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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 552700409
Report Date: 03/30/2022
Date Signed: 03/30/2022 08:31:35 PM


Document Has Been Signed on 03/30/2022 08:31 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:SONORA SENIOR LIVINGFACILITY NUMBER:
552700409
ADMINISTRATOR:MICHAEL MALONEYFACILITY TYPE:
740
ADDRESS:18760 CHABROULLIAN LNTELEPHONE:
(209) 984-5124
CITY:JAMESTOWNSTATE: CAZIP CODE:
95327
CAPACITY:90CENSUS: 60DATE:
03/30/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Administrator Michael MaloneyTIME COMPLETED:
05:00 PM
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An office meeting was held on this day in the Sacramento South Regional Office via Microsoft Teams due to COVID 19 precautions. The purpose of the meeting was to discuss recent complaints and financial concerns. Present at the meeting were Regional Manager (RM) Krystall Moore, Licensing Program Manager (LPM) Stephenie Doub, Licensing Program Analyst Sarah Hurt, Audit Manager Jacqueline Juarez, Auditor Jorge Mojica, Ombudsman Jill Engle, Licensee Gina Rodriguez, Administrator Michael Maloney and Resident Care Coordinator Maranda Escobedo.

On 2/8/2022, an office meeting was held to discuss bills not being paid timely and that the Department would be conducting a solvency audit. During the meeting, the Licensee stated that they would be obtaining an SBA loan in the amount of $500,000. With this loan, the licensee would be able to pay past due balances and ensure bills were paid timely. Since that visit, the RO has learned of additional bills not being paid. Supervision of residents continues to be a concern at the facility.

The RO discussed the following:

· Continued delinquent bills

· Resident supervision

· Residents not receiving medications

· Assessment of residents

· Eviction procedures

· Management controls

Continued on 9099C...

SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 03/30/2022
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Continued from 9099..

The licensee agreed that there was a disconnect between the licensee and facility management. The licensee confirmed that they have received the funding from the SBA loan and should be current with all payables.

The Licensee agreed to the following:

· Have all bills/invoices sent to licensee directly to ensure timely payment

· Hiring of an additional administrator to assist with the day to day operations

· Follow regulations regarding assessments and evictions

· Utilize tools provided through TSP

No deficiencies cited on this day. An exit interview was conducted with Licensee Gina Rodriguez and a copy of this report was provided via email.

SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC809 (FAS) - (06/04)
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