Sonoma Oak Tree Place

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Yessenia Grande arrived later. Facility currently has six (6) residents in care two (2) of which are currently on hospice. Yessenia Grande's Administrator Certificate 6074852740 expires 8/18/27 At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Most food was found to be stored in a safe manner with open items covered. Two apples segments were left uncovered in fruit bowl, fruit flies present. Admin explained that they have chickens and save scraps for them. Admin and LPA discussed getting a food compost bucket to store food scraps. LPA observed kitchen cabinet under sink to contain disinfectants and cleaning supplies. Cabinet has magnetic locking mechanism. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 121.6 degrees F in the kitchen which is not within the allowable range of 105 to 120 degrees F. However, water temperature measured 106.4 in the main bathroom used by residents and 105.7 in room #4, both of which are within the allowable range of 105 to 120 degrees F. Facility only has one water heater, so facility maintenance worker will work to adjust water temperature so that kitchen temperature remains within regulation. Continued on 809C... continued from 809... Facility has a garage in which food is stored food, canned goods, an overflow refrigerator and a freezer. Facility stores bird seed and bird feed in the garage. Sunflower seeds were found spread throughout most of the garage and old mattress stored had small area of exposed foam and bedding material. Seeds were found spread all around mattress as well as plastic bags piled behind shelves of canned food. LPA discussed with Admin the presence of seeds and bird seed could present as an attracting factor for rodents. LPA did not observe any rodent dropping in the garage. However, LPA and Admin observed rodent droppings inside the facility in the hallway closet (deficiency cited, see 809D). The outside backyard has 3 video camera, which do have audio functionality but the licensee has disabled the audio. Additionally, backyard has a rental unit that does not share any walls with the facility. Premises is rented out and currently has tenants. Tenants do not have access to the facility, but do utilize the garage during specific hours: between 6:00pm and 10:00pm only. The door to the garage from inside the facility has a locking function such that one cannot enter from the garage into the kitchen. Fire extinguishers were last inspected 08/19/25. Smoke/Carbon Monoxide detectors located throughout the facility are operational. Facility’s last quarterly disaster drill was conducted in August. LPA and Admin discussed that drills must be done quarterly. At approximately 12:00pm LPA conducted a review of five (5) out of five (5) staff files. Staff S1, S2, S3, and S4 do not have the required hours of training completed (deficiency cited, see 809D). At approximately 1:00pm LPA conducted review of six (6) out of six (6) resident files. LPA advised that any and all orders for thickener, crushed meds, half rails, and postural supports must be maintained in the residents' files. Continued on 809C(2)... Continued from 809C... At approximately 2:00pm LPA and caregiver conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies cited. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Nov 18, 2025

The state marks this report as 8 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a pre-licensing inspection and was greeted by caregiver. Applicant, Yessenia Grande arrived later at approximately 10:00am. Applicant was able to show proof of pending initial Administrator certification: certificate #6074852740 is pending but status shows as payment received and application received 9/30/24. At approximately 10:00am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. LPA observed within regulation emergency supply of non-perishable food. Locked cabinet stores toxins and cleaning products. One locked drawer is dedicated for sharp knives. Facility is a one story residence with four bedrooms, three full bathrooms, and dining and living room common areas. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Smoke and carbon monoxide detectors present and functioning. Facility has two fire extinguishers, last inspected 8/8/24. LPA observed all required postings and posters present. Applicant advised that facility will use personal van or community service to provide emergency transport services in the event of a disaster. Water temperatures read at: 119.8 F in kitchen, 112.7 F in main bath, 108.1 F in room #3, and 108.5 F in room #4 all which are within regulation of 105 & 120 degrees F. LPA and Applicant discussed keeping an eye on the water temperature in the kitchen to be sure it doesn't go over 120 degrees F. Applicant agrees to check and turn the water heater down slightly should it read over 120 degrees F. Continued on 809C... Continued from 809... The following items to be corrected prior to LPA submission of facility's application for approval: All trash cans in rooms and bathrooms need tight fitting covers Shower in main bath needs non-skid strips or mat Vanity in room #3 needs left hand side bottom drawer fixed Bathroom in room #4 needs right hand side bottom drawer of vanity fixed, non-skid strips or mat in shower, and left side overhead lamp bulb replaced/repaired, right hand side sink needs to display the correct indictor for hot and cold water. Applicant to either replace faucet indicator or put sign up indicating hot and cold placement for faucet. Room #4 needs an overhead light or lamp bright enough to light the room Applicant to provide photos and/or videos of repaired/replaced items. Once acceptable photographic and/or video proof of corrections is received by CCL, LPA will submit facility's application for approval. Comp III reviewed and exit interview conducted with Applicant and a copy of this report given.the state’s words, verbatim · CDSS document, Nov 15, 2024