Facility Evaluation Report

An Informal Conference was conducted at 10:00am on 1/6/22 at the Sacramento Regional Office virtually via Teams Meeting. Present for the meeting was Administrator, Anuradha Saini, Licensee Sunny Saini , Regional Executive Director Jenna Silva, Licensing Program Manager (LPM) , Liza King and the writer of this report Licensing Program Analyst (LPA), Michael Bilger .

The purpose of the informal conference was to address the facility’s compliance issues. The Department has concerns stemming from site inspections on multiple dates during the year 2021.

The licensee was told that this Informal conference is a part of the Administrative Action process and that further citations may result in an elevation to a formal non-compliance conference that could then lead to referral to the Department's legal division for possible revocation of license. Issues discussed during the meeting were:

1. 87413(a)(1) Personnel-Operations: In each facility, when regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. (Memory care unit was left unattended during an assist with 911 personnel in the assisted living section)

2. Care and Supervision: The Licensee shall provide care and supervision as necessary to meet the client’s needs. (Licensee did not ensure a proper repositioning and lift was performed for a resident in care for purposes of promoting fall prevention)

3. 80061(b)(1)(D)Reporting requirements: (b) Upon the occurrence...of any of the events specified in (1)...a report shall be made to the licensing agency within the agency's next working day...a written report containing the information...shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include...(D)Any injury to any client which requires medical treatment (Facility did not furnish timely incident reports for incidents occurring on 8/5/21 and 8/7/21) {Cont. 809D}