Follow-up·July 25, 2024

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced case management visit at this as a result of the Licensee's failure to inform the Department about the Bankruptcy filed on 03/07/24. LPA met with Administrator Staci Mermerhteyn and inform of the reason for the visit. LPA's record review today revealed that the facility filed a Chapter 11 Bankruptcy on 03/07/24 and informed Long Term Care Ombudsman (LTCO) on 03/25/24 but no record of informing Community Care Licensing (CCL). Per California Health and Safety Code section 1569.686, you are hereby notified that a $100 civil penalty is being assessed per day. The total civil penalty for a continuous violation shall not exceed $2000. You will receive an invoice in the mail. Payment is due when billed. Payments must be made by a personal business or cashier's check or money order made payable to the "California Department Of Social Services". Please write the facility number and invoice number on your check and include copy of your invoice with the payment. You will find the invoice number on your invoice. DO NOT SEND CASH. The licensee was notified that a civil penalty is being assessed for failure to comply with this section and/or failure to report specified events, in writing, within 2 business days to the Department, the state long term ombudsman, all residents, and their representatives. Deficiency cited under Health and Safety code 1569.686. Pursuant to Health and Safety Code, the following deficiency was cited (refer to LIC 809-D). Exit interview conducted/ Citations issued/ Civil Penalty assessed/ Appeal Rights discussed/ A copy of report was issued.