Follow-up·May 15, 2023

A virtual Informal conference was conducted today on 05/16/2023 at 1:30 PM via Microsoft Teams. The purpose of the meeting is to discuss complaint allegations and non-compliance concerns. Present in the meeting are Licensing Program Manager Czarrina Camilon-Lee, and Licensing Program Analyst Avelina Martinez, Ombudsman Randi Denning, Licensee Diana Garcia, and facility staff Charlotte Lewis. The informal conference process was explained during this meeting to include the Administrative process. Discussed Concerns: The following concerns were discussed: Facility deficiencies, medication errors, administrator changes, reassessments, fire clearance violations, elopements, and Technical Support Program (TSP). The facility has stated they will do the following to achieve continued and substantial compliance: Ensure facility has a full time assigned certified Administrator Ensure all staff are compliant with all required training (medication and reassessments) Ensure compliance with fire clearance Facility Administrator will ensure compliance plan is being followed Ensure all reassessments are being completed Submit LIC 500 Personnel document and LIC 308 Designated Responsibility document to Community Care Licensing Department (CCLD) by May 22, 2023 Licensee Diana Garcia reported all facility plans to achieve compliance will be submitted to the Community Care Licensing Department by May 31, 2023 5 PM. Continued... Community Care Licensing Department (CCLD) will do the following : Increase Monitoring Technical Support Program (TSP) referral The licensee was advised failure to follow agreed plan could result in a Non-Compliance Conference. No deficiencies were cited during today's meeting. An exit interview was conducted with facility representatives Diana Garcia, and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents.