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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202780
Report Date: 01/27/2026
Date Signed: 01/27/2026 01:45:16 PM

Document Has Been Signed on 01/27/2026 01:45 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 HILLFACILITY NUMBER:
435202780
ADMINISTRATOR/
DIRECTOR:		LATU, JASMINEFACILITY TYPE:
740
ADDRESS:429 MERIDIAN AVETELEPHONE:
(408) 731-0019
CITY:SAN JOSESTATE: CAZIP CODE:
95126
CAPACITY: 80CENSUS: 49DATE:
01/27/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Administrator Jasmine LatuTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to conduct a case management visit to follow up on an incident report regarding an elopement. LPA met with Administrator Jasmine Latu and stated the purpose of the visit.

On January 5, 2026, the Department received an Incident Report (IR) from the facility. The incident report stated, on January 4, 2026 at 9:55am, a staff member witnessed R1 come down the elevator to the lobby alone. Staff member redirected R1 to the elevator to return R1 to the memory care unit on second floor.

On January 5, 2026, LPA Manuel Monter interviewed ADM. ADM stated the elevator in the 2nd floor works once a staff member punches in a code, then they can go down. ADM stated that day, a staff member had punched in a code for a family to go down. ADM stated she was informed afterwards by that family that the resident joined them as they were going in the elevator. ADM stated the staff member who imputed the code should have waited for the door to close before leaving the area, to ensure no memory care resident sneaks in.

On January 11, 2026, The Department received an Incident Report regarding R1. The IR stated on January 12, 202, at 5:13am, R1 had eloped from the memory care 2nd floor. Staff heard the alarms from the staircase alerting someone had opened the door at 5:11am. Staff went downstairs and found R1 had made it downstairs and was in the parking lot. R1 was redirected back to the memory care unit.

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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Manuel Monter
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 01/27/2026
NARRATIVE
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On January 12, 2026, the Department received an Incident Report regarding Resident R1. The IR stated on January 11, 2026, at Approximately 4:00pm R1 eloped from the facility. Facility staff searched for R1 when they could not find R1 to take him/her to dinner at 4:00pm. The IR states, “R1 was seen last at the start of PM shift at 3pm. Care staff let movers down at 4:00pm and R1 had got on the elevator and able to make his/her way out of the facility with them.” R1 was found by local Law enforcement at 4:30pm and was found on Meridian and Moorpark. R1 was returned to the facility safely at 4:40pm.

On January 14, 2026, LPA Manuel Monter interviewed Staff S1-S5. 5 Out of 5 Staff interviewed stated only the staff know the code. 5 Out of 5 Staff stated once they put in the code, they open the door, which leads to the elevator. 5 Out of 5 Staff stated once the visitors/family is inside, the staff person will close the door and ensure no memory care resident sneaks in/ wanders into the elevator.

On January 14, 2026, LPA Manuel Monter interviewed ADM. ADM stated R1 was able to elope because, on January 11, 2026, there was movers, moving in a new residents things to the memory care. R1 was able to go down the elevator with the movers.

ADM stated the procedures for the elevator is as follows: the staff member unlocks the door by imputing the code. Staff is supposed to watch who enters the elevator then close the door. ADM stated there are residents who will try to sneak into the elevator as it goes down.

On January 22, 2026, LPA Manuel Monter interviewed Former Wellness Director (WD) Ann Lee. WD stated he/she did complete the initial assessment for R1. WD stated the facility was aware of R1's wandering and exit seeking behaviors. WD stated R1 did had elopement attempts at his/her previous facility R1 resided in.

On January 22, 2026, LPA Manuel Monter interviewed staff S6 and S7. S6 stated on the day of R1's elopement, he/she didn't know where R1 was because he/she was helping other residents. S6 stated he/she doesn't remember the last time he/she saw R1. S6 stated at 4:00pm, the staff didn't know where R1 was. S6 stated he/she doesn't recall if there was movers coming in and out of the memory care that day.

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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Manuel Monter
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 01/27/2026
NARRATIVE
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S7 stated the day of R1's elopement, he/she wasn't sure what happened. S7 stated the last time he/she saw R1 was when he/she assisted R1 to his/her room. S7 stated he/she then went to assist another resident. S7 stated there was a family moving a residents belongings into the memory care unit that day. S7 stated he/she was not by the elevator that day and doesn't remember opening the elevator door for them. S7 stated around 4:00pm, during dinner time, they could not find R1. S7 stated that was when they discovered that R1 was no in the memory care unit.

The Department reviewed R1's Sonnet Hill Observations. Note dated January 11, 2026 states, R1 was adamant about leaving the facility, stood by the elevators, were able to redirect R1 to the community area multiple times. R1 did go to his/her room around 3:00pm. Staff realized R1 no longer in bedroom around 4:00pm and staff searched for R1. R1 came back at 4:30pm, escorted by local law enforcement. Note dated January 12, 2026, at 5:10am, a care giver heard a faint alarm and staff went to see if R1 was in his/her room. When staff checked R1 was not in his/her room. Staff went down the stairs and exited onto meridian and the resident was there at the light. R1 was escorted back to the building at 5:13am.

The Department reviewed facility Meeting agenda dated January 8, 2026. Under agenda details, elopement, it states, "be aware of your surroundings in memory care residents could be lurking around the corner waiting to see if they can catch the elevator to leave."

The Department reviewed R1's Physician's Report, dated May 14, 2025. The report states R1 cannot leave the facility unassisted and R1 has a neurocognitive disorder.

An immediate civil penalty of $500.00 is being assessed against the facility today for violation the absence of supervision, which resulted in R1 eloping from the facility.

Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D.
This report was reviewed with Administrator Jasmine Latu and a copy of the report was provided. Appeal Rights was provided.

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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Manuel Monter
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/27/2026 01:45 PM - It Cannot Be Edited


Created By: Manuel Monter On 01/27/2026 at 01:09 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: SONNET HILL
FACILITY NUMBER: 435202780

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/28/2026
Section Cited
CCR
87705(e)(5)

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87705 Care of Persons with Dementia (e) (5) Facility staff shall ensure the continued safety of residents if they wander away from the facility ... Personal Rights of Residents in Privately Operated Facilities.
This requirement was not met as evidenced by;
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Administrator stated she will send a written plan of action on how the facility ensures residents with wandering behaviors will be kept safe. ADM stated the facility conducted elopement protocol training's for all staff on 1/19/2026.
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Based on investigation, on January 11, 2026 R1, who has a neurocognitive disorder, left the facility unassisted and was found by law enforcement unattended. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.
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ADM stated she will send LPA documentation this training has taken place.
ADM stated she will send the plan of correction by POC date January 28, 2026

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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.
Romeo Manzano
NAME OF LICENSING PROGRAM MANAGER:
Manuel Monter
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/27/2026


LIC809 (FAS) - (06/04)
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