Facility Evaluation Report

On 10/01/2024 at 10:30AM, an informal conference was conducted with Sacramento Regional Office via Microsoft Teams. The purpose of this informal conference meeting is to discuss the deficiencies observed within last 3 years and to address current issues at facility. Present in the meeting were, Licensing Program Manager (LPM) Lauren Crocker, Licensing Program Analyst (LPA) Talwinder Bains, and licensee/administrator, Ioan Nagy. The Administrator was told that this Informal conference is a part of the Administrative Action process, and that further noncompliance may result in an elevation to a formal noncompliance conference, which could lead to a referral to the Department's legal division for possible revocation of license. The informal conference process was explained during this meeting.

Issues discussed during the meeting were:

- Staff’s training records and other required documents in staff’s files

- Expired fire extinguisher and non-compliant with required fire and disaster quarterly drills

- Missing required documents in resident’s files

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

• Submit a letter of understanding of Title 22 by 10/15/24

• Reach out to Community Care Licensing Division (CCLD) as a resource.

Technical Support Program (TSP) was offered and accepted.

Deficiencies were cited per Title 22 Regulations as listed on LIC809-D. Exit interview conducted. Informal meeting concluded, Appeal Rights and a copy of report was provided to the facility via email. Civil penalties may be assessed if facility does not comply with POC requirements which were issued today.

A copy must be signed and returned to the Department by 10/01/24 by 5PM.