Office review·February 27, 2026

A Noncompliance Conference (NCC) was conducted today, February 13th, 2026, via Microsoft Teams. The purpose of the NCC was to discuss the facilities substantiated non compliance. Present at today’s NCC were the Regional Office Manager Stephenie Doub, Licensing Program Managers (LPMs) Liza King and Lisa Rios, Licensing Program Analysts (LPA) Noel Wolf Petersen, and Licensee Diamond Care Inc. CEO Gloria Murphy, Administrator Zachary Murphy, Administrator Jenna Silva. The administrative process was explained during this meeting and Licensee was informed that further citations may result in Administrative Action. Participating in the non-compliance conference does not deprive the Department of its authority to take appropriate formal legal action under the Health and Safety Codes if such action is deemed necessary by the Regional Manager. Citations for the past 3 years - Ten (10) A type citations in areas of Basic Care and Supervision, Reporting Requirements, Prohibited Health conditions, Administrator Qualifications, Inspection Authority, Basic Care, Storage Space and Access, Incidental Medical and Dental Care, Staff Records. B citations in the past 3 years six (6), in the areas of Maintenance and Operation, Personal Rights, Insurance Requirements. During inspections over the past year the department learned two clients with prohibited conditions were admitted to the facility without submitting an exception review to the department, presenting unnecessary risk to the health and safety of the clients. Both were hospitalized within a short period of being admitted to the facility. Additionally, the department experienced lengthy delays in facility documents requested or required by the department, to include unreported significant events and a resident file missing from the facility Continued on C Page: Issues discussed related to the above include: 1. Facility basic understanding and plans regarding Restricted and Prohibited Conditions and Exception Requests 2. Outstanding POCs 3. Facility plans regarding Unavailability/excessive lateness with files requested by the department 4. Reporting Requirements 5. Plan of Operation 6. HCO status During the meeting, the facility agreed to the following: 1. Submission of LIC 500 Personnel Summary for supervisory changes facility to include Administrator presence with no less than 40 hours per week, and tenative schedules of TO BE HIRED positions required by licensure as a 16 person facility, 03/6/26 2. Provide an LIC308 for each facility by 03/6/26 3. Provide an updated LIC309by 03/6/26 4. Provide an updated Organizational Chart by 03/6/26 5. Conduct Staff training/submit training logs for the following topics within 30 days then quarterly thereafter for one year: Restricted Health Conditions accepted by the facility Prohibited Health Conditions Inspection Authority Reporting Requirements 6. Participate in TSP 7. Provide Exception requests for: no current clients unless the client with the pending 602 change regarding thier ability to dial and administer their own insulin meets the critera for needing a restricted care exemption. 8. updated Needs and services plans for the clients entering hospice, hospice care plans for the three current hospice residents, updated 602's and needs and services plans for the insulin dependant person who will perhaps become independantly able to manage thier care themselves by 3/6/26 9. provide proof of insurance for liability and workers comp by 3/6/26 Licensee has been advised that failure to complete the above agreed upon actions by the dates will result in this Department taking the appropriate enforcement actions. Additional information provided by the licensee during the meeting included: A separate meeting will review updates to the plan of op, regarding the use of the volunteers, different requirements including staffing requirements for facilities with 16 or more clients, and the use of the gate. CCL will Conduct unannounced quarterly visits to monitor the overall compliance. During the quarterly visits, the Department will focus its review on the following areas: Medical Assessment of residents Preplacement Assessments Individualized Needs and services plans 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. An exit interview was conducted via telephone and a copy of this report was sent electronically for signature.