SONLEMA INC

Official classification

Type B

Official code

87307(a)(3)(B)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (a)...The following provisions shall apply: (3) ...the licensee shall assure:(B) Bedroom furniture, which shall include, for each resident, a chair, ...This requirement is not met as evidenced by: Based on LPA observation administrator did not ensure four (4) out of six (6) residents bedrooms contain a chair as required which poses a potential Health, Safety, or Personal rights risk for persons in care.

Official plan of correction

Administrator agrees to properly furnish residents bedroom to be compliant with regulations. Administrator agrees to purchase a better quality chairs to prevent from breaking. Administrator will submit pictures to the department by POC due date.

Deadline recorded: Jul 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and LPA's observation, the licensee failed to submit a required incident report to CCLD regarding R3’s self-injurious behavior on 06/17/2026, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. R1's incident report shall be submitted to LPA by POC date.

Deadline recorded: Jul 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by leaving medications, a knife, a scissor, and cleaning supplies (Clorox/bleach), unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction Licensee agreed to conduct an in-house training with all staff regarding the care for Dementia residents and always keep all the medications, sharps, toxins locked. Proof of training will be emailed to LPA by POC date.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA’s observation the licensee did not comply with the section cited above by failing to maintain one (1) fire door between the living room and hallway in a good working condition and was prevented from closing by placing a air freshener spray, This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction Licensee/Administrator agreed to replace/fix one (1) fire door and submit and submit a picture of the invoice/fixed door to LPA by POC due date.

Official classification

Type B

Official code

87506(b)

Regulation authority

CCR

What the official deficiency says

Resident Records (b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA file review, the licensee did not comply with the section cited above by not completing six (6) out of six (6) resident files. Records were incomplete and or missing documents, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction Licensee agreed to review and complete all facility residents' files. Written roster with resident name and date of file completion will be submitted to LPA by POC date.

Official classification

Type B

Official code

87405(d)

Regulation authority

CCR

What the official deficiency says

Administrator Qualifications - 87405 (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator... (1) Knowledge of the requirements... This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews, and LPA's observation the licensee failed to ensure to demonstrate knowledge and requirement for appropriate care and supervision of the residents which poses a potential health and safety risk to the residents in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction The Administrator agrees to follow proper guidelines for Administrator Qualifications. LPA discussed with the Administrators’ section 87405. The Administrator agrees to submit a written letter to CCL indicating that they have read the regulations, have full understanding

Official classification

Type B

Official code

87555(b)(28)

Regulation authority

CCR

What the official deficiency says

87555(b)(28) General Food Service Requirements All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by: Deficient Practice Statement Based credible witness and LPA's observations the Licensee did not comply by having old/rotten fish in the refrigerator which poses a potential health and safety risk to the residents in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction The Administrator has agreed to remove and discard the rotten foods from the refrigerator. This part of the plan of correction met.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services: (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA’s observation, licensee did not comply with the section cited above by blocking the exit door in the bedroom #2 (bedridden) by a resident’s bed. This poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction During today's visit, the Administrator cleared the passageways from the obstruction in the bedroom #2. The Administrator also agreed to review the section cited and inform LPA via e-mail by POC due date.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

Postural Support: (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, the licensee did not comply with the section cited above by having half bedrails for Resident #1 (R1) without Physician order. This poses an immediate health, safety to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction License/Administrator removed the half bedrails for Resident #1 (R1). POC cleared during the visit.

Official classification

Type A

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1, all residents records were not available for LPA check for TB test which poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction Licensee will ensure all residents has a TB test in their physician report (LIC 602).

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview the Licensee failed to provide sufficient 2-day supply of perishable food & a 7-day supply of non-perishable foods which is a potential health risk to residents in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction The Administrator purchased two (2) days perishable and seven (7) days non-perishable food during today’s visit. POC cleared during today’s visit.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

Personnel records: (a)Th e licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11)A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the Administrator and Staff #1 (S1) did not have Health screening form and TB test on file. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/20/2026 Plan of Correction The Administrator agreed to update and retain a current health screening report, showing negative or positve test results for the Administrator and S2 by POC due date.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

87411-Personnel Requirements General-(d)(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents.,.This requirement is not met as evidenced by: Based on LPA’s interview and observation, the administrator does not have staff available to communicate with residents to provide care which poses a potential risk to the residents in care.

Official plan of correction

Administrator agreed to update LIC 500 with an additional staff (S1 or Administrator) who can communicate effectily in English to meet residents needs at all times. Updated LIC 500 will be submitted to LPA by POC due date.

