435202780-10-21-2025-26-AS-RMAO-DN6PXX-20251106104305

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202780
Report Date: 09/25/2025
Date Signed: 10/21/2025 11:16:42 AM

Unfounded

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
06/23/2025 and conducted by Evaluator Marcella Tarin

COMPLAINT CONTROL NUMBER: 26-AS-20250623094647

FACILITY NAME:	SONNET HILL		FACILITY NUMBER:	435202780
ADMINISTRATOR:	LATU, JASMINE		FACILITY TYPE:	740
ADDRESS:	429 MERIDIAN AVE		TELEPHONE:	(408) 731-0019
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95126
CAPACITY:	80	CENSUS: 42	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Administrator Jasmine Latu		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff are not following the universal precaution plan

INVESTIGATION FINDINGS:

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Amended report 10/21/2025 to change finding from UNSUBSTANTIATED to UNFOUNDED
Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced complaint investigation visit to deliver the findings on the above allegation. LPA Tarin met with Administrator Jasmine Latu and stated the purpose of the visit.

On 6/23/2025 the Department received a complaint alleging staff are not following the universal precaution plan. It has been alleged that the facility did not provide staff with gowns during a viral outbreak that occurred in March 2025.

On 6/25/2025 the initial 10-day complaint visit was conducted. LPA Tarin interviewed 7 staff (S1 to S7) and 7 residents (R1 to R7).

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Jin Jackie
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

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 26-AS-20250623094647

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: 09/25/2025

NARRATIVE

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Amended report 10/21/2025 to change finding from UNSUBSTANTIATED to UNFOUNDED
All 7 out of 7 staff interviewed stated that the facility is following the facility’s infection control protocol, which includes providing staff with Personal Protective Equipment (PPE) such as gloves, masks and hand sanitizer. 6 Out of 7 staff state he/she is not aware of any viral outbreaks of illnesses at the facility. S7 states there was a viral outbreak of rashes at the facility in March 2025, and the facility did not provide gowns to staff.

On 9/25/2025 LPA interviewed 2 additional Staff S8 and S9. S8 and S9 states the facility provides staff with PPE such as gloves and masks.

LPA Tarin interviewed ADM. ADM states there were no viral outbreaks of rashes in March 2025. ADM stated in the event of a viral outbreak, the facility will follow the facility’s viral outbreak policy, and staff have access to PPE.

LPA Tarin interviewed Residents R1 to R7. 3 Out of 7 residents state he/she has observed facility staff wearing PPE (gloves). 4 Out of 7 residents state he/she does not pay attention to whether staff are wearing gloves or masks. All 7 residents state he/she is not aware of any outbreaks of illnesses at the facility.

LPA Tarin inspected 2 supply rooms located on the second and third floor of the facility. LPA Tarin observed 2 Out of 2 supply rooms with PPE supplies to include but not limited to gowns, masks, gloves, hand sanitizer, and shoe covers.

LPA Tarin reviewed the facility viral outbreak policy dated May 2022, which states in the event of a viral outbreak, the facility shall follow the Department of Health’s procedures. The policy also states during virus seasons and during a viral outbreak, staff will be wearing PPE which includes a mask, gown, shoe covers and gloves.

LPA Tarin reviewed Incident Reports for February to July 2025, and did not observe any reports of a viral outbreak at the facility.

This agency has investigated the complaint alleging Staff are not following the universal precaution plan. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

SUPERVISORS NAME: Jin Jackie
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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