Sonlema Inc

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 innot assuring that R1's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

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.

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.

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.

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.

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.