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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202780
Report Date: 05/15/2025
Date Signed: 05/15/2025 12:42:25 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/24/2024 and conducted by Evaluator Simranjit Rai
COMPLAINT CONTROL NUMBER: 26-AS-20240524161555
FACILITY NAME:SONNET HILLFACILITY NUMBER:
435202780
ADMINISTRATOR:LATU, JASMINEFACILITY TYPE:
740
ADDRESS:429 MERIDIAN AVETELEPHONE:
(408) 731-0019
CITY:SAN JOSESTATE: CAZIP CODE:
95126
CAPACITY:80CENSUS: 45DATE:
05/15/2025
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Administrator, Jasmine LatuTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not provide medical records to authorized representative
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Simi Rai conducted an unannounced visit to conclude the complaint investigation. LPA Rai met with the Administrator, Jasmine Latu and stated the purpose of today’s visit.

On 05/24/2024, the Department received a complaint with the above allegations. On 05/31/2024, the Department conducted an initial investigation at the facility.

It was alleged a written request by the resident’s authorized representative was submitted to the facility on 4/26/2024 via email.

On 5/31/2024, LPA Rai interview Administrator (ADM). ADM stated they received a subpoena request on 05/21/2024 to request the documents requested. ADM stated their management team sent the documents during the requested time frame.
Continuation on LIC 9099-C, Page 1 of 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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 26-AS-20240524161555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: SONNET HILL
FACILITY NUMBER: 435202780
VISIT DATE: 05/15/2025
NARRATIVE
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Page 2 of 2.

Based on records of email communication between the authorized representative and the facility staff, the initial written request was submitted by resident’s designated representative via email on 4/26/2024 and a follow up email was submitted on 05/3/2024 and 05/9/2024, 5/14/2024, 5/15/2024 and 5/20/2024.

On 5/21/2024, the requestor has spoken to Business Office Manager to obtain requested records. On 5/22/2024, the requestor emailed the Business Office Manager and did not receive a response. On 5/24/2024, the requestor emailed the Business Office Manager and notified them of not receiving a response. On 5/28/2024, 7 days later, Business Office Manager responded to the email to give them an update but did not provide the documents requested by written notice.

Based on records of email confirmation of submission of documents, the facility staff uploaded the records on 6/6/2024. Based on record of 2nd Follow Up Letter regarding the request of records was sent on 5/31/2024 which asked for facility staff to contact them to confirm they are in the process of preparing the requested documents.

Based on interviews and observation/inspection of the facility, the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D.
This report was reviewed with Administrator, Jasmine Latu and a copy of the report was provided. Appeal Rights was provided.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 26-AS-20240524161555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: SONNET HILL
FACILITY NUMBER: 435202780
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2025
Section Cited
CCR
87468.2(a)(2)
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87468.2 (a)(2) To have their records and personal information remain confidential and to approve their release, except as authorized by law.
This requirement was not met as evidenced by:
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Administrator stated to submit a written plan of action understanding regulation and will ensure records shall reveal or made available confidential information upon the resident’s and/or resident’s designated representative’s written consent by POC due date. Administrator agreed and understood.
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Based on record review and interview, Licensee did not make available the requested records when resident’s designated representative made a written consent which poses/posed a potential health, safety or personal rights risk to persons 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: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3