Facility Evaluation Report

On 10/29/2024 at 02:00PM, an informal conference was conducted virtual via Microsoft Teams Meeting. The purpose of this informal conference meeting is to discuss the complaint findings on 09/19/24. Present in the meeting is, Licensing Program Manager (LPM) Troy Ordonez, Licensing Program Analyst (LPA) Bethany Mirlohi, Licensing Program Analyst (LPA) Cassandra Mikkelson and Licensee/Administrator Veronica Invierno.

The purpose of the informal conference is to have open discussion concerning a complaint that was substantiated for a staff handling a resident in a rough manner and staff speaking to resident in an inappropriate manner. During this meeting the licensee was made aware that this Informal conference is a part of the Administrative Action process.

The informal conference process was explained during this meeting. Issues discussed during the meeting were:

To support the facility maintaining substantial compliance with Health and Safety Statute and Title 22 regulations, the Department is developing a plan with the licensee to address causes for concerns.

Plan to address compliance concerns by 11/19/2024:

1. Training for staff to include reporting requirements, emergency protocols, and managing dementia behaviors.

The department will provide additional case management visits and complete a referral to TSP (Technical Support Program).

An exit interview was conducted with administrator. Copy of this report was provided to Administrator via email with request for return with signature.