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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315920051
Report Date: 04/18/2024
Date Signed: 04/18/2024 02:38:36 PM

Document Has Been Signed on 04/18/2024 02:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SONRISA SENIOR LIVINGFACILITY NUMBER:
315920051
ADMINISTRATOR/
DIRECTOR:
GALVEZ, JESSICAFACILITY TYPE:
740
ADDRESS:1041 ROSEVILLE PKWYTELEPHONE:
(279) 213-0047
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 199CENSUS: 45DATE:
04/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Eva BowlinTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 4/19/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with executive director, Eva Bowlin and memory care director Aaron Burgos .

The purpose of the visit was to discuss incident reports received by the department.
On 3/27/24, R1 exhibited a change in condition and upon hospital evaluation was found to have a UTI and dehydration. LPA and director discussed R1's care plan and efforts to assist R1 stay hydrated. Additionally, overall resident hydration measures were discussed as warmer weather has begun. The licensee appears to have proper measures in place.

On 3/29/24, R2 and R3 were found to have left the memory care unit and be walking in the facility's parking lot. Staff who found the residents, redirected them to return to the unit to get ready for dinner. Resident's were unharmed. Residents were thought to be last seen approximately 10 minutes before found. The delayed egress system was reviewed to try to determine how residents left unnoticed. The system is found to be working properly, staff training has been done, residents' care plans have been updated. If additional measures will be added to the facility's plan of operations, the update will be submitted to the regional office. No violation is noted for this event.

On 3/27/24, R4 had an unwitnessed fall and fracture. R1 pressed their pendant for assistance and received timely medical care. R1 is currently in rehabilitation, will be reassessed before return and their care plan will be updated as needed. In addition to this incident, LPA and director discussed the licensee's fall prevention and assessment program. No violation is noted for this event.

As a result of today’s inspection, no deficiencies were noted.
Report reviewed. Copy of report and appeal rights provided
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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