Facility Evaluation Report

A Non-Compliance Follow-up Meeting was held today via Microsoft Teams 2/27/24 at 1:30pm to discuss the compliance to regulations. The attendees of the meeting were: Regional Manager (RM) Stephenie Doub,

Licensing Program Manager (LPM) Stephen Richardson, Licensing Program Analyst (LPA) Victoria Brown and Licensee/Administrator Lani Calagui. RM began the meeting by stating the purpose of the meeting and introductions began.

-(TSP) Technical Support Program response

-Present questions/concerns to Community Care Licensing (CCL)

-Facility shall continue ongoing self-audits

-Facility shall submit prior to acceptance waivers and exception requests; review regulations and requirements

-Facility shall ensure exit alarms are audible for residents with wandering tendencies and staffing is awake

-Facility shall respond to TSP engagement letter and/or contacts

-Facility shall contact CCL/LPA/LPM/On-Duty Worker with any questions or concerns

To ensure the facility is successful in remaining in compliance, CCL will submit a TSP referral.

A t this time, quarterly visits will cease.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited.

An exit interview was held. Administrator agreed to a copy of this report being provided via email and an electronic email read receipt confirms receiving these documents.