Facility Evaluation Report

An informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager (LPM) Victoria Bertozzi, LPM Bethany Moellers, Licensing Program Analyst (LPA) Dina Alviso, LPA Helena Rummonds, and Omelagah representatives including CEO Matt Omelagah and Regional Manager Paula Sifflet.

The Licensee was informed that this informal meeting is a part of the Administrative Action process and that further and/or repeat citations may result in a formal Non-Compliance Plan. The legal administrative action process was explained to the Licensee which is based on recent concerns identified by the Licensing Agency regarding the operation of this facility including but not limited to: complaint investigations that have been substantiated regarding insufficient staffing and medication administration:

Items addressed in today's meeting include but are not limited to patterns and trends in the areas below:

· Insufficient staffing: an incident occurred at the facility where a client (C1) who is required to be left in line of sight due to their excessive behaviors. C1 was left out of line of sight and was able to ingest foreign objects. The objects included: batteries, a pushpin, and a nail. Staff at the facility at the time were unaware that C1 ingested the objects until C1 informed the Administrator.

· Another incident occurred where a visitor arrived at the facility to drop off a client and was asked by staff to stay at the facility to help supervise the clients in care because the other staff left while on shift.

· PRN medications not being administered as prescribed : multiple clients had medication(s) that were intended to be used as needed for agitation. Clients have received the medication when observed to not be sleeping after 10PM, and repeatedly exiting their rooms with requests.