Non-compliance follow-up·November 18, 2025

A Non-Compliance Conference (NCC) follow-up was held on November 18, 2025, via Microsoft Teams with the Sacramento South Regional Office. The purpose of this meeting was to follow up on the NCC conducted on January 30, 2025, and its compliance and to address ongoing deficiencies and the facility’s continued inability to maintain substantial compliance with regulations over the past 11 months. Attendees included Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Analysts (LPAs) Pang Lee, Shakaricka Hughes, and Cynthia Tamayo, and Ombudsman Lisa Carrera. Facility representatives included Licensee Mark LaBella, Administrator Marie Taylor, and Administrator Sera Nakalevu. Administrator Aliti N Waqalala, could not attend the meeting. During the meeting, the Non-Compliance Follow-Up process was reviewed with the Licensee and Administrators. A Non-Compliance Follow-Up Meeting Summary (LIC 9111) was completed and provided to the Licensee along with a copy of this report. Since January 30, 2025, NCC, the facility has received 10 Type A citations and 15 Type B citations. Issues discussed included: · Incontinence care · Criminal Record Clearance and staff association requirements CONTINUED LIC 809-C · Fire clearance and fire safety (ensuring all exit doors and all emergency exits operate with a single-action mechanism and that residents are to be not locked within the facility and out of the facility; gates may not be difficult or hinged in a way that restricts exiting/entering) · Reporting requirements · Incidental Medical and Dental Care Services (including proper medication administration and internal medication audits) · Insufficient food supplies (7-day non-perishable and 2-day perishable requirements) · Dementia care, including wandering resident protocols and awake staff requirements · Basic Services (care and supervision) · Change in condition assessments and reassessments · Staff training and staff responsibilities · Door alarms and alert systems · Quality of food being provided · Personal rights (including the requirement that food, pantry items, and refrigerated items not be locked) · Communication and responsiveness with the Department · Oversight expectations when the Administrator is absent, including Licensee oversight, trained staff coverage, and conducting random evening and NOC shift visits/audits CONTINUED LIC 809-C The facility reported the following corrective actions and plans have been put in place: · Deadbolt removed from exit door · Lock removed from pantry · Training conducted on care and supervision · A new call system was purchased two weeks prior · Weekly routine established: full walk-through every Monday; full medication checks every Tuesday to verify new medications are on the MAR and CSDMR · Licensee visits the facility weekly · A stand-up freezer was purchased to increase food storage. · Staff from all three homes are submitting photos of every meal (breakfast, lunch, and dinner) to verify nutritional quality Change of ownership for three facilities was also discussed. Vita Bella Elderly Care and Vita Bella Elderly Care II have pending change-of-ownership applications. Vita Bella Elderly Care III has no pending application at this time. Licensing reported that Vita Bella Elderly Care II is pending fire clearance for sprinklers. Technical Support Program (TSP) engagement was offered and accepted by the Licensee. LPAs will submit the TSP referral, and the Regional Office will extend and increase quarterly monitoring for the next six months to assess the facility’s progress and compliance with issues identified during the NCC meetings on 01/30/2025 and 11/18/2025. The Regional Office will reassess compliance in six months and will initiate the legal process if the facility does is not in compliance. An exit interview was conducted, and a copy of this report was provided to the facility.