Office review·February 27, 2024

A Non-Compliance Follow-up Meeting was held today via Microsoft Teams 2/27/24 at 1:30pm to discuss the compliance to regulations. The attendees of the meeting were: Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Stephen Richardson, Licensing Program Analyst (LPA) Victoria Brown and Licensee/Administrator Lani Calagui. RM began the meeting by stating the purpose of the meeting and introductions began. Subject areas discussed: -Prior Probation during 2016 -Citations in May 23 and August 23 -(TSP) Technical Support Program response -Catheter use by residents -Staffing/Supervision -Diagnosis of Dementia/wandering -License fees/Annual is coming due -Present questions/concerns to Community Care Licensing (CCL) CCL expectations: -Facility shall continue ongoing self-audits -Facility shall submit prior to acceptance waivers and exception requests; review regulations and requirements -Facility shall ensure exit alarms are audible for residents with wandering tendencies and staffing is awake -Facility shall respond to TSP engagement letter and/or contacts -Facility shall contact CCL/LPA/LPM/On-Duty Worker with any questions or concerns To ensure the facility is successful in remaining in compliance, CCL will submit a TSP referral. A t this time, quarterly visits will cease. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held. Administrator agreed to a copy of this report being provided via email and an electronic email read receipt confirms receiving these documents.