Senior Care Records.

Facility Evaluation Report

Forever Sarahs Anna Home, Windsor04/26/2023Licence 496804043

Capacity4
Census0
Date signed04/26/2023 03:40:48 PM
The inspector’s account

An informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager Bethany Moellers, Licensing Program Analysts Dina Alviso, Victoria Bertozzi, Farhaan Sarangi , Shannan Hansen and representatives of the facility, Licensee Jenero Jefferson and Administrator, Jasmine Sampson.

The purpose of the informal conference was explained to the Licensee. Items addressed in today's meeting include but are not limited to compliance issues outlined below:

Licensee ensuring that Administrator is spending a sufficient number of hours at the facility.

Licensee and Administrator effectively communicating with LPA(s).

How are emergencies handled when Licensee and Administrator are not able to physically be at the facility timely.

Staff are not trained per regulation including expired First aid and CPR Certificates.

Plan of corrections have not been cleared timely.

Licensee currently has two pending applications under review by the Department. During todays meeting the change of ownership process was discussed and applicant was informed responsibility for oversight is not effective until the new license is issued. Licensee is aware that the Regional Office works collaboratively with other agencies such as labor board and agrees to ensure compliance with all laws and regulations.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction