoing ability to operate oxygen equipment in accordance with physician's orders, posing a potential risk to the resident.Type B
Report Facts
Capacity: 199 Census: 115 Plan of Correction Due Date: Dec 10, 2024
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Carol PickardExecutive Director / AdministratorFacility representative met during investigation and named in findings
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 115 Capacity: 199 Deficiencies: 2 Oct 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff did not administer medications as prescribed and were mismanaging residents' medications.
Findings
The investigation substantiated the allegations, finding incidents where a resident was given another resident's medication and missed medication doses due to pharmacy and storage issues. These deficiencies posed immediate and potential health and safety risks to residents.
Complaint Details
The complaint was substantiated based on evidence including resident and facility records and interviews. The findings confirmed medication errors and mismanagement, including a medication mix-up and missed doses due to pharmacy and storage issues.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Incident of a resident being handed another's medication and an incident of a missed medication.Type A
Medications were not stored in their originally received containers, posing a potential risk to residents.Type B
Report Facts
Capacity: 199 Census: 115 Plan of Correction Due Date: 2024
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Carol PickardAdministratorFacility administrator involved in the investigation and report review
Maribeth SentyLicensing Program ManagerOversaw the licensing program related to the investigation
Inspection Report Annual Inspection Census: 114 Capacity: 199 Deficiencies: 0 Sep 18, 2024
Visit Reason
The inspection was a required unannounced annual inspection conducted using the full CARE tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be in substantial compliance with no deficiencies observed. The facility was clean, safe, and in good repair, with mostly complete resident and personnel files. Some discussion occurred regarding hospice care plan content and requests for staff first aid training certificates.
Report Facts
Personnel files reviewed: 6 Resident files reviewed: 10 Hospice waiver capacity: 15 Inspection duration hours: 6
Employees Mentioned
NameTitleContext
Carol PickardExecutive DirectorMet with Licensing Program Analysts during inspection and discussed hospice care plan requirements
Graham GunbyLicensing Program AnalystConducted the inspection
Kevin MknellyLicensing Program AnalystConducted the inspection
Inspection Report Census: 107 Capacity: 199 Deficiencies: 0 Aug 30, 2024
Visit Reason
The inspection was a case management visit conducted regarding an unexpected resident death at the facility.
Findings
The resident who passed away had multiple chronic illnesses and appeared to have received the necessary level of care and supervision. No deficiencies were noted as a result of the inspection.
Employees Mentioned
NameTitleContext
Carol PickardSenior Executive DirectorMet with during case management visit regarding unexpected resident death.
Liza SpencerProgram Director, LVNMet with during case management visit regarding unexpected resident death.
Kevin MknellyLicensing Program AnalystConducted the case management visit.
Maribeth SentyLicensing Program ManagerNamed in report review and signature section.
Inspection Report Census: 45 Capacity: 199 Deficiencies: 0 Apr 18, 2024
Visit Reason
The visit was a case management visit to discuss incident reports received by the department, including resident health changes, incidents of residents leaving the memory care unit, and a fall with fracture.
Findings
No violations or deficiencies were noted during the inspection. The facility was found to have proper measures in place for resident hydration, delayed egress system functioning, staff training, and fall prevention programs.
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the case management visit and discussed incidents with facility staff.
Eva BowlinExecutive DirectorMet with Licensing Program Analyst during the visit and discussed incidents.
Aaron BurgosMemory Care DirectorMet with Licensing Program Analyst during the visit and discussed incidents.
Inspection Report Census: 37 Capacity: 199 Deficiencies: 0 Dec 20, 2023
Visit Reason
The Licensing Program Analyst arrived unannounced to conduct a collateral visit to interview a resident concerning an issue not related to this facility.
Findings
No deficiencies were observed in the areas evaluated at the time of the visit.
Employees Mentioned
NameTitleContext
Jessica GalvezAdministratorMet with Licensing Program Analyst during the visit.
Bethany MirlohiLicensing Program AnalystConducted the unannounced collateral visit.
Troy OrdonezLicensing Program ManagerNamed in the report header.
Inspection Report Census: 25 Capacity: 199 Deficiencies: 0 Nov 17, 2023
Visit Reason
The inspection was a Post Licensing unannounced visit conducted to evaluate the facility's compliance and ensure health and safety of residents using the CARE inspection tool.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility. Resident and staff files were complete, though some recommendations were made for file organization and ensuring completeness of physician reports. No deficiencies were cited as a result of this inspection.
Employees Mentioned
NameTitleContext
Jessica GalvezExecutive Director / AdministratorMet with Licensing Program Analyst during inspection and discussed file completeness and organization.
Kevin MknellyLicensing Program AnalystConducted the Post Licensing Inspection and authored the report.
Maribeth SentyLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Original Licensing Capacity: 199 Deficiencies: 0 Oct 3, 2023
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility prior to opening, referencing the CARE inspection tool.
Findings
The facility was toured with no immediate health or safety concerns observed. The facility is in significant compliance with licensing requirements, with license approval pending.
Report Facts
Stairwell evacuation chairs pending delivery: 2
Employees Mentioned
NameTitleContext
Jessica GalvezAdministratorFacility administrator named in report header
Kevin MknellyLicensing Program AnalystConducted the pre-licensing inspection
Maribeth SentyLicensing Program ManagerNamed in report
Inspection Report Original Licensing Capacity: 199 Deficiencies: 0 Sep 14, 2023
Visit Reason
The visit was an initial licensing evaluation for the Residential Care Facility for the Elderly to assess pre-licensing readiness and compliance with California Code Title 22 Regulations.
Findings
The applicant and administrator participated in a telephone interview (COMP II) confirming their understanding of facility operation, admission policies, staffing requirements, restricted health conditions, emergency preparedness, complaints and reporting, and general provisions. Identification was verified and required documentation was obtained.
Employees Mentioned
NameTitleContext
Jessica GalvezAdministratorApplicant/administrator participating in COMP II and confirming understanding of regulations.
Michael HughesParticipant in COMP II interview with applicant/administrator.
Jude De La ConcepcionLicensing Program ManagerNamed as Licensing Program Manager on the report.
Bethany HunterLicensing Program AnalystNamed as Licensing Program Analyst on the report.

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