Sonrisa Senior Living

Allegation investigated: Staff are not providing adequate care and supervision to residents in care.

On 6/17/26, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Michael Clymo, Executive Director, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. The review of time card records for staff working in the facility’s memory care community, for Nov.2025- Feb. 2026 found that the majority of shifts had 1 med tech and 3 caregivers for the AM/PM shifts and 1 med tech and one caregiver for the overnight shift. While several shifts had more staff scheduled, there were several shifts that had fewer staff for part of the shift. Specific instances where too few staff were present to meet the needs of residents were: Report continued... Substantiatedthe state’s words, verbatim · CDSS document, Jun 17, 2026 · control 59-AS-20260224132358

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following

to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The followingthe state’s words, verbatim · CDSS document, Sep 10, 2025

Allegation investigated: Facility staff do not respond to call bell in a timely manner. Facility staff do not meet a resident's incontinence needs.

On May 6, 2025 , Licensing Program Analyst (LPA) Kevin Mknelly spoke to Carol Pickard to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Records reviewed regarding R1 found that R1 has a major cognitive disorder, incontinence and diabetes. Interviews were conducted and call button records reviewed and found that there were call responses of 61 minutes for 2 calls made on 1/9/25 and 42 minutes on 1/13/25. These response times exceed the facility policy, as stated by staff, of response between 5 and 15 minutes. Facility staff acknowledged in statements that there were some call button operation issues shortly after R1’s admission. As regulation requires immediate response the period where the signal system did not properly function and the long response times noted above did not identify the reason for the slow response time, the licenseethe state’s words, verbatim · CDSS document, May 6, 2025 · control 59-AS-20250204081226

Allegation investigated: Staff did not ensure reporting requirements were followed

On April 9, 2025, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Executive Director/ Administrator, Michael Clymo, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Interviews of facility staff found that when a infectious illness was discoverd at the facility and email was sent out to families. Due to a administrative error, family of R1 was left off the email list and not notified. This lead to exposure of family. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents inthe state’s words, verbatim · CDSS document, Apr 9, 2025 · control 59-AS-20250109141346

Allegation investigated: Staff do not ensure infectious disease protocols are being followed to prevent the spread of scabies. Licensee does not ensure there are sufficient staff to meet the needs of the residents

On 2/11/25, Licensing Program Analyst (LPA) Kevin Mknelly spoke with ED/ Administrator, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Records and interviews found that the facility had the first case of a resident (R1) treated prophylactically for scabies on 11/26/24. The second (R2) began prophylactic treatment on 12/3/24. The third (R3) was the first confirmed case, by skin biopsy, on 12/7/24. Since the initial treatments began, there have been 12 residents and 7 staff treated, mostly prophylactically as a precaution as recommended by resident’s physicians, public health or by person choice due to possible exposure. Public health states that a reportable outbreak is when there are 2 or more known or suspected cases in the community. Substantiatedthe state’s words, verbatim · CDSS document, Feb 11, 2025 · control 59-AS-20241211084922

Allegation investigated: Staff is mismanaging resident's medication

On 12/19/24, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Exec. Dir., Carol Pickard, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted interviews. LPA finds that the allegations cited above are substantiated. It was reported that on 12/13/24, it was witnessed that R1 was wheezing. A family memembr requested to see if R1 had received their morning respiratory medication treatment. The inhaler shown to family member for use for R1 showed there to be "0" doses remaining in the inhaler and had a start date noted of 10/8/24. An internal audit conducted by the Program Director found there to be 2 open inhalers- one was empty and one had doses remaining. It was indetemined how many doses were missed by R1 as the fill and start dates on the centrally storred medication record showed medications documented out of order from when received and started. Substantiatedthe state’s words, verbatim · CDSS document, Dec 19, 2024 · control 59-AS-20241217152717

Allegation investigated: Staff did not adequately monitor resident’s oxygen administration.

On 11/19/24, Licensing Program Analyst (LPA) Kevin Mknelly spoke with Executive Director, Carol Pickard to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Staff did not adequately monitor resident’s oxygen administration- Records review R1 is diagnosed with chronic respiratory failure, requires oxygen, edema, fluid restrictions and mild cognitive impairment. R1 can follow instructions and is able to communicate needs. R1 is ambulatory and has escort services identified due to fall risk. Interviews found R1’s Services Plan identifies that R1 has a low salt diet and recommended fluid restriction, R1 is to be escorted to and from meals and events and that staff will observe/ maintain/ report safe environment for oxygen and will evaluate needs of oxygen management. Substantiatedthe state’s words, verbatim · CDSS document, Nov 19, 2024 · control 59-AS-20240924145842

Allegation investigated: Staff did not administer medication(s) to resident as prescribed. Staff are mismanaging residents' medications.

On 10/15/24, Licensing Program Analyst (LPA) Kevin Mknelly spoke to ED Carol Pickard, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Records and statements supported that on 9/9/24, R1 was given medications by med tech S1 that contained a half tab of a medication that did not belong to R1. S1's explanation of how the medication mix up happened were not credible. The error was caught by a family member present. R1 did not take the wrong medication that was dispensed to them. Additionally, R1 was to receive a medication that is to be administered before and seperate from other medications. Records and statements showed that upon admission R1 took a 7 AM medication. With an update to medication administration records (MAR) that same medication was then combined with others at 8 AM. Substantiatedthe state’s words, verbatim · CDSS document, Oct 15, 2024 · control 59-AS-20240911170931

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.