Office review·January 27, 2025

On this date, an Informal Office Meeting was conducted at the Regional Office with the Administrator and Licensee to address concerns regarding facility operations. Present during the meeting were: See Moua, Licensing Program Manager I Alexandria Walton, Licensing Program Manager I Mary Garza, Licensing Program Analyst Licensee, Rajat Roychoudhury Administrator, Minakshi Roychoudhury Administrator, Shailesh Patel 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. - The Licensee has declined TSP services. TSP is not mandatory. By declining, the licensee communicates that it can be compliant. Although the LPA has a consultative role, the Administrator by maintain an active certificate, understand all the laws, regulations, and Title 22 to operate. - Clearing Proof of Corrections – Clearing the POC is the responsibility of the LPA. The LPA was there during the inspection. The facility should communicate with the LPA when there are questions regarding the POC. - 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. The inimical conduct of any staff, administrator and licensee, including false statements to the LPA or Department, falsifying records and jeopardizing the health and safety of the residents, may result in Administrative Actions. - ALW Program and Hospice – residents being in the ALW Program, on Hospice, or Home Health does not negate the facility and its staff of the responsibility for providing care and supervision.