Office review·March 27, 2026

An informal meeting was held on 3/27/2026 at 1:00PM, at the Sacramento Regional Office via Microsoft Teams. The purpose of this meeting was to discuss concerns regarding licensed facility Sacramento Senior Living III . Participants in the meeting included: Licensing Program Manager (LPM) Lisa Rios, Licensing Program Analyst (LPA), Cynthia Tamyo, and Licensee/ Administrator Salote Charlotte Lewis. 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: • Administrator Qualifications • Pre-admission appraisals • Reappraisals • Reporting Requirements • Daily Dietary Needs • Planned Activities • Staff Training • Incidental Medical and Dental-proper storage of medications/insulin • Staff Requirements- sufficient in numbers to meet residents’ needs. • TSP services S1 stated they are Licensee and Administrator for three facilities, Sacramento Senior Living II and Sacramento Senior Living III, and Sacramento Senior Living. Licensee stated the facilities are about 15 minutes away from each other and have looked for a new administrator since last year. Licensee stated that as of 3/25/26, they decided to hire two new qualified Administrators for Sacramento Senior Living II and Sacramento Senior Living III. Continued on 809-C Licensee informed the Department they plan to remain as Administrator for Sacramento Senior Living. Licensee stated the new Administrators will be present at each facility for 40 hours per week, 8:00AM-5:00PM, Monday – Friday and on-call on weekends. Licensee will submit Administrator change request packet. Licensee also stated they have started to conduct weekly audits for Sacramento Senior Living III by visiting the facilities in person. Licensee confirmed TSP was received back in September 2025, which they found helpful but would have preferred if services were provided in person at the Facility. Licensee stated an new initial TSP meeting was held two weeks ago, and a follow up meeting is scheduled for April 9th, 2026. Licensee stated they are going to reach out to TSP to request in-person TSP services instead of having virtual meetings. Licensee stated that they want their new Administrators to be present for all future TSP meetings as well. When asked how they would provide care for R1, who needs a higher level of care, Licensee stated they have a friend who is an Registered Nurse (RN) and they will start to schedule for them to go to the facility “twice per week” to check on the resident’s condition. Licensee also stated they want to ensure their staff are trained to handle emergencies and changes in resident conditions, including reporting any change in condition directly to the Doctor/Physician. Licensee they will be asking their RN friend to also provide training for staff regarding medications including insulin administration in addition to coming into the facility to check on the R1. Licensee stated they want to ensure R1’s disability is accommodated by seeking out resources from the resident’s advocate. Licensee stated they will ensure incident reports sent to the Department are detailed moving forwards; Guidance provided regarding reporting requirements include the need to include dates, times, names, timeline, backgrounds, steps and a follow up report will be provided when necessary. Licensee stated that planned Activities will be discussed with the new Administrator to ensure activities are being provided for residents. Continued on 809-C The facilities will do the following to achieve compliance: • Review regulation for incident reporting • Train facility staff with training regarding Reporting Requirements • Increase Administrator oversight; Hire new Administrator for Sacramento Senior Living III • Review Technical Assistance Program (TSP) resources and request additional assistance when needed. • Disability Accommodation and Personal Rights training for all staff, licensee will retrain facility staff on proper handling, supervision, support, and meeting residents’ needs without infringing on personal rights. The facilities will provide the following documentation to the regional office: • Licensee will submit an updated LIC 500/ LIC 308 for both facilities by 3/30/26. • Submit Administrator change request for new Administrator(s) by 4/3/26. • Staff training in Diabetes, Medication, Special Dietary Meals, and Resident Care and Supervision identifying change in condition, and emergency response for all current staff. • Training in Disability Accommodations and Personal Rights training for residents with disabilities from a disability informed professional. • Ensure Reappraisals are completed every 12 months or whenever there is a change in condition, whichever occurs sooner. The regional office will do the following: • Continue to collaborate and provide assistance to licensee as needed • Offer TSP services A link to a list of approved CEU Vendors from the CDSS website was provided to the licensee to research and find vendor-based training for their facilities: https://www.cdss.ca.gov/inforesources/community-care/administrator-certification/administrator-information/list-of-approved-vendors Per California Code of Regulations (CCR) - Title 22 - no deficiencies are being cited. An exit interview was held, and a copy of the report was sent via email.