Facility Evaluation Report

On June 5, 2025, a non-compliance conference was conducted. The purpose of this conference meeting was to address non-compliance at the facility after being issued 3 Type A citations and 3 Type B citations. Present in the meeting was CCLD staff, including Regional Manager Alycia Rayner, Licensing Program Manager Maribeth Senty, Licensing Program Analyst Angela Hood, and facility staff, including the Health Care Administrator Sean Beloud, Quality Improvement Executive Director Jennifer Marlette, and Chief Legal Officer Tom Garberson. The conference process was explained during this meeting.

Issues discussed during this meeting were:

· General Food Services regarding modified diets

The facility has stated that they will do the following to achieve continued and substantial compliance:

· Conduct monthly audits for the next six (6) months beginning July 5, 2025-January 5, 2026

· Report any facility leadership changes, as well as their training, to CCL including dining managers, leads, and cooks

· Ensuring timely reporting of incidents to CCL

The facility has implemented policies and procedures to ensure substantial compliance. Facility was notified that the Department may increase monitoring at the facility and the completing of the Non-Compliance Conference does not deprive the Department of its authority to take appropriate formal legal action under the Health and Safety Code if such action is deemed necessary by the Regional Manager.

Exit interview was conducted and a copy of this report was provided. Signature on these forms acknowledges receipt of these documents.