Office review·April 24, 2024

An informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager Bethany Moellers, Licensing Program Analyst Marisol Cuadra, and Licensee Leah Archer. The purpose of the informal office meeting was to discuss areas of non-compliance and observed and ongoing Community Care Licensing concerns of the operation of Country Rose Assisted Living #496803588. The Licensee was informed that this informal meeting is a part of the Administrative Action process and that further and/or repeat citations may result in a formal Non-Compliance Plan. The legal administrative action process was explained to attendees which is based on deficiencies found during annual visit conducted on March 21, 2024. Items addressed in today's meeting include but are not limited to patterns and trends in the areas below: · Fire Clearance violation of bedridden bedrooms. · General Food Requirements including good quality of food as stated in regulations. · Incidental medical and dental care services including maintaining Centrally Stored Medication log of resident’s medication as well as medication management. · Reporting Requirements of incidents occurred at the facility were not notified to CCL. · Personnel Records on file must be complete with required documentation. · Current administrator and involvement in the facility operation including their presence on premises the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation. Continued on LIC809C... Continued from LIC809... Documents requested during informal meeting to be submitted to CCL by 04/30/2024: · Licensee to submit updated LIC500 personnel summary and include all staff specific days/hours on shift, including administrator. Ensure administrator hours are business hours, Monday through Friday (the min 20 hours). · Licensee to develop policy identifying staff member responsible for ensuring all deficiencies are addressed, special incident report is submitted to designated agencies. Failure to submit the above documentation may result in the Department seeking further action. Licensing staff discussed Technical Support Program (TSP) that offers advice, guidance, a review of facility operation, discusses best practice, and required regulation/HSC compliance. Licensee agreed to contact the Department if they consider that benefit of TSP. No deficiencies cited during today’s informal conference visit. Copy of this report was provided.