Deadline recorded: Oct 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87457(a)

Regulation authority

CCR

What the official deficiency says

87457 – Pre-Admission Appraisal (a) Prior to acceptance of a resident, the licensee shall obtain and evaluate a written medical assessment of the prospective resident to ensure the facility can meet the resident’s needs Based on interviews and record reviews the Licensee did not comply with the section cited above by failing to obtain proper pre-admision appraisal prior to R1s admission to the facility which posed a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator will immediately review and revise the pre-admission appraisal process to ensure all medical conditions, including wounds, are accurately assessed before admission. 2. Staff will be trained on wound care protocols, including timely referrals, documentation requirements, and monitoring of outside providers’ recommendations. Proof of staff training will be submitted to LPA by POC due date.

Deadline recorded: Oct 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87459(a)(4)

Regulation authority

CCR

What the official deficiency says

87459-Functional Capabilities (a)The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform.... :(4) Transferring, including the need for assistance in moving in and out of a bed or chair. This requirement is not met as evidenced by: Based on interviews and record reviews the Licensee did not comply with the section cited by leaving R1 on a wheelchair for four (4) days without transferring to bed and not providing proper equipment (Hoyer lift) to R1 which poses a potential risk to the residents in care.

Official plan of correction

Administrator agreed to provide proper equipment (Hoyer lifts, bariatric chairs/beds) to residents prior to admitting them to the facility. 2. Administrator also agreed to provide training to all staff for safe transfer techniques using mechanical lifts Proper positioning to prevent falls, and discomfort. Training records will be maintained and submitted to LPA by POC due date.

Deadline recorded: Oct 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2-Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, ...... personal rights:(4) To care, supervision, and services....This requirement is not met as evidenced by: Based on interviews and record reviews the Licensee did not comply with the section cited above by leaving R1 in a wheelchair for (4) days without repositing/moving which posed a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator agreed to ensure staff receive immediate training on safe resident positioning, transfers, and the use of assistive devices for residents requiring mobility support. The proof will be submitted to LPA by POC due date.

Deadline recorded: Oct 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

87411-Personnel Requirements - General(d) All personnel shall be given on the job training or have........effective job performance:(3) Skill and knowledge required to..care and supervision, including the ability to communicate with residents. This was not met as evidence by: Based on the interview, the administrator did not have staff available to communicat in English with residents in care which poses a potential risk to the residents in care.

Official plan of correction

Administrator agrees to put in writing their plan for hiring or ensuring English Speaking staff are always on shift and submit the plan by the POC date. Additionally, Administrator shall submit an updated LIC500 to reflect all staff.

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465- Incidental Medical and Dental Care: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above in not assuring that R1's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to schedule vendorized training for all staff by 07/18/25 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. LIC 624 will be submitted to LPA.

Deadline recorded: Jul 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1) Basic ServicesBasic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Interviews with the Administrator, staff, and file reviews. Lack of staff supervision resulting in the elopement of residents in care. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The Adminstrator has agreed to the following:1. Update the appraisal Needs and service plans and reappraisal to address the elopements. 2. Train all staff on the newly updated care plans regarding the elopements attach a sign in sheet.3. Submit to CCL.

Deadline recorded: Jul 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on interview, and LIS personnel record review the licensee did not comply with the section cited above by hiring two (2) staff members without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee agreed to complete S1's and S2's fingerprints and associate both staff to the facility. Copy of proof will be submitted to LPA by POC date. Civil penalty assessed.

Deadline recorded: May 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. This requriement is not met as evidenced by: Based on interview, and LIS personnel record review the licensee did not comply with the section cited above by not associating the Administrator designee to the facility since 05/19/2025, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The administrator shall associate the Administrator Designee immediately. Administrator shall submit proof to LPA that association was completed immediately. Civil penalty assessed.

Deadline recorded: May 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records. (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on observations and record review, the licensee did not comply with the section cited above by not maintaining a complete facility file for Resident #1 and Resident #2 which posed a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator designee agreed to provide complete file/record for two (2) out of two (2) residents by the POC due date.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)

Regulation authority

CCR

What the official deficiency says

Administrator Qualifications - 87405 (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator... (1) Knowledge of the requirements... This requirement is not met as evidenced by: Based on interviews, and LPA's observation the licensee failed to ensure to demonstrate knowledge and requirement for approperiate care and supervison of the residents which poses an immediate health and safety risk to the residents in care.

Official plan of correction

The Administrator agrees to follow proper guidelines for Administrator Qualifications. LPA discussed with the Administrators’ section 87405. The Administrator agrees to submit a written letter to CCL indicating that they have read the regulations, have full understanding Civil penalty assessed.

Deadline recorded: May 26, 2025. A deadline is not proof that correction was completed.