Facility Evaluation Report

An informal meeting was conducted today in the Santa Rosa Regional Office via Microsoft Teams due to Covid19 precautions. Present in the meeting were Licensing Program Manager Bethany Moellers, Licensing Program Analyst Marisol Cuadra, Licensee Pia Baroni and Sextant Consultant Lance Parker.

The purpose of the informal office meeting was to discuss areas of non-compliance and observed and ongoing Community Care Licensing concerns of the operation of Wimbledon House #1 #496800621.

Items addressed in today's meeting include but are not limited to patterns and trends in the areas below:

- Lack of staffing to meet resident’s care needs.

- Staff vaccination status, exemptions and weekly testing.

- Licensee and involvement in facility operation

Documents requested during informal meeting to be submitted to CCL by Monday, February 7, 2022:

-Licensee will submit an updated LIC500 indicating 24/7 schedules with specific staff coverage.

-Licensee will submit staff medical or religious exemptions for staff and clients that refuses to be vaccinated for Covid19.

-Licensee agreed to submit staff training records for client receiving hospice services.

-Licensee will submit staff training records within the last 12 months for all staff including medication training.

-Licensee to develop policy identifying staff member(s) responsible for ensuring all medications are followed as physician’s directions including entering medications into the Centrally Stored Medication and Destruction Log.

Failure to submit above documentation may result in the Department seeking further action.