552700409-7-19-2023-27-AS-KHOS-CU5JEE-20230727065900

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 552700409
Report Date: 07/19/2023
Date Signed: 07/19/2023 03:26:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/14/2023 and conducted by Evaluator Christina Valerio

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20230214114546

FACILITY NAME:	SONORA SENIOR LIVING		FACILITY NUMBER:	552700409
ADMINISTRATOR:	ERNEST G GIBSON		FACILITY TYPE:	740
ADDRESS:	18760 CHABROULLIAN LN		TELEPHONE:	(209) 984-5124
CITY:	JAMESTOWN	STATE: CA	ZIP CODE:	95327
CAPACITY:	0	CENSUS: 0	DATE:	07/19/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Georgina Rodriguez		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff members are doing drugs in residents' room
Staff is falsifying facility records
Management creates a hostile environment

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Christina Valerio contacted Licensee Georgina Rodriguez to discuss complaint investigation findings. The facility is closed, therefore, the meeting occurred virtually. The department has determined the following as it relates the above aforementioned allegations.

Staff members are doing drugs in residents' room
LPA Valerio interviewed staff. According to Administrator Ernest, this allegation was not current and was alleged when Resident Care Coordinator Maranda E. was designated as management by the licensee. Administrator looked into it and put in place a no tolerance policy for drugs. Internal investigations could not confirm or deny that such actions took place. LPA Valerio and LPM Richardson conducted a site visit during NOC shift and did not observe any staff doing drugs in any resident room.
LPA interviewed 4 staff members. 1 staff interview was deemed unsuccessful. S1 stated S1 only heard stories regarding hard drugs. S1 heard of staff having cocaine but could not confirm if it was true.
Continues on LIC 9099 - C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Christina Valerio	TELEPHONE: 916-823-6323
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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 27-AS-20230214114546

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: SONORA SENIOR LIVING	FACILITY NUMBER: 552700409
	VISIT DATE: 07/19/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC 9099
S1 heard that two staff had alcohol issues and caused a scene to where they should have been sent home. Most of the staff smoked weed and some would bring their weed pens and use them during breaks. And then the usage of nicotine vapes inside the facilities was a constant battle for management. Management was not innocent in that aspect which is why the staff took advantage where they could. S1 could not confirm if S8 would do drugs. S1 confirmed S6 would use nicotine pens inside the facility. S1 stated S7 did not do drugs but would sell edibles to staff. According to an interview with Staff 2 (S2), S2 stated back in December of 2022, there were staff from a staffing agency that would smoke marijuana in the car before the shift. S2 does not remember any drug use inside the facility. S2 confirmed that vapes and cigarettes were used but not drugs. According to Staff 3 (S3), S3 never heard anything about staff doing drugs there. S3 reported that two staff got drunk while doing a NOC shift. One staff member got so drunk that the person had to go to the ER.

Staff is falsifying facility records
LPA attempted to reach out to the reporting party to obtain additional information regarding the allegation. LPA attempted 3 times, which were all deemed unsuccessful due to receiving zero response. LPA reached out to the facility to obtain records regarding resident's MAR documentation. LPA was unable to obtain documentation. According to interviews, the facility had an incident where S3 gave a resident an extra dose of their pain medication. According to an interview with S6, the facility found out this happened due to the medication count being off during a morning shift. According to the reporting party, management were trying to cover up the incident. According to interviews with Administrator Ernest and S7, there is no recollection of the incident occurring.

Management creates a hostile environment.
LPA attempted to obtain more information from reporting party. After the 3rd attempted, the interview was deemed unsuccessful. Based on interviews and observations conducted by LPA, there was not a preponderance of evidence to show this allegation did or did not occur.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was given to Licensee Georgina Rodriguez.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Christina Valerio	TELEPHONE: 916-823-6323
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2