Non-compliance follow-up·April 15, 2026

A Non-Compliance Conference Summary (LIC 9111) was generated to document this office meeting. A copy of this report and the LIC 9111 will be provided to the licensee. Parties in attendance of this meeting are documented on the LIC 9111. On April 15th 2026, a meeting was held at 2pm regarding recent noncompliance with regulation at the facility Jewell Care Home with 3 agenda items: Incident: In the past year, a client of the facility was hospitalized in relation to widespread bruising with an unknown origin. Shocking to the department was that there was documentation from the staff that it was internally reported but the internal reporting didn’t make it to Licensing. Staffing: As part of an investigation by the department into the above event, the staffing of the facility appears to have one staff present for all of three of both Saturday and Sundays shifts. It's unclear that the staff receive adequate coverage for breaks and adequate uninterrupted rest between shifts where they are expected to not be on call. Administrator staffing: Separate from adequate numbers of staff, its unclear the administrator is spending adequate time in the facility to observe the staff performing basic functions, training, and assessing staff. Continued on C page Issues discussed related to the above include: Facility plans regarding mandated reporter training and staff coverage Staffing in the facility regarding incontinance/rotation, hiring a new staff Numbers of bedridden currently at the facility, how does hospice count for bedridden? Quarterlys, where the implementation of the agreed upon section below will be observed by an LPA. During the meeting, the facility agreed to the following: (highlighted are standard asks) 1. Submission of LIC 500 Personnel Summary for supervisory changes facility to include Administrator presence with no less than 40 hours per week by 4-22-26. 2. Conduct Mandatory Reporter training within 6 months then annually 3. Provide a Plan for the administrator to be observing and assessing the staff in the performance of their duties for the facility by 4-22-26 Provide a job posting for a new hire to 4-22-26 CCL will: Conduct unannounced quarterly visits to monitor the overall compliance. Licensee has been advised that failure to complete the above agreed upon actions by the dates will result in this Department taking action(s). During these visits, the Department will focus its review on the following areas in addition to the above: ~Individualized Needs and services plans updated quarterly for all clients documenting the facilities obligations, ~Contracts on file describing obligations as needed for clients with Home Health and Hospice Care, ~Staff knowledge regarding reporting requirements, restricted and prohibited care conditions In the event that the Department determines that the licensee has violated the law/regulations or is inadequately implementing the approved plans, the Department, in its discretion, may seek formal legal action or other appropriate administrative action. The meeting concluded at 2:40pm. A copy of the report and the 9111 were read to the licensee and an exit interview was conducted via telephone. a copy of this report and the 9111 were sent electronically for signature.