Inspection visit

ComplaintJune 22, 2022

SONNET HILLLicense 4352027802 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

RP1 states that the facility did not provide an admission agreement for R1 when R1 was first being admitted into the facility. RP1 states that the only document that the facility had RP1 sign was the Reservation Agreement, which is dated 07/30/2021. The Reservation Agreement states that R1’s monthly charge does not include incontinence care and support product. It states the amount charged for the incontinence care and support product will be determined by the service plan at the time of physical occupancy of the living unit. R1’s Physician’s Report (LIC 602) dated 09/28/2021 states R1 has bowel and bladder impairment and has incontinence. R1’s Sonnet Hill Resident Evaluation form dated 10/05/2021 indicates that R1, “requires full assistance to manage continence; is routinely incontinent of bowel/bladder, requires regular cleaning and changing of undergarments and bedding.” During interview, staff S1 stated that RP1 was present with S1 during R1’s assessment at another facility. S1 stated RP1 was provided with a copy of the assessment during the care plan meeting. R1’s Appraisal/Needs and Services Plan indicates R1’s move-in date is 10/05/2021. During interview, Administrator (ADM) stated to have mistakenly given RP1 the original admission agreement because RP1 stated to have wanted to review the admission agreement closely. ADM states to have asked RP1 to return the Admission Agreement, but RP1 never returned it. In email correspondences, ADM told RP1 that RP1 had taken the original Admission Agreement and it was never returned. RP1 responded to ADM that RP1 only had a copy and did not take the original. ADM stated to RP1 that the facility has taken accountability for not addressing the incontinence care in the initial contract and is willing to absorb the loss for the two months of October and November 2021. ADM stated the facility would like to begin charging RP1 for incontinence care going forward, to which RP1 responded that RP1 did not agree to the extra charge. See LIC9099-C for more information. Page 2 of 3. RP1 confirmed to only have had a copy of the Reservation Agreement, not the Admission Agreement. A copy of the Reservation Agreement dated 7/30/2021 was obtained and reviewed and noted the charge for incontinent care was not listed. There were numerous email communications between RP1 and Admin on the charges, but no admission agreement was ever completed to list the charges. The facility failed to provide RP1 with an itemized list of fees upon initial admission to the facility, which resulted in RP1 not being told that R1 would be charged for incontinence care. Although the facility told RP1 that incontinence care would be an additional charge if RP1 was incontinent and RP1’s Resident Evaluation states RP1 is fully incontinent, ADM admits in email correspondence to RP1 that the facility did not include the incontinence care charges in the initial contract. No new admission agreement was completed upon knowledge of the mistake in the initial contract. Based on records review and interviews, there is preponderance of evidence to prove the alleged violations did occur; therefore, the allegations are substantiated. Deficiencies were cited as per California Code of Regulations Title 22. See LIC9099-D for more information. This report was reviewed with Jasmine Latu and a copy of the reports and appeal rights were provided. Page 3 of 3.

Citations

9 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87466Type A
Regular observation and documentation of resident changes
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. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not being met as evidenced by:Based on interview and record review, there was no documentation that facility brought to the attention of R1’s physician prior to stopping R1’s medications when R1 was not eating. Facility also did not inform R1’s responsible person when R1 was not eating for 48 hours. This poses an immediate threat to the health and safety of the resident in care.
Read full inspector narrative
87224(d)(1)Type B
87224(d)(1) Eviction Procedures: (d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. (1) The notice to quit shall include the following information: (B) to (D)This requirement is not being met as evidenced by: Based on record review, the eviction notice dated 2/10/22 did not have information on resources, the right to file a complaint, and unlawful detainer language.
87465(c)(2)Type A
Give PRN medication by physician order
87465(c)(2) Incidental Medical and Dental Care: (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not being met as evidenced by: Based on record review, facility stopped giving R1’s medication without a doctor’s order to stop when R1 was not eating for 48 hours. This poses an immediate risk to the health and safety of resident in care.
87507(a)Type B
Must complete individual written admission agreements
87507(a) Admission 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 is not being met as evidenced by:Based on interview and record review, the licensee did not complete a written admission agreement with R1’s representative which poses a potential risk to the health of the resident in care.
87468.2(a)(12)Type B
87468.2(a)(12) 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, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (12) To receive in the admission agreement a comprehensive description of the method for evaluating residents’ service needs and the fee schedule for the items and services, and to receive written notice of any rate increases according to Health and Safety Code sections 1569.655 and 1569.884. This requirement is not being met as evidenced by:Based on interview and record review, R1 was not given a copy of admission agreement that listed the fee schedule but a reservation agreement which did not list the fee for incontinent care. This poses a potential risk to the health and welfare of the resident in care.
Read full inspector narrative
87507(g)(3)(B)(2)Type B
87507 Admission Agreements (g)(3)(B)(2): (g) Admission agreements shall specify the following: (3) Payment provisions, including the following: (B) Rate for additional items and services, including: 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 requirement is not being met as evidenced by:Based on interview and record review, facility failed to complete the admission agreement for R1 during the entire time of admission. Without the admission agreement, the separate charge for incontinent care was not authorized due to lack of admission agreement. This poses a potential risk to the health and safety of the resident in care.
87405(d)(2)Type A
Conformance with applicable laws and regulations
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement was not being met as evidenced by: Based on interview and record review, Admin failed to have knowledge of and ability to conform to Title 22 on eviction procedures, personal rights and admission agreement as R1 was not given the proper eviction notice, the eviction notice was not sent to licensing agency, admission agreement was not completed, involuntary discharge and unprofessionalism in dealing with a family member. This poses an immediate risk to the health and safety of residents in care.
Read full inspector narrative
87668.2(a)(20)Type B
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, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict residents for reasons other than those permitted by state law or regulations and shall comply with all eviction and relocation protections for residents. For purposes of this paragraph, "involuntary" means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident. This requirement is not being met as evidenced by:Based on interview and record review, facility initiated the involuntary discharge of R1 by refusing to take R1 back from the hospital without a proper eviction notice and without discussion with all parties involved. This poses a potential risk to the personal right of the resident in care.
Read full inspector narrative
87224(f)Type B
Eviction report must be filed within five days
87224(f) Eviction Procedures: (f) A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement was not met as evidenced by: Based on record review, CCL did not receive a copy of R1’s eviction notice in February.

FAQ · About this visit

Common questions about this visit

What happened during the June 22, 2022 inspection of SONNET HILL?

This was a complaint inspection of SONNET HILL on June 22, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to SONNET HILL on June 22, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social fu..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated June 8, 2026. If you believe any information is inaccurate, report it here.

Complaint·June 22, 2022