Sonrisa Villa Inc.

The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records... This requirement was not met as evidenced by the Department's records review observation & staff interviews. The Licensee's financial plan was insufficient which posed a health & safety risk to 76 of 76 persons in care.

Additional Personal Rights of Residents in Privately Operated Facilities (a) ...residents shall have all of the following personal rights:(8) To be free from neglect, financial exploitation... This requirement was not met as evidenced by the Department's observations & interviews. The facility's mismanagement of P&I funds and record keeping posed a health & safety risk to 76 of 76 persons in care.

87465 Incidential Medical and Dental: (4) The licensee shall assist residents with self-administered medications as needed... This requirement was not met as evidence by: Based on records review, the facility did not assist resident with obtaining their requireed medications and posed a health risk to 15 of 76 residents in care.

Increase in fee rates for elderly residents; 90 days’ written notice... If a licensee increases rates...Welfare and Institutions Code, the licensee shall meet the requirements for SSI/SSP rate increases, as prescribed by law. This requirement was not met as evidenced by the Department's observations and interviews. The Licensee attempted to increase fee rates which posed a health & safety risk for 76 of 76 persons in care.

The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee shall take measures to keep the facility free of flies and other insects. Based on records reviews, staff did not address the bug infestation on 1 out of 79 residents in care which posed a potential health risk to 1 of 79 residents in care.

(a) A licensee shall notify the department, State Long-Term Care Ombudsman, all residents, and, responsible party in writing, within two business days...(5) A utility company has sent a notice of intent to terminate utility service on the property within not more than 15 days of the notice.This requirement was not met, as evidenced by Based on record review, the licensee did not notify the required agencies regarding terminiation of utiliyt services for 79 out 79 [R1-R79] residents which posed a potential health and safety risk to residents in care.

(a)The licensee shall be permitted to accept or retain residents…(4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each resident. This requirement was not met evidenced by:Based on record review, the licensee did not maintain hosice care plans for 18 out 18 [R1-R18] residents, which posed a potential health and safety risk to residents in care.

Failure to pay the required annual licensing fee shall constitute grounds for forfeiture of the license (a)(1) An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license.This requirement was not met, as evidenced by Based on record review, the licensee did not pay the annual licensing fee which poses a potential health and safety risk to 79 out of 79 residents.

Absentee notification plan for missing residents. Every residential care facility...issues that arise when a resident is missing from the facility...Section 1569.80. The plan shall include... requirement that an administrator of the facility, or his or her designee, inform the resident’s authorized representative when that resident is missing from the facility and the circumstances in which an administrator of the facility, or his or her designee, shall notify local law enforcement when a resident is missing from the facility. This requirement is not met as evidenced by:Based on interviews and record review, the licensee did not follow their Absentee Notification Plan for 1 out of 79 [R1] residents, which posed an immediate health and safety risk to residents in care.

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility (3) Request a transfer of a criminal record clearance... This requirement was not met as evidenced by: Based on record review, the licensee did not ensure that a criminal record clearance transfer was complete for 1 of 30 staff members prior to working in the facility, which poses an immediate health, safety and personal rights risk to 79 of 79 residents in care.

Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement was not met as evidenced by: Based on record review, the licensee did maintain personnel records, which poses an potential, safety and personal rights risk to 79 of 79 residents in care.

General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents.... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by: Based on record review, the licensee did not ensure that the oven in the facility kitchen was working in the facility, which poses an potential, safety and personal rights risk to 79 of 79 residents in care.

Persons prohibited from being a licensee, owning beneficial interest in licensed facility, or holding certain positions... for reinstatement. Engaged in conduct that is inimical to the health...welfare, or safety...receiving services from the facility, or ...State of California This requirement is not met as evidenced by:Based on interviews and record review, the licensee's staff engaged in conduct inimical in 1 out of 30 [S1] staff, which posed an immediate health and safety risk to evident in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on record review, the licensee did not ensure that the oven in the facility kitchen was working in the facility, which poses an potential, safety and personal rights risk to 79 of 79 residents in care.

CARE OF PERSONS WITH DEMENTIAThe licensee shall ensure that the fire clearance includes approval of locked exterior doors or perimeter fence gates and that facility staff on all shifts have access to, and know how to use, equipment needed to unlock exterior doors or perimeter fence gates. This requirement was not met as evidenced by: Based on observations and record review, the licensee did not ensure approval was obtained prior to locking exterior doors.This poses an immediate safety risk to 79 of 79 residents in care.

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To send and receive unopened correspondence in a prompt manner. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure 1 out of 100 [R1] resident received their correspondence unopened and in a prompt manner, which posed a potential Personal Rights risk to residents in care.

Based on observation and interview the licensee did not comply with the section cited above in one (1) out of five (5) resident bedrooms (did not have hot water) that were inspected which poses a potential health, safety or personal rights risk to persons in care.

87202 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.” This requirement was not met, as evidenced by: Based on LPA observation and manager interview: Licensee did not maintain ongoing compliance with its prior-approved fire clearance, which posed an immediate safety risk to 100 of 100 residents (R1 through R100) in care.

87705 Care of Persons with Dementia: “(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.” This requirement was not met, as evidenced by: Based on records and interviews, during today’s visit, Licensee did not have continuously active auditory devices or other staff alert features to monitor exits, which posed a potential safety risk to 31 of 100 residents (R2 through R34) in care.

87505 Admissions Agreements: “(a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any.” This requirement was not met, as evidenced by: Based on LPA observation and staff interview, for 1 of 100 residents (R1), licensee did not complete an individual written admission agreement, which posed a potential personal rights risk to persons in care.

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, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.Based on interviews and records review, the Licensee did not submit an incident report to the Department regarding AWOL of R1& R2. This poses an potential safety risk to 101 of 101 residents in care.

c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.(a)The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement was not met as evidenced by: Based on observationreview, the licensee did not ensure thatpatio was safe, or sanitary condition, which posed an immediate Health, Safety and Personal Rights Risk to person in care. Safety risk residents in care.

87305(a)- The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met, as evidenced by: based on observations and interviews, licensee did not maintain elevator in good repair. This posed a potential safety risk to 37 of 102 residents in care.

87303(e)(6)- Maintenance and Operations - Toilet ...facilties shall be maintained in operating condition. This requirement was not met, as evidenced by: based on observations and interviews, one toilet was non-operational. This posed a potential health risk to 102 residents in care.

87203 Fire Safety: "All facilities shall be maintained in conformity with the regulations adopted by the State Fire Mashall for the protection of life and property against fire..." This requirement was not met as evidenced by: Based on photographic evidence, records, and interviews, Licensee did not maintain the facility in conformity with fire regulations, which posed an immediate safety risk to 83 of 83 residents in care.