Office review·September 25, 2024

At approximately 1:40PM, Licensing Program Manager Kim Moto and Licensing Program Analyst Chris Arnhold met with Licensee Norbert Sacro in the Santa Rosa Regional Office. This informal meeting is being held to discuss concerns with the fire clearance status on the facility. Currently facility has a clearance for 3 ambulatory residents in the upstairs section and 2 non-ambulatory/1 bedridden resident in the downstairs area. During the recent annual inspection on 08/07/2024, a non-ambulatory resident was residing in an upstairs, ambulatory, room. Shortly afterwards, the resident moved from the facility. During this meeting, ambulatory status was discussed regarding the definition of ambulatory status based on the LIC 602, Physician Report, and the mental status of the resident. Licensee will submit an updated admission agreement to address the potential change in condition for a resident residing in an upstairs room. This update will be submitted to CCL by 10/11/2024. LPM and LPA discussed the remaining outstanding plan of correction with Licensee. LPA cleared the violation during this meeting. No citations issued during this meeting.