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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405802283
Report Date: 06/11/2025
Date Signed: 06/11/2025 03:35:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/08/2025 and conducted by Evaluator Rachael De Leon
COMPLAINT CONTROL NUMBER: 29-AS-20250608212214
FACILITY NAME:HOBSON SONSHINE HOMEFACILITY NUMBER:
405802283
ADMINISTRATOR:HOBSON, NANCYFACILITY TYPE:
735
ADDRESS:12105 EL CAMINO REALTELEPHONE:
(805) 461-1437
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:6CENSUS: 6DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Nancy Hobson, AdministratorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not provide adequate food service to the clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) De Leon conducted a 10-day visit to the facility above. LPA met with Administrator Nancy Hobson and Julie Hawke. LPA explained the purpose of the visit.
LPA requested a resident and staff roster. LPA interviewed staff.
On the allegation: Staff did not provide adequate food service to the clients. LPA De Leon interviewed Administrator and staff which revealed Administrator made grilled cheese sandwiches and one was burnt but still gave to the Client in Clients lunch to the day program. Administrator stated the day program called and asked if they could bring in something additional for lunch for the client because the sandwich was burnt and the client did not want to eat it. Staff went to Paso picked up a hamburger and took it to the park for the client to have for lunch. The administrator arrived and the day program participants were eating lunch at the park. Administrator agreed to make sure lunches have adequate food and of good quality. Interview revealed the facility does have a client that gets two lunches daily because client does take other clients food, this is an ongoing documented behavior of the client. Based on the evidence this allegation is Substantiated at this time.
Exit interview conducted, copy of report and appeal rights printed for Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
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 2
Control Number 29-AS-20250608212214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: HOBSON SONSHINE HOME
FACILITY NUMBER: 405802283
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2025
Section Cited
CCR
80076(a)
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(a) In facilities providing meals to clients, the following shall apply:(1)All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients...All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by:
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Administrator agreed to make sure lunches are in quantity and quality to meet the residents needs. Train staff on Food Services regulation and provide proof of training to CCL by 6/18/2025.
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Based on interview the Licensee did not comply with the regulation above a client was given a burnt sandwich in clients lunch which poses a potential personal rights risk to resident in care.
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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: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
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