Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
12877 SYLVA LANE, Sonora CA 95370
135 bedsLatest official report Jul 29, 2026Licensed
The available records show 4 Type A and 7 Type B deficiencies for this facility.
3 later reports, from Jul 29, 2026 through Jul 29, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
Counts cover the five-year public record. Typical figures are the median for the 1 Tuolumne County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 29 reports for this facility: 12 inspections, 14 complaint investigations, and 3 licensing or administrative records.
Those records contain 4 Type A and 7 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Most this size have none
4 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size have none
2 in the last 12 months
Last 36 months
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 0 unsubstantiated · 1 unfounded · 2 cited
(e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This is not met as evidenced by: Based on interview and record review, the licensee did not ensure that the facility had proper supervision to monitored R1 from physically assaulting R2. This poses an immediate health, safety, and personal rights risks to persons in care.
Licensee shall provide a statement of correction to the LPA by POC date. Facility shall have an update care plan that specifies how they will assist and mitigate R1’s behavior from harming other residents in care.
Deadline recorded: Feb 10, 2026. A deadline is not proof that correction was completed.
2. A separate charge for an item or service may be assessed only if that charge is included in and authorized by the admission agreement.This is not met as evidenced by: Based on interview and record review, the licensee did not ensure that the resident’s responsible party was notified of the additional charges on the resident’s care plan. This poses a potential health, safety, and personal rights risks to persons in care.
Licensee shall provide statement of acknowledgement and correction to LPA by POC date.
Deadline recorded: Feb 23, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this report(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence .... (D) Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: interview with Admin stated that S1 was termintaed for attempting to come to work high. This poses a potential risk to residents in care.
Admin will submit an LIC624 for the incident. Admin will also go over the regulation with the staff and reporting requirements and how they can effect residents in care and residents at another facility. Admin will hold an inservice with staff and submit a signed roster of all present to LPA Lindstrom.
Deadline recorded: Sep 29, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this report“The licensee shall immediately, or as soon as reasonably possible, bring any significant change in condition, as defined in Section 87101, Definitions, to the attention of the appropriate licensed medical professional and if applicable, other specialized care provider. Documentation of such communication shall be added to the resident's record and shall include: …” This requirement was not met as evidenced by: Based on interview and record review, no documentation exists to suggest that a significant change in condition, documented on R1’s service plan dated to November 2024, was communicated to R1’s physician.
Licensee agrees to provide staff trainings on the topics of elopement and notification procedures. Licensee agrees to provide LPA Lindstrom a plan regarding these scheduled trainings by POC due date.
Deadline recorded: Aug 28, 2025. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Sep 15, 2025 · Control 27-AS-20250825115709
“Facility staff shall ensure the continued safety of residents if they wander away from the facility without violating Sections 87468.1, Personal Rights of Residents in All Facilities and Section 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities.” This requirement was not met as evidenced by: Based on interview and record review, facility staff were aware of previous wandering behaviors which jeopardized the health and safety of the resident, yet did not ensure the resident’s safety during an episode of wandering behavior, which poses an immediate health, safety, and/or personal rights risk.
Licensee agrees to provide staff trainings on the topics of elopement and notification procedures. Licensee agrees to provide LPA Lindstrom a plan regarding these scheduled trainings by POC due date.
Deadline recorded: Aug 28, 2025. A deadline is not proof that correction was completed.
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency…:(1) A written report…within seven days of the occurrence…(D) Any incident which threatens the welfare, safety or health of any resident. This requirement was not met as evidenced by: Based on interview and record review, the Licensee did not ensure that a LIC624 was submitted to the Department notifying it of the termination of an employee for theft from a resident.
The Designated Facility Administrator shall submit a LIC 624 documenting the incident to the Department. This report can be sent to the LPA Triel Ellen Lindstrom at ellen. lindstrom@dss.ca.gov.
Deadline recorded: Jun 18, 2025. A deadline is not proof that correction was completed.
87468.2 Additional Personal Rights of Residents ...residents in ... residential care facilities for the elderly shall have all of the following personal rights: ... a reasonable level of personal privacy in accommodations. This requirement is not met as evidenced by: Based on interview, residents were not permitted a reasonable level of privacy in their private bedrooms due to the presence of cameras in their rooms which poses an potential health, safety or personal rights risk to persons in care.
Licensee agrees to provide verification from Safely You that data is not retained outside of falls and will provide waiver requests, plan of ops and admission agreement addendum regarding camera use in residents rooms. Items will then be emailed to Triel Lindstrrom at ellen.lindstrom@dss.ca.gov.
Deadline recorded: May 20, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
1569.312 Basic services requirements: Every facility required to be licensed ... shall provide at least the following basic services: Monitoring the activities of the residents... to ensure their general health, safety, and well-being. This requirement was not met as evidenced by : Based on interviews and records review, the licensee did not ensure S4 monitored R1 to ensure R1’s general health and safety which poses an immediate Health, Safety and Personal Rights risk to persons in care.
The facility will conduct in-service training regarding when to call emergency services when the med-tech or other supervisor does not respond. And to remind staff that they cannot decline to provide care during outbreaks. The facility willl provide sign in sheets for this training by POC date.
Deadline recorded: Mar 10, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Basic Services Basic services shall at a minimum include: Personal assistance and care as needed by the resident... with those activities of daily living ...This requirement was not met as evidenced by: Based on LPA Jensen's review of the call log response times, R1 did not receive personal assistance when needed and waited excessively based on the facility's own standards. This poses a potential risk to the health, safety and personal rights of residents in care.
The facility has conducted in-service training in August of 2024 with staff and implemented an enhanced call response system which has reduced response time as verified by LPA Jensen. No further plan of correction is required.
Deadline recorded: Oct 23, 2024. A deadline is not proof that correction was completed.
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Additional Personal Rights of Residents in Privately Operated Facilities ...To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by the documentation reviewed reveals that the resident was being charged for hygiene services that were not being administered. This poses a potential risk to the health, safety and personal rights of residents in care.
The Licensee agrees to conduct an in-service training and send proof of completion by POC due date.
Deadline recorded: May 27, 2024. A deadline is not proof that correction was completed.
Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted the facility did not meet the hygiene needs of R1 which lead to the development of open wounds. This poses and immediate risk to the health, safety and personal rights of residents in care.
Effective 2/23/24 the Licensee has filled a vacant health and wellness director position who now provides oversight for the resident care director and memory care director and does all assessment for new residents. No further plan of correction required.
Deadline recorded: Apr 30, 2024. A deadline is not proof that correction was completed.
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
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