Facility Evaluation Report

A Noncompliance meeting was conducted virtually today via Teams Meeting. Present at the meeting were San Bruno Adult and Senior Care Regional Manager Vivien Helbling, Licensing Program Manager Sarah Yip, Licensing Program Analyst David Marrufo, and facility Administrator Prince-Stanley Amas.

The purpose of the noncompliance meeting was to discuss the serious violation at the facility on 02/22/2020 which resulted in violations under personal rights, administrator qualifications, false claims and emergency intervention prohibition. Substantiated complaint findings were delivered on 11/10/2022 and deficiencies were cited for violations of Title 22 California Code of Regulations.

Facility representatives were informed during non-compliance meeting that additional administrative action may be taken pending legal review for the use of manual restraint on resident. Noncompliance Conference Summary LIC 9111 and a compliance plan were established during the meeting.

Report was reviewed with Administrator Prince-Stanley Amas. A copy of this report, LIC 9111, and link resources https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers

were provided to Licensee for signature via email.