Office review·April 7, 2023

An office meeting was conducted today in the Santa Rosa Regional Office via Microsoft Teams. Present in the meeting were Licensing Program Manager Bethany Moellers, Licensing Program Analyst Marisol Cuadra, and Licensee, Alex Varshavsky. The purpose of this office meeting is to discuss non-compliance plan (NCC) from old facility Mirabel Lodge # 496800941 which will be rolled to new facility number 496804122 due to change of ownership. Licensee, Alex Varshavsky agreed to roll over the Non-compliance plan until expires on 7/28/2023, this was previously disussed during office meeting on 1/13/2023. The Regional Office will re-review progress made on Non-Compliance Plan of 2 years prior to expiration date. At the time of initial Non-Compliance Conference, CCL received policies and proof of corrections for non-compliance items and Licensee stated that they will keep in place for this facility. - Timely Medical Attention: Facility failed to seek timely medical attention. - Staffing: Facility didn't have adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs. - Enumerated Rights: Facility did not ensure that resident was accorded safe, healthful and comfortable accommodations which resulted in resident’s death as a result of a serious fall at the facility. - Observation of the Resident: Facility did not observe change of condition in resident after fall. - Resident Records: Facility wasn't able to provide CCLD with resident's care notes for review. - Reporting Requirements: Facility did not ensure that CCL was notified about incidents after falls occurred on 2019 and 2020 including resident with Prohibited Condition (StageIII) wound. There were no deficiencies cited at this time