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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920051
Report Date: 06/17/2026
Date Signed: 06/19/2026 08:15:07 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2026 and conducted by Evaluator Kevin Mknelly
COMPLAINT CONTROL NUMBER: 59-AS-20260224132358
FACILITY NAME:SONRISA SENIOR LIVINGFACILITY NUMBER:
315920051
ADMINISTRATOR:CLYMO, MICHAELFACILITY TYPE:
740
ADDRESS:1031 ROSEVILLE PKWYTELEPHONE:
(279) 213-0047
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:199CENSUS: 141DATE:
06/17/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Michael Clymo, Exec. Dir (ED)TIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff are not providing adequate care and supervision to residents in care.
INVESTIGATION FINDINGS:
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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...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 59-AS-20260224132358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SONRISA SENIOR LIVING
FACILITY NUMBER: 315920051
VISIT DATE: 06/17/2026
NARRATIVE
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On 1/8/26, evening staff signed out by 10:40 PM leaving a lone overnight staff until the med tech for the shift arrived at 10:53 PM. During the time between 10:40-10-53 PM, R1 fell in their room and tore out their catheter.
R1 had a diagnosis of dementia, was noted as a fall risk and lacked hazard awareness and impulse control. Additionally, R1 had an incident of getting out of bed unnoticed the prior night before found by staff in the common area. Records showed that staffing was not increased following R1 being found wandering on the overnight.
Family of R1 was interviewed and reported many lapses in care during the short time of R1’s residence.They reported slow response times when R1’s call button was used, delays in prompts for meals and longs periods of times without staff interaction though family had been assured of intensive monitoring during R1’s first week in the community.

R2’s records review found that R2 has limited mobility, incontinence, is a 2 person lift assist and was to be assisted with repositioning due to bed sores while in hospice care.
Staff and family statements found that as R2 required 2-person assist, there were many times when R2’s incontinence care was delayed when insufficient staff were present to meet R2’s and other residents’ needs.
R2 moved from this community to another care home. LPA conducted a visit to observe R2 and check on their status. R2 was gaining weight, pressure injuries were resolving and they were increasing their communication with others.

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. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with Administrator . Copy of this report and appeal rights provided.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 59-AS-20260224132358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SONRISA SENIOR LIVING
FACILITY NUMBER: 315920051
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/18/2026
Section Cited
CCR
87411(a)
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Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not net based on records reviews, incident reports and statements.This posed an immediate reisk to residents.
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Licensee will submit a plan to review resident assessments and individual care needs to be utilized to determine staffing needs and how to rapidly respond to unplanned time off.
By POC date of 6/18/26 licensee will submit who will be involved in the planning
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and a target date (no later than 7/2/26) for the planning to be completed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2026 and conducted by Evaluator Kevin Mknelly
COMPLAINT CONTROL NUMBER: 59-AS-20260224132358

FACILITY NAME:SONRISA SENIOR LIVINGFACILITY NUMBER:
315920051
ADMINISTRATOR:CLYMO, MICHAELFACILITY TYPE:
740
ADDRESS:1031 ROSEVILLE PKWYTELEPHONE:
(279) 213-0047
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:199CENSUS: 141DATE:
06/17/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Michael Clymo, Exec. Dir (ED)TIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff do not ensure that facility is maintained in a clean condition.
INVESTIGATION FINDINGS:
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 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 conducted records review and extensive interviews.
LPA is unable to find and or meet the preponderance, per policy.
While observations and interviews found that the work demands on caregivers in the memory care community include, not only resident care but also some housekeeping duties, laundry and food service, there were acute episodes of being unkept. However, the episodes found did not rise to the level of regulation violation.
As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Exit interview with administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4