Non-compliance follow-up·August 2, 2023

An Informal Conference was conducted today at the Sacramento Regional Office via Microsoft Teams. Present for the meeting was Licensee, Marivic Teanu-Chua, Repair and Maintenance Consultant, Jon Chua, Licensing Program Manager, Liza King, Supervisor for Board & Care, Employment and Supportive Housing with San Joaquin County Behavioral Health Services, Lincoln Ellis, Care Provider Liason, Amy Rivera and the writer of this report Licensing Program Analyst, Maja Jensen. The purpose of the informal conference was to address the facility’s compliance issues. The Department has concerns stemming from site inspections on multiple occasions during this current year of 2023 and a substantiated complaint regarding mold in the facility that has not yet been remediated. On or around January of 2023, the facility had a roof leak that was not reported and subsequently developed toxic mold. Issues discussed during the meeting under the California Code of Regulations (CCR) were: 80087(a) – Building and Grounds-The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors . 87405(h)(5)-Administrator-Qualifications and Duties-The administrator shall have the responsibility to: …Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs… 87468.1(a)(2) Personal Rights of Residents in All Facilities-… To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. In an effort to support the facility maintaining substantial compliance with CCR the Department is developing a plan with the licensee to address the causes for concern. Plan to address compliance concerns: The facility will complete mold remediation and any associated work to the mold remediation such as ceiling repairs and conduct clearance testing of work and non-work areas by 9/14/23. The facility will also provide a certificate of clearance for areas where mold remediation was conducted and all sample results for areas tested including work and non-work areas. The Department will provide additional case management visits. Deficiencies are being cited from the CCR. Failure to correct deficiencies will result in the assessment of civil penalties. An exit interview was conducted and during the course of the exit interview the licensee was told that this Informal Conference is a part of the Administrative Action process and that further citations may result in an elevation to a formal non-compliance conference that could then lead to referral to the Department's legal division. A copy of this report was emailed to the Licensee for electronic signature.