Follow-up·July 14, 2025

Licensing Program Analyst Nicol Wesley conducted an unannounced Case Management visit at the facility and met with Assistant Administrator Zach Miller and Wellness Director Michelle Adams to discuss the purpose for todays visit, which is to ensure the facility is in compliance with adding Dementia Care to their facility. During the visit Administrator Victoria Tran arrived and joined the visit. In regards to the facilities Dementia Care Plan, Items must be addressed to ensure the health and safety of the residents are being met. Here is a list of the following items that were observe to not meet the standards of Caring for a person with Dementia. Administrator training. Staff training(who is conducting the training). Emergency Disaster Plan(Address the dementia care). Outside middle of the facility(waterfall, not gated or secure). Outside on same campus SNF by the entrance of facility has stairs going. downward, and two waterfalls(1 gated) and 1 is not secure. Continued on LIC 9099C Upon Admission- at least annually(or change in condition). How many residents do you plan on receiving with Dementia? Title 22 section 87705(b) what is this section? Did you read it? Do you understand it? Title 22 section 87705(c)-(f) what is this section? Did you read it? Do you understand it? What are your intentions with the gate going downwards? How will you secure it? What are your intentions with the water fall at the SNF? How will you secure it? Trained staff will be available in sufficient numbers to meet the care and supervision of residents and take them on outings outside the facility. Right now the facility has 3 caregivers AM/PM shift, and 1 Med tech AM/PM. LIC 500 includes SNF staff(There is no interchange of duties) Emergency Disaster plan included names of staff form the SNF(There is no interchange of duties). Once the facility meets the Dementia Care Program Requirements, and submit the appropriate paperwork or corrections they will be granted a Dementia Care Plan to obtain Dementia Residents. A copy of this plan was given to the Administrator Victoria Tran during the exit interview.