Office review·May 30, 2024

An informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager, Kimberley Mota, Licensing Program Analyst, Jill Nakagawa, Administrator, Miriam Faris, Vice President of Corporate Development, Lindsay Flores and, VP Clinical Operations, Marco Santos. The purpose of the informal meeting was to discuss an incident that occurred at the facility on February 17, 2023 that resulted in a complaint investigation with substantiated findings. In addition, the following areas of concern were discussed: * Adequate staffing in the memory care unit: training of staff to include understanding the importance of staggered breaks. In addition, Administrator to monitor the care needs of residents and proper staffing levels to meet these needs. *Administrator's Duties: Administrator to ensure adherence to reporting requirements, ensuring safety of buildings and grounds. Administrator has implemented: Evening supervisor (2:30 PM to 10:45 PM) whose primary duty is not to provide care giving (although they are trained if needed), but to oversee evening operations. In addition Administrator states that facility has implemented a "hero position" which is an additional staff member where needed. Continued on LIC809-C Documents requested during informal meeting to be submitted to CCL by May 31,2024.: · Licensee will submit an updated LIC500 indicating staff coverage in all areas of the facility.. No deficiencies cited during today’s informal conference office visit.