Office review·April 24, 2026

On 04/24/2026 at approximately 9:00 AM, an informal conference was conducted with representatives of Sierra Oaks and was held over TEAMS. The purpose of this conference was to discuss current issues at the facility. Present at the meeting was; Licensing program manager Lauren Crocker, Licensing program analyst Marisa Chiarelli, Administrator Michael Lang, Teresa Oliveri LVN, and Pat Brown representative of the licensee. Administrator was informed this Informal Conference is a meeting to discuss further issues at the facility and what licensing regulations require. The informal conference process was explained during this meeting. Issues discussed during the meeting were: - Adequate staffing - Medication errors - Staff training - Staffing goals - Reporting requirements During the Informal Conference, the facility has stated they will do the following to achieve continued and substantial compliance: - Creating a training plan for staff with a description of who will attend, when will classes be provided, topics being discussed. - Staffing goals Continued on 809 - C Facility staffing goals: - Day Shift - House 1 and 2, 1 med tech and 2 PCAs (caregivers) - Mid Shift - Houe 1 and 2, 6 staff including 1 med tech float. - Noc Shift - House 1 and 2, 1 PCA for both house and 1 med tech float. (goals for staff shifts are similar for house 3) Facility stated that they would like to make the staff in house 1 and 2 universal workers. They would like everyone cross trained so that way staff can help assist in every task in house 1 and 2. - For medication errors, Teresa stated that the facility is going to train the med techs more and have clinical meetings before shifts to better assist in duties for med techs. Administrator Lang stated that for staffing goals they would like to be at 125% and believe they can obtain that goal by end of May of 2026. To meet there 100% staffing goals administrator believed they could meet that goal by mid to late May of 2026. No deficiencies were cited during today’s Office Visit. Exit interview was conducted. A copy of the Office Visit was signed and provided to the Administrator.