Facility Evaluation Report

A Noncompliance meeting was conducted today via Microsoft Team Meeting. Present at the meeting were San Bruno Adult and Senior Care Regional Manager Vivien Helbling, Licensing Program Manager Romeo Manzano, Licensing Program Analyst Steve Chang, Jorge Mendez, Garrett Johnson, Regional Manager, and Facility Administrator Mark Castillo.

The purpose of the noncompliance meeting was to discuss the serious incident at the facility on 01/09/19 which resulted to a death of a resident and also a substantiated complaint finding was delivered on 12/12/19. A deficiency was issued that a staff did not seek timely medical service under Title 22 California Code of Regulation, 80075 Health Related Services (a).

Facility administrator was informed during non-compliance meeting that additional civil penalties per Health and Safety Code § 1548(d) for a violation that the Department determines result in the death at an adult residential facility, the civil penalty shall be fifteen thousand dollars ($15,000), pending review. Noncompliance Conference Summary LIC9111 and a compliance plan was established during the meeting.

Report was provided to Administrator Mark Castillo via e-mail for review and signature.