Office review·October 16, 2024

A follow up Non-Compliance Conference (NCC) was conducted on this day in the Sacramento South Regional Office via Microsoft Teams. The purpose of this Follow up Non-Compliance Conference meeting was to follow up with the facility after an initial NCC was held on 11/30/2023. Present in the meeting was Regional Manager Stephenie Doub, Licensing Program Manager (LPM) LPM Liza King, Licensing Program Analyst (LPA) Kehsa Lewis, Licensee/Administrator MARY MARGARET CHAPPEL L ,Sara Mackedsy,Kadi Berry, Tabatha Clark, Amdrew Linder, Andrew Shepherd and Grace. and Valley Mountain Regional Center representatives. The Non-Compliance Conference process was explained during this meeting to include the Administrative Process. Since the last meeting on 11/30/2023, One new complaints has been filed and unsubstantiated against the facility, one Type A deficiencies has been cited. The facility was cited for the following issues, Maintenance and Operation. During the meeting on 11/30/2023, 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 by 12-04-23. 2. Ensure all residents diagnosed with Dementia receives an annual medical assessment as specified in Section 87458. The Department will continue quarterly meetings. 3. Ensure all residents receive a revised needs and service appraisal at least once every 12 months, or upon a significant change in the resident’s condition, as defined by regulations, whichever occurs first. 4. Documented training to be maintained and available for review by the LPA upon request 5. Facility will provide training material and policy information by 12/04/2023. 6. Facility will look into TSP offered by CCL. Exit interview and copy of report provided.