Non-compliance follow-up·October 30, 2025

A Non- Compliance Conference (NCC) was conducted today October 30, 2025 via Microsoft Teams with the Sacramento South Regional Office. The purpose of this Non-Compliance Conference meeting was to discuss Non-Compliance citations issued to the facility. Present in this meeting is Regional Manager (RM) Stephanie Doub, Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Analyst (LPA) Shakaricka Hughes, Licensee/Administrator of Siebenthal Care Home Ermelinda Siebenthal. During this virtual meeting, the Non-Compliance Conference process was explained to the licensee. A Non-Compliance Conference Summary (LIC 9111) was generated to document this office meeting. A copy of this report and the LIC 9111 was provided to the licensee. Citations from 07/2023 to 6/2025- Four (4) Type A citations in areas of Incidental Medical and Dental care, Basic services requirements, Administrator qualifications, Health screening, and Criminal record clearance. Type B violations in the areas of; Personnel Requirements, Night supervision, Resident appraisal, Reporting requirements, Incidental Medical and Dental Care, Personal Rights, and Postural Supports. Issues discussed related to the above include: 1. Incidental Medical and Dental Care 2. Criminal Record Clearance Continuation 809-C 3.Administrator Qualifications 4. Staff Training 5. Reporting Requirements The facility has stated they will agree to do the following: 1. Incidental Medical and Dental Care- Implement weekly audits and create electronic files for medications administration logs. The facility stated that a partnering with Galt Pharmacy will assist the facility with hands-on training for staff, including providing a Medication cart to ensure medications are inaccessible to residents in care. Licensee will update the facility Plan of Operation stating changes to Incidental Medical and Dental Care by December 01, 2025. 2. Criminal Record Clearance- Ensure all facility staff are background cleared and associated in Guardian. 3. Staff Training- All facility staff will receive no less than 1 hour of training each 6 months regarding Personal Rights and Dementia Training specifically focused on understanding and managing challenging behaviors and behavioral expressions associated with Dementia. 4. Elopement (AWOL)- The facility will ensure proper monitoring of residents. The method of Monitoring systems used by the facility should be added to the facility Plan of Operation Dementia care plan by December 01, 2025. 5. Reporting Requirements- The facility will implement a system to ensure Special Incident Reports (SIRS) or reported to the appropriate agencies in a timely manner. During today’s meeting it was discussed that the facility has been enrolled in the Technical Support Program (TSP) and currently awaiting engagement from a TSP representative. The Regional Office (RO) will continue to monitor the facilities’ progress. The RO will continue increased monitoring to verify compliance with issues discussed The RO will revisit compliance in 12 months and begin the legal process if facility is not in compliance.