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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920051
Report Date: 02/11/2025
Date Signed: 02/11/2025 03:55:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2024 and conducted by Evaluator Kevin Mknelly
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20241211084922
FACILITY NAME:SONRISA SENIOR LIVINGFACILITY NUMBER:
315920051
ADMINISTRATOR:PICKARD, CAROLFACILITY TYPE:
740
ADDRESS:1031 ROSEVILLE PKWYTELEPHONE:
(279) 213-0047
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:199CENSUS: 133DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Carol PickardTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not ensure infectious disease protocols are being followed to prevent the spread of scabies.

Licensee does not ensure there are sufficient staff to meet the needs of the residents
INVESTIGATION FINDINGS:
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On 2/11/25, Licensing Program Analyst (LPA) Kevin Mknelly spoke with ED/ Administrator, to deliver complaint findings for the above allegation.

LPA reviewed resident records, facility records and conducted extensive interviews.
LPA finds that the allegations cited above are substantiated.

Records and interviews found that the facility had the first case of a resident (R1) treated prophylactically for scabies on 11/26/24. The second (R2) began prophylactic treatment on 12/3/24. The third (R3) was the first confirmed case, by skin biopsy, on 12/7/24. Since the initial treatments began, there have been 12 residents and 7 staff treated, mostly prophylactically as a precaution as recommended by resident’s physicians, public health or by person choice due to possible exposure.

Public health states that a reportable outbreak is when there are 2 or more known or suspected cases in the community.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 59-AS-20241211084922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SONRISA SENIOR LIVING
FACILITY NUMBER: 315920051
VISIT DATE: 02/11/2025
NARRATIVE
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The facilities infection control plan states that contact precautions are to instituted, staff training will be conducted and visitors will be notified.

During the course of this investigation, records and statements, by staff and families, found that facility’s infection control measures were not implemented comprehensively at the unset of the outbreak (though improved during the course of this investigation).

Additionally, during the time of the onset of the outbreak, a number of factors lead to occasional staffing shortages. Records and statements found that there were insufficient staff to meet the needs at times of residents. R4 is a 4 person assist for incontinence care when the use of hoyer lift was not yet utilized. AM staff were. At times, only an AM med tech and 2 staff, between 7-9 AM, leading to R4 having a delay in care while other residents were attended to and for other staff to arrive.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with Administrator . Copy of this report and appeal rights provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20241211084922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SONRISA SENIOR LIVING
FACILITY NUMBER: 315920051
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/25/2025
Section Cited
CCR
87470(a)
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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 witch founfd that the infection crol for this outbreak was not consistently and effectively implemented. Thisposed a risk to residents.
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The facility has a comprehensive scabies mitigation plan at this time.
The licensee agrees to submit the action plan for who is responsible for the implementation of all aspects of the plan by the POC date of 2/25/25.
Type B
02/25/2025
Section Cited
CCR
87468.2(a)(4)
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Additional Personal Rights of Residents in Privately Operated Facilities (a) ... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered
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At this time, staffing has been corrected to resident needs.
Licensee agrees to submit a plan for addressing acute or chronic staffing needs when staff shortages are experienced by the POC date of 2/25/25.
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by staff that are sufficient in numbers, ...to meet their needs.
This requirement was not met based on records and interviews which found that that for a period of time, there were insufficient staff to meet residents needs. This posed a potential risk to residents.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3