Office review·August 6, 2024

An Informal Conference was conducted today in the Woodland Hills Adult and Senior Care Regional office. The purpose of this Informal Conference is to discuss the incident that occurred during 2020 Present at today's meeting are the following: · Eva Miller, Licensing Program Manager (LPM) · Mariana Agban, Licensing Program Analyst (LPA) · Rody Espino – Administrator The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Conference is a part of the administrative action process. Further citations may result in a Non-Compliance Conference, which could lead to a referral to the Department's Legal Division for possible license revocation or other administrative actions. BRIEF HISTORY : The facility has been in operation since licensure on 08/30/2005 and is licensed for six non-ambulatory residents, hospice waiver for 1. On 09/14/23 LPA Agban conducted an annual Required visit and inspection of the facility. LPA also observed a room outside in the backyard next to the pool that has a hospital bed and a private bathroom. This room was not indicated on the facility sketch as a resident room. LPA also observed that the garage had been converted to a room with a private bathroom. A review of facility sketch does not indicate that there is a room created in the garage. Interview with the administrator revealed that the room was built during COVID-19 for staff for isolation in case of contact. During today’s meeting, LPA cited the facility on CCR section 87305 - Alterations to Existing Buildings or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. (Continue 809 C) LPM Miller discussed and expressed concerns regarding adding additional rooms to the property without notifying CCL. LPM Miller also emphasizes the importance of properly reporting any changes or incidents occurring in the facility. The Licensee was informed that Community Care Licensing (CCL) shall continue to frequently monitor the facility as often as necessary to ensure the Licensee's compliance with Title 22 Regulations Exit interview conducted, and a copy of the report was given.