Office review·July 31, 2025

An non-compliance conference was conducted at 2:00pm on June 31, 2025, with Sacramento North Regional Office via Microsoft Teams. The purpose of this non-compliance conference meeting is to address a citation issued on 4/15/2024. The following Licensing staff were present: Sacramento North Regional Manager Alycia Rayner, Licensing Program Manager Lauren Crocket, Licensing Program Analyst Sarah Benson. The following facility representatives were present: Licensee Janet Coulter, Administrator Jennifer Boss, Administrator Naitasha Peerman. The following topics were discussed during today's meeting: Summary of Complaint filed against this facility. Summary of Complaints filed against this facility. Care of Persons with Dementia, Elopement Safety issues Staff training Personal Rights of Residents in All Facilities Care for Persons with Dementia TSP offered as a resource Door chime, who answers Activities offered Continued on LIC809-C Compliance Plan : The Licensee will provide a document with the programs implemented with regards to: 1. Ensuring how staff plan to prevent eloping., 2. A list of preventative steps taken and when implemented. 3. Training's and ongoing training's, how often. 4. Quality assurance, how management is ensuring plan is actually happening, 5. Process to ensure staff are adhering to the policy. 6. List of the processes. The licensee understands and acknowledges that the Department, at its discretion, will make unannounced case management visits to monitor the licensee’s compliance with this Compliance Plan. Completing the Non-Compliance Conference does not deprive the Department of its authority to take formal legal action under the Health and Safety Code if such action is deemed necessary by the Regional Manager. This conference does not in any manner excuse past problems or resolve the Department’s case against the licensee if the problems are not corrected. The Non-Compliance Conference may be the last step prior to initiating administrative action following unsuccessful attempts by the Department to gain compliance. An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to the Department.