Facility Evaluation Report

At approximately 10:00AM, the Santa Rosa Regional Office conducted an Informal Meeting via Microsoft Teams. The purpose of the Informal Office meeting was to discuss concerns that have been identified with the operation of this facility.

The following individuals were present during the meeting: Licensing Program Managers (LPMs) Bethany Moellers, Hope DeBenedetti, and Kimberley Mota, Licensing Program Analysts (LPAs), Shannan Hansen and Caitlynn Felias, Licensee, Mark Bello, Executive Director, Neysa Hinton, and Administrators Charleen Vierra and Jolly Carungcong.

Complaints dated 08/16/2021 and 06/14/2022

Ensuring that Hospice Entities are able to access the facility

Ensuring that Physician Orders are accommodated for Hospice Residents

The Appeal Rights Process for Complaints - Executive Director will be submitting documents in regards to an appeal related to the Complaint dated 06/14/2022. Community Care Licensing (CCL) will process accordingly.

Original signature on file. A copy of this report was emailed to Licensee.