Office review·April 23, 2025

A Non-Compliance Conference was conducted today in the Santa Rosa Regional Office. Present in the meeting were, Regional Manager, Carla Nuti-Martinez, Licensing Program Manager (LPM) Victoria Bertozzi, Licensing Program Analysts (LPAs) Caitlynn Felias and Ali Deniz, Executive Director, Camille Brown, and Regional Director of Operations, Karen Enciso. The purpose of today’s Non-Compliance (NCC) meeting was to address areas of concern identified by the Department. The following areas were discussed: · Observation of a resident · Neglect resulting in pressure injuries · Incontinence Care · Staff not adequately supervising residents in care · Lack of supervision resulting in resident injuries · Infection control protocols · Personal rights · Reporting Requirements · Changes to LLC/Management Company without notifying the Department · Fire Clearance - Blocked Doors Continued on LIC809C Continued from LIC809 Parties discussed Admission Agreements. As of October 2024, Facility has been under the management group, Heritage Resource Group. It was found that the Licensee did not submit a new Admissions Agreement to Community Care Licensing for review and approval. Facility’s Admission Agreements were provided to the Centralized Application Bureau (CAB) for review. A copy of CAB’s review and revision recommendations were provided to Licensee during office meeting (deficiency cited, see 809D, Regulation 87209(a)). Facility's Non Compliance Plan will be in place for 2 years. Department will review compliance plan after 1 year to review progress. The Department discussed the Technical Support Program (TSP) should the facility be open to having TSP work with them on concerns listed. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. The issuance of a Civil Penalty is under review. The Licensee is being informed that a Civil Penalty might be assessed based on a violation that the Department determines constitutes physical abuse, as defined in Section 15610.63 of the Welfare and Institutions Code, or resulted in serious bodily injury, as defined in Section 15610.67 of the Welfare and Institutions Code, to a resident. Exit interview conducted. Copy of report, LIC809D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to Executive Director. Signature on form confirms receipt of documents.