Office review·December 9, 2025

A Noncompliance Conference (NCC) was conducted today on 12/09/2025. The meeting was held at the Sacramento North Regional Office located at 9835 Goethe Road, Suite 100 Sacramento, CA 95827. The purpose of the NCC was to discuss the Substantiated complaint of a violation. Present at today’s NCC were the Regional Manager (RM) Troy Ordonez, Licensing Program Manager (LPM) Laura Munoz, Licensing Program Analyst (LPA) Graham Gunby, LPA Lavinia Muscan, (LPA) Bethany Mirlohi, and facility licensee’s Simranjit Bhatia and Damanpreet Bhatia. Topics discussed during this meeting included: Summary of substantiated complaint findings Failure to supervise residents properly Lack of staff training and competency Failure to follow care plans and HH instructions Lack of documentation (repositioning, wound care, incident reports) Personal rights concerns Facility staffing practices Observation and monitoring of residents Restricted health conditions The facility has stated they will do the following to achieve continued and substantial compliance: Licensee will develop and implement procedures for observing and documenting changes in condition. Staff will be trained on when and how to monitor residents for changes such as wounds, decline, or safety concerns. Licensee shall plan on how to ensure staff follow all care plans, treatment orders and HH instructions. Licensee shall develop and maintain clear and complete records, including wound logs, repositioning logs, and change-in-condition notes. Licensee shall establish reliable communication processes with Home Health under Section 87609(b) as well as Hospice agencies. Licensee shall train staff on regulatory requirements for observing, identifying, and reporting changes in residents’ physical and mental condition. The licensee shall ensure documentation is completed promptly and accurately. Licensee shall submit a statement stating they will not accept residents with Stage 3 or Stage 4 pressure injuries unless an exception or Hospice approval is obtained. Licensee shall submit intake procedures for all new residents. Licensee shall submit a plan on how the licensee shall ensure reporting requirements are met and incident reports are submitted timely and accurately. Licensee shall submit a statement stating they understand injections may only be administered by an appropriate medical professional. All requested documentation shall be submitted to the Department no later than January 9, 2026. No deficiencies cited. Exit interview conducted. Report provided to Licensee.