Office review·August 10, 2022

An office meeting was held on 08/10/2022 at 10:00 AM on a Microsoft Teams Meeting video conferencing system review the stipulation adopted on 07/26/2022 and the next steps. This Stipulation shall be posted in a conspicuous place at the facility for the duration of the probationary period. The following were in attendance: Regional Manager Alycia Berryman, Licensing Program Manager Troy Ordonez, and Licensing Program Analyst Kerry Hiratsuka. Representing the facility are Licensees Brian and Susie Jumawan, and Administrator/Manager Maria Medrano. Alycia Berryman discussed the purpose and elements of this type of meeting. The Stipulation was reviewed with Representatives, Administrators, and Licensees who expressed their understanding. Items discussed at the meeting included, but not limited to: Stipulation contents · Findings · Revocation of License -Stayed with Probation · Limitations and conditions · Future Application for License, Registration, Certification or Approval · Licensure, Certification or Approval; Application Denial, Tolling of Probationary Period · Completion of Probation · Maintenance and Operation · General Food Service Requirements · Staffing training and requirements · Basic Services/Incidental Medical care · Technical Support Program · *Discussed the licensee’s ability to seek an early termination of probation after two years · Violation of Stipulation Term · Monitoring Fee · Department's Authority · Waiver of Hearing Rights; Waiver of Appeal/Modification Rights/Waiver of Claims · Severable terms · Public Records · Signatures · Counterparts · Effective Date: (07/26/2022) The Licensees/Respondents/Representatives stated they would abide by the following: · Abide by the contents/terms of the Stipulation (submit all documents timely) · Operate the facility in substantial compliance with the regulations and statues governing the operation of a residential care facility for the elderly. CCLD will do the following: · Increase monitoring Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations cited during this visit. An exit interview was conducted, and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents. COMMENTS -LICENSE PROBATION PERIOD 07/26//2022 TO 07/26/2025 FACILITY LICENSED FOR 48 NON-AMBULATORY RESIDENTS, 06 OF WHOM MAY RECEIVE HOSPICE SERVICES.