Office review·June 13, 2024

On 06/13/2024 San Bruno Regional Office - San Jose Unit conducted a non-compliance conference meeting with Vice President of Operations Kim Golden, Legal Council (Hansen and Bridges) Joel Goldman, Vice President of Care Teri Moore-Showalter, Regional Director of Health Services Erika Hughes, and Garden House Director Jocelyne Bailon. Present in the meeting were Regional Manage Vivien Helbling, Licensing Program Manager Jackie Jin, and Licensing Program Analyst Christine Dolores. During the non-compliance meeting, the following serious violations were discussed: 87211(a)(2) Reporting Requirements, 87466 Observation of Resident, 87468.1(a)(2) Personal Rights of Residents in All Facilities, 87463(a)(3) Reappraisals, 87468.1(a)(3) Personal Rights of Residents in All Facilities, 87355(e)(2) Criminal Record Clearance, 87355(e)(1) Criminal Record Clearance, and 97705(f)(2) Care of Persons with Dementia. During this meeting, the compliance plan was developed and discussed with the licensee which includes more frequent monitoring inspection visits to ensure compliance with this compliance plan and Title 22 Regulations for 2 years. Licensee was provided the link below for resources and guidance to improve facility operations: https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers . During this meeting, an additional deficiency was issued as per California Code of Regulations, Title 22 following deficiencies found during case management visits and complaint investigations: on 05/29/2024, licensee and Administrator failed to report a serious injury and resident's death within 24 hours to Licensing. See LIC809-D for more information. Page 1 of 2. On 01/31/2023 and 12/08/2022, licensee and Administrator failed to associate 4 staff members to the facility's roster prior to staff members starting work resulting in a repeat violation within a 12 month period. On 06/12/2024 and 12/08/2022, licensee and Administrator failed to obtain a criminal record clearance for 2 staff members prior to the staff members starting work. On 01/16/2024, licensee and Administrator failed to ensure a resident's reappraisal was updated after returning to the facility from the hospital. The current Administrator's last day at the facility is 06/14/2024. An additional Civil Penalty for violation resulting in serious injury is pending review. This report was reviewed with Vice President of Operations Kim Golden, Legal Council (Hansen and Bridges) Joel Goldman, Vice President of Care Teri Moore-Showalter, Regional Director of Health Services Erika Hughes, and Garden House Director Jocelyne Bailon. A copy of the report and appeal rights were provided.