Office review·January 14, 2026

An informal meeting was held on 01/14/2026 at the Sacramento Regional Office via Microsoft Teams. The purpose of the meeting was to discuss instances of non-compliance identified during the Post-Licensing and Case Management visits conducted on 12/12/2025 and 12/15/2025. Participants in the meeting included Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Manager (LPM) Troy Ordonez, Licensing Program Analyst (LPA) Pang Lee, Licensing Program Analyst (LPA) Graham Gunby, and the Designated Facility Administrator/Licensee, Violet Mubeezi. The facility has been licensed since 01/24/2025 and has received a total of twelve (12) Type A citations and two (2) Type B citations. All citations have been addressed through corrective actions. During the meeting, the Informal Conference process, including the Administrative Process, was explained to the Licensee. The current areas of concern were identified as follows: • Care and Supervision / Sufficient Staffing • Personal Rights of Residents • False Claims • Basic Services CONTINUED LIC 809-C • Reporting Requirements • Fire Safety • Limitations – Capacity and Ambulatory Status • Incidental Medical Services • Storage Space and Access The Licensee agreed to conduct additional training in the following areas to bring the facility into compliance. Documentation of completed training, including staff sign-in sheets and the training materials used, is due to the Department by 01/28/2026: • Personal Rights, including the use of cameras, gates, and locking of pantry and refrigerator • Basic Services, including adequate staffing • Reporting Requirements, including designation of responsible staff for reporting and submission of death and incident reports to CCLD • Incidental Medical Services, including maintaining current resident Medication Administration Records (MAR) logs and Centrally Stored Medication and Destruction Records (CSMDR) • Maintenance and Operations of the Facility, including ensuring resident bathrooms are equipped with non-slip mats and that all toxins are inaccessible to residents at all times Failure to maintain substantial compliance, as outlined in the LIC 809 report dated 01/14/2026, may result in a Non-Compliance Conference and referral of the Licensee/Facility to the Legal Department for review and possible administrative action. CONTINUED LIC 809-C These actions are intended to be collaborative rather than punitive, with the goal of addressing areas of concern and supporting facility improvement. The facility will be subject to continued monitoring and inspections on a quarterly basis for the next six (6) months to verify sustained compliance. The Licensee/Administrator Mubeezi has agreed to enroll in and utilize services from the Technical Support Program (TSP), which will be coordinated by the Department. An exit interview was conducted with Licensee/Administrator Mubeezi and a copy of this report will be emailed to the Licensee/Administrator Mubeezi for signature and returned to the Department.