Office review·March 12, 2025

An Informal Conference meeting was held at Monterey Park Adult and Senior Care Regional Office. Present during this meeting were License Program Manager (LPM) Fernando Fierros and License Program Analysts (LPAs) Blanca Gonzalez, Jose Villalobos, and Luis De Leon. The following representatives were present from Bayshire San Dimas: Operation Manager Tanner Peterson, Director of Operations Chad Coleman, and Health Services Director Laura Sanchez. The Informal Conference was conducted to discuss the oversight of the facility, specifically to address the number of complaints received since the facility was licensed and Title 22 violations, administrator hours and hospice waiver increase requests. The following topics were discussed: · Hospice Waiver Increase request from 30 to 38. Health Director Laura Sanchez provided a copy of the Hospice letter Increase from twenty (20) to thirty (30) hospice residents. · Title 22 regulations regarding administrator qualifications and administrator to be on site sufficient number of hours to permit adequate attention to the management and administration of the facility. · LIC-308 Designation of Facility Responsibility - Administrator to declare a responsible staff for each shift that meets qualification in the absence of the Administrator. · LIC 500 - Staff Schedule to contain administrator hours and be available to the department as needed. · High Volume of complaints for the facility and that the Administrator is to provide oversight regarding staff training and resident concerns. · Licensee Annual Fees · Bedridden Plan See Continuation Page LIC 809C. The following documents were requested: Updated Hospice Waiver Increase Request that includes statements that comply with Title 22 regulations for Section 87632 Hospice Care Waiver. Hospice Waiver Increase request letter signed by the licensee. LIC 500 Personnel Record which indicates the current staff schedule and includes the administrator schedule. During meeting Administrator agrees to the following: Provide an updated staff schedule upon the department’s request. Submit an updated LIC-308 Designation of Facility Responsibility to department that covers each shift. Operation Manager and Director explained internal procedures to mitigate the number of complaints. LPM Fierros discussed the number of citations issued to the facility from the date the license was issued to the current date and provided the Administrator with copies of Title 22 regulations for which facility had been cited. A copy of POC's were provide to Administrator. The following regulations were reviewed. 87468.1 Personal Rights of Residents in All Facilities 87405 Administrator - Qualifications and Duties 87355 Criminal Record Clearance 85707 Admission Agreement 87411 Personal Requirements 87303 Maintenance & Operation 87705 Care of Persons with Dementia 87309 Storage Space Exit interview was conducted and a copy of the report was provided to Administrator Chad Coleman.