Facility Evaluation Report

A Non-Compliance Conference (NCC) was conducted on this day in the Sacramento South Regional Office via Microsoft Teams. The purpose of this Non-Compliance Conference meeting was to follow up on a previous citation issued to facility . Present in the meeting was Regional Manager (RM) Stephanie Doub, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Kesha Lewis, Ombudsman Kathryn Thomas, and Licensee William Puckett, Chris Pillsbury, kitina Ritchion and Robert Fernandez from Valley Mountain Regional . The Non-Compliance Conference process was explained during this meeting to include the Administrative Process.

Licensee agreed to do the following in order to bring the facility into compliance no later than the following dates:

(1) Presence of the administrator at least 40 hours per week, (2) Updated LIC 200, (3) updated LIC 500, (4) Checklists of staff responsibilities (5) Licensees plan for unannounced visits, (6) Personal rights training for all staff, (7) Mandated reporting training for all staff. These are due to the department by COB 07/25/2024. Additionally the Regional Office will start unannounced quarterly visits to monitor the above and overall regulatory compliance.