Office review·November 20, 2023

On November 20, 2023, the Department held an informal meeting to discuss the death of the Licensee for the facility. In attendance was Regional Manager (RM) Reyna Lacey, Licensing Program Manager (LPM), Jazmond Harris via Teams, Licensing Program Analyst (LPA), Yolanda Delgado and Licensee's facility administrator Anna Wilson and John Wilson. The following was discussed, Anna Wilson notified the Department of the death and expressed she will continue the operations of the facility. During the meeting she provided a copy of the notarized designation to continue to operate, declaration that she has no criminal convictions. The designee agreed to provide a copy of the licensee’s death certificate, obituary notice, certification of death from the decedent’s mortuary, or a letter from the attending physician or coroner’s office verifying the death of the licensee, within 20 working days of the licensee’s death. The application will be turned in by December 1, 2023. Anna will also submit a hospice waiver request by COB 11/22/2023. Anna Wilson was advised to submit the application to: Adult and Senior Care Program Centralized Application Bureau 744 P Street, MS 9-14-8201, Sacramento, CA 95814 When application is received, an Emergency approval to operate (EAO) will be issued.