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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920051
Report Date: 05/06/2025
Date Signed: 05/06/2025 03:59:06 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
02/04/2025 and conducted by Evaluator Kevin Mknelly
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250204081226
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: 120DATE:
05/06/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Carol PickardTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility staff do not respond to call bell in a timely manner.
Facility staff do not meet a resident's incontinence needs.
INVESTIGATION FINDINGS:
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 On May 6, 2025 , Licensing Program Analyst (LPA) Kevin Mknelly spoke to Carol Pickard 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 reviewed regarding R1 found that R1 has a major cognitive disorder, incontinence and diabetes.
Interviews were conducted and call button records reviewed and found that there were call responses of 61 minutes for 2 calls made on 1/9/25 and 42 minutes on 1/13/25. These response times exceed the facility policy, as stated by staff, of response between 5 and 15 minutes. Facility staff acknowledged in statements that there were some call button operation issues shortly after R1’s admission. As regulation requires immediate response the period where the signal system did not properly function and the long response times noted above did not identify the reason for the slow response time, the licensee did not ensure safe operations and response to resident calls. Function of R1’s call system have since been corrected and are regularly monitored at this time.
Report continued...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
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 5
Control Number 59-AS-20250204081226
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: 05/06/2025
NARRATIVE
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In interviews with staff, it was found that R1 is regularly incontinent yet does not notify staff for assistance and attempts to clean up on their own and R1 is, at times resistant to assistance. In November 2024, as was acknowledged by staff interviews, R1’s behavior of not disclosing their incontinence and poor communication/ coordination of emptying R1’s trash and laundry lead to R1’s room to be malodorous. Communication and documentation procedures have since been put in place to remediate the issue.

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. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report and appeal rights provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 59-AS-20250204081226
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: 05/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2025
Section Cited
CCR
87303(i)(1)(A)
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Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (1)(A) Operate from each resident's living unit. This requirement was not met based on records and statements.
This posed a potential risk to a resident.
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Equipement is operational and monitored as well as R1's care plan being updated.

Citation POC cleared by visit.
Type B
05/07/2025
Section Cited
CCR
87625(b)(3)
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Managed Incontinence(b) (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not based on statements. This posed a potential risk to the resident.
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Resident's care plan has been updated and is effectively addressing R1's needs.

Citation POC cleared by visit.
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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: 05/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
02/04/2025 and conducted by Evaluator Kevin Mknelly
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250204081226

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: 120DATE:
05/06/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Carol PickardTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility staff did not seek medical attention to resident in a timely manner.
Facility staff did not ensure the resident’s restroom was in clean and sanitary condition.
INVESTIGATION FINDINGS:
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 On May 6, 2025, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with xxx xxx.
LPA conducted records review and extensive interviews.
LPA is unable to find and or meet the preponderance, per policy.
Records and interviews found that R1 had incidents that appeared to indicate changes of conditions to family members. Interviews found that facility staff appeared to be appropriately monitoring R1. At family’s request, medical attention was sought. Findings of medical providers did not find that facility
Interviews and service plans identify that R1 does not ask for assistance nor does R1 notify staff when R1 has incontinent. R1 refers to manage their own incontinence yet due to their physical and cognitive limitations, R1 will at times leave soiled clothing, surfaces and towels in their bathroom. The facility has housekeeping staff to assist with cleaning and when housekeeping staff is unavailable, caregivers will clean as needed. Though an incident was reported that housekeeping was requested, by visitors of the concierge, and had left for the day, there was not sufficient evidence to find that caregivers were ever asked and refused to clean R1’s bathroom on this occasion.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 59-AS-20250204081226
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: 05/06/2025
NARRATIVE
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As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview with administrator.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5