Office review·February 6, 2025

On this date, an Informal Office Meeting was conducted at the Regional Office with the Licensee to address concerns and citations that were issued. Present during the meeting were: See Moua, Licensing Program Manager I Mary Garza, Licensing Program Analyst Licensee/Administrator, Nida Bonavente Designee, RoseMarie Reimer The facility was previously cited for the following issues and concerns on a Case Management on 1/17/25 and Annual visit on 12/26/2024: - Activities or computer/internet access for the residents - Physical Plant issues – dishwasher is not operational, mattress for a resident needs replacement, broken tiles, holes in a wall, bedroom door needs repair, general cleaning - Staff not having required training and CPR training - Facility not having an Emergency Disaster Plan Complaint allegations that were Substantiated on 1/17/2025: - Staff are not distributing residents P&I monies timely - There is not enough food at the facility to meet residents needs - Staff are not providing snacks to residents in care - Staff are not providing residents their clothing allowance timely - Staff do not meet the medical/mental health needs of residents CONT... CONT... The following were discussed and explained: - Compliance does not mean just completing POCs after the Department issue citations. The facility should aim and be proactive in making sure its operation meets Title 22 regulations. The Department is transparent that the regulations and CARE Tools are available. - Licensee’s intent for the facility - Licensee stated at this time there is no intent to close or sell the facility - TSP services were offered and Licensee declined - P&I money to the residents – the licensee can not commingle the resident’s funds with the facility’s business account. The licensee must submit a plan on getting P&I money to residents in a timely manner (48 hours or less). - Solvency Audit if warranted. - Administrative Actions - Continued non-compliance means the Department may take Administrative Action. This includes any of the following: revocation of the licensee, exclusion of staff, Administrator certificate de-cert, etc. -Concern regarding Licensee/Administrator of Record Nida’s availability was also discussed. During the LPA’s last few visits, Nida has been unavailable. Exit interview completed with Licensee, Nida and Designee, Rose Marie. A copy of this report was provided.