Facility Evaluation Report

A follow up Non-Compliance Conference (NCC) was conducted on this day in the Sacramento South Regional Office via Microsoft Teams. The purpose of this Follow up Non-Compliance Conference meeting was to follow up with the facility after an initial NCC was held on 11/30/2023. Present in the meeting was Regional Manager Stephenie Doub, Licensing Program Manager (LPM) LPM Liza King, Licensing Program Analyst (LPA) Kehsa Lewis, Licensee/Administrator MARY MARGARET CHAPPEL L ,Sara Mackedsy,Kadi Berry, Tabatha Clark, Amdrew Linder, Andrew Shepherd and Grace. and Valley Mountain Regional Center representatives. The Non-Compliance Conference process was explained during this meeting to include the Administrative Process.

Since the last meeting on 11/30/2023, One new complaints has been filed and unsubstantiated against the facility, one Type A deficiencies has been cited. The facility was cited for the following issues, Maintenance and Operation.

During the meeting on 11/30/2023, the facility agreed to the following:

1. Submission of LIC 500 Personnel Summary for supervisory changes facility to include Administrator presence with no less than 40 hours per week by 12-04-23.

2. Ensure all residents diagnosed with Dementia receives an annual medical assessment as specified in Section 87458.

The Department will continue quarterly meetings.