Facility Evaluation Report

A Noncompliance meeting was conducted on September 19th, 2024 at CCLD San Jose office. Present at the meeting were San Bruno Adult and Senior Care Regional Manager Vivien Helbling, Licensing Program Manager Romeo Manzano, Licensing Program Analyst Simi Rai, Chief Executive Officer Song Cindy Chen, and Chief Financial Officer Donna Lagman.

The purpose of the noncompliance meeting was to discuss the history of facility's serious violations cited under Title 22 California Code of Regulations to include Personal Rights, Incidental Medical and Dental Care, Care of Persons with Dementia, Personal Requirements and Administrator Qualifications and Duty.

Noncompliance Conference Summary LIC 9111 and compliance plans were established during the meeting. The facility will begin a 2 year monitoring plan by licensing which includes more frequent licensing inspections.

The San Bruno Adult and Senior Care - San Jose Unit will refer the facility for legal consultation which may result in administrative actions such as possible Administrator De-Certification, License Revocation, or Employee Exclusion.

Deficiencies were cited per California Code of Regulations, Title 22 during today's visit, please see LIC 809-D. Appeal Rights were provided.

Report was reviewed with Licensee representatives. A copy of this report, LIC 9111 was provided to Licensee representatives during today's office visit.