Follow-up·September 12, 2023

Licensing Program Analysts (LPA's) Sarah Hurt and Brianna Miranda conducted an unannounced facility visit conduct a Case Management visit. LPA's were greeted by facility staff Octavia Mceva and allowed entry into the facility. LPA's spoke with Licensee Jessica Johnson over the phone and explained the purpose of today's visit. LPA's requested complete files for Resident 1, and Resident 2 including most recent Physician's Report, Needs and Services Plan, Emergency face sheet, and any incident reports by end of business day on September 15, 2023. LPA's requested Pre - Admission Appraisal, and Physicians Report for Resident 3. LPA's previously requested current Personnel Report (LIC 500). Licensee has yet to submit. LIC 500 needs to be submitted by end of business day on September 15, 2023. LPA's delivered notification of Non- Compliance Conference to be held in the Fresno Regional Office (1314 E. Shaw Ave., Fresno CA, 93710) at 10:00 a.m. on September 21, 2023. LPA's informed this meeting is to be held in person and not online. Non-Compliance Conference letter was left with facility staff Octavia Mcvea. Licensee Jessica Johnson requested facility staff Octavia Mcvea not sign the report. No Deficiencies Cited today per Title 22 Regulations Exit interview conducted with Licensee Jessica Johnson over the phone and a copy of this report provided.