Office review·March 26, 2025

Licensing Program Analyst (LPA) Christi Coppo and LPA Robert Frank, Licensing Program Manager (LPM) Victoria Bertozzi, Regional Office Manager (ROM) Carla Nuti-Martinez met with Healdsburg Senior Living Administrator Jeralyn May and Regional Director of Operations Karen Enciso, Director of Regulatory Compliance Marlene Nelson, Corporate Support Nurse Paulette Rubiales, Jake Call Senior V.P. of Operations joined the call via Teams. During this meeting items were discussed pertaining to the Stipulation and Waiver and Order dated July 18, 2022. CCL staff clarified with facility representatives that questions regarding the Stipulation and Order should be directed to their corporate representatives. Karen was identified as the current Liaison and parties discussed the required monthly documents that must be sent to the department including the Monthly Quality Assurance Audit Report, LIC500 and the resident roster identifying 2-person assists. LPA Coppo clarified as the scheduling of breaks and lunches for direct care staff and Med-Techs such that there are two people on the floor at all times in Memory Care 1 and Memory Care 2 as identified by facility staff. The Administrator agrees and acknowledges that strategic scheduling is required to fulfill the Stipulation. Facility staff clarified their training process including verifying who their vendor is and how they ensure staff on all shifts are trained per the Stipulation and Order, which is in addition to Initial and Annual training required by Title 22 regulation. Continued on LIC809C Continued from LIC9099 Items to be provided to CCL: Facility will provide a list of all individuals who have acted as the Liaison since the effective date of the Stipulation and Order and how they ensured facility was meeting the mandate as identified in the Stipulation and Order. Administrator will submit documentation of their process for conducting training as well as their process for documenting facilities training per Regulations as well as per the Stipulation and Order. No deficiencies cited.