Facility Evaluation Report

An Informal Conference was conducted today, 07/18/2022, via Microsoft Teams. The purpose of the Informal Conference was to discuss the facilities compliance with Title 22 Regulations as a result of deficiencies cited during complaint investigations and site visits on 1/24/22, 2/25/22, 3/30/22 and 4/15/22. Present at today's Informal Conference were: Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Maja Jensen and Licensees, Chris Coulter and Administrator Diane Wright. The informal conference process was explained during this meeting.

The following issues were discussed during the informal conference:

· Storage of toxins and hazardous objects

· Alert Notification System (Call Button System)

Licensees stated they will do the following to achieve continued and substantial compliance:

· Submit new LIC 500 personnel report with updated staff schedules by 7/25/22. Facility has current contracts with staffing agencies that it is not utilizing as they are fully staffed at this time

· Adhere to COVID-19 screening procedures and Infection Control Plans . A calendar of training of staff and refresher courses will be submitted by 7/25/22