435202780-11-19-2025-26-AS-RMAO-DPLS9A-20251222124024

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202780
Report Date: 11/19/2025
Date Signed: 11/19/2025 03:19:17 PM

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
09/09/2025 and conducted by Evaluator Chihhsien Chang

COMPLAINT CONTROL NUMBER: 26-AS-20250909203611

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: 41	DATE:	11/19/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Ann Lee		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not notify residents and responsible party of possible scabies outbreak.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Heath and Wellness Director (HWD) Ann Lee.

On 09/19/2025 and 09/25/2025, LPA conducted investigation visit at the facility.

LPA obtained the physician reports and appraisal needs and service plans of residents. LPA obtained the incident reports and the document that the facility notified residents and families of incidents.

Continue on LIC9099-C. Page 1 of 3.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025

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-20250909203611

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: 11/19/2025

NARRATIVE

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On 09/19/2025, LPA interviewed Executive Director (ED) Jasmine Latu. ED stated resident R1 and R2 lived in the same room in assist living unit. ED stated in May 2025, R1 was found with skin rash. ED stated the facility notified R1's family (FM). ED stated FM took R1 to see dermatologist. R1 was prescribed cream and ointment for the facility staff to apply on R1, it was not scabies. ED stated R2 did not have skin rash or itch. ED stated on 8/19/2025, R1 and R2 were feeling itchy and FM was notified. On 8/26/2025, R1 and R2 were diagnosed with scabies.

ED stated R1 and R2 were applied doctor prescribed cream and ointment after diagnosis of scabies. ED stated R1 and R1 were quarantined in their room. ED stated Maintenance Director bought treatment machine for scabies to clean R1 and R2's bed and furniture on 8/26/2025. ED stated the facility washed R1 and R2's laundries and bedding with hot water. ED stated on 8/27/2025, the facility sent a formal notice to notify residents and families that the facility has two residents with scabies in one apartment. ED stated the staff wore PPE before entering R1 and R2's room. ED stated there are no other resident had scabies at that time period. ED stated the census of residents is 42 and the number of scabies positive cases is 2. It is not a outbreak.

ED stated after the notice of scabies positive cases, at least 3 families took the residents (R1, R2, R3) to see dermatologist doctor and none of them was diagnosed scabies.

LPA interviewed Health and Wellness Director (HWD). HWD stated he/she notified the family member of resident R1 around March 2025 that R1 had skin rash. HWD stated FM took R1 to see dermatologist doctor, and the doctor said it was no scabies. HWD stated the doctor prescribed some different ointments and creams for R1. HWD stated on 8/26/2025, R1 and R2 were diagnosed with scabies. HWD stated the doctor prescribed ointment, cream and pills for R1 and R2. HWD stated R1 and R1 were quarantined in their room. HWD stated there was no other resident had scabies at the time period. HWD stated R1 and R2 were out of quarantine on 09/03/2025.

LPA interviewed two caregivers (S1, S2) who took care of R1 and R2. Both stated before 8/26/2025, there was no residents diagnosed with scabies. Both stated residents R1 and R2 were diagnosed scabies on 8/26/2025 and were quarantined at their room. Staff needed to wear PPE to enter R1 and R2's room during their quarantine. Both stated there was no other resident was diagnosed with scabies when R1 and R2 were diagnosed with scabies. Continue on LIC9099-C. Page 2 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20250909203611

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: 11/19/2025

NARRATIVE

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LPA interviewed a Med Tech S3. S3 stated before 08/26/25, there was no resident diagnosed scabies. S3 stated on 8/26/2025, resident R1 and R2 were diagnosed with scabies. S3 at that time period, there were no other residents diagnosed scabies except R1 and R2. S3 confirmed he/she only applied the ointment and cream for R1 and R2's scabies.

LPA interviewed 6 residents. 6 out of 6 stated they do not have scabies and they do not know any other resident has scabies.

On 09/25/2025, LPA interviewed 3 residents. 1 out 3 was unable to answer the questions due to neurocognitive issue. 2 out of 3 residents count not remember if the facility had a scabies outbreak.
LPA interviewed a family member who visited the facility who stated he/she visits the facility often but was unaware of the facility had scabies outbreak.

Based on the review of the facility incident reports sent to the Department, the facility did report two scabies positive cases of R1 and R2 on 8/26/2025.

Based on the review of document and interview, the facility did not have a scabies outbreak and the facility notified the two scabies positive cases to CCL office, and to families.

The Department has investigated the above allegations. Based on the investigation, record reviewed, and interviews conducted, the Department found that the above allegations are UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis.

No citation noted today. Exit interview was conducted with ED. The report was provided to ED for signature. A copy of the report was provided to ED.

Page 3 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3