Office review·June 12, 2024

An informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Regional Manager, Carla Nuti-Martinez, Licensing Program Managers, Bethany Moellers and Kimberley Mota, Licensing Program Analysts, Julie Florio, David Leibert, and Jill Nakagawa, Administrators, Madonna Martinez and Gwen Martinez. The purpose of the informal meeting was to discuss citations for deficiencies observed on March 28, 2024, and recited on April 30, 2024, for failure to correct Plan of Corrections (POC) by the due date, as well an additional citation issued on this date. The following areas of concern were discussed: - Reporting Requirements - Administrator to ensure clearing POCs and responding to Community Care Licensing (CCL) communication requests. Administrator to submit the following outstanding POCs to CCL by COB 6/14/2024. Licensee was informed failure to submit by agreed upon date may result in additional civil penalties. - Administrator to sign self-certification stating they have reviewed regulation 87456 Incidental Medical and Dental Care. - Administrator to ensure that at least one staff on duty has CPR training at all times & all staff have First Aid. Administrator to submit proof of staff S1-S5 have current CPR training per regulation and S1-S4 have proof of current First Aid given by American Red Cross. - Administrator to submit copies of health screening by a physician, including a TB test and results for staff member S1. ** Licensee informed S1 is no longer working in facility and will submit written notice that all staff will have required documents on file for CCL review. Continued on 809-C... Continued from LIC809... - Administrator to send in proof of current medical assessment for resident R1 and statement from Administrator acknowledging their understanding of regulation 87705(c)(5) - Administrator to review all residents’ care plans, update them accordingly, and send self-certification to CCL that this process is complete. Licensee was informed that a citation is being issued today for administrator qualifications and duties, a written plan is requested to clear the citation due by 6/14/2024. The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and appeal of rights provided. Signature on form confirms receipt.