Office review·April 15, 2026

An Office meeting was conducted today, 04/15/2026, in the Santa Rosa Regional Office. The following individuals were present at the meeting: Victoria Bertozzi, Licensing Program Manager; Robert Frank, Licensing Program Analyst; Larona Farnum, Chief Operating Officer of Western Living Concepts and Carla Lua, Executive Director. The purpose of the office meeting was to hold an Informal discussion to address the following areas of concern identified by the Department. Reporting Requirements: Submitting Incident Reports (IRs); Missing IRs from 2025; Submitting IRs with complete information. Seeking Timely Medical Care for Residents. IRs received by Community Care Licensing (CCL) state that facility staff called residents’ family members for direction regarding notification of Emergency Services. Facility Medication Management: Staff training in new medication policies received by Community Care Licensing on 3/19/2026. Fire Safety issues and Personal Rights concerns regarding Assisted Living Waiver (ALW) residents sharing rooms. Medical Renewals for residents on ALW. On 1/9/2026 during a facility visit to initiate a complaint investigation (complaint 21-AS-20260102134135), LPA Frank observed an After Visit Summary from Providence Healdsburg Hospital Emergency Center for the date of 10/20/2025 for resident R1 in R1’s facility file. Continued on 809-C... ,,,Continued from 809 The After Visit Summary stated that R1 had suffered an injury. On 10/20/2025 resident R1 was a resident of the facility. Community Care Licensing did not receive an IR for this injury. Under California Code of Regulations, Title 22, Division 6, Chapter 8, Article 4 Operating Requirements, 87211 Reporting Requirements (a)(1)(B) state that a written report shall be submitted to the Licensing Agency for any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. As no IR was submitted to CCL for this event, the facility will be cited for this deficiency. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Executive Director Lua. Signature on form confirms receipt of documents.