Facility Evaluation Report

A Non Compliance Conference (NCC) was conducted on this day, 09/15/2023, by the Sacramento South Regional Office via Teams meeting. The purpose of this Non Compliance Conference meeting was to follow up with the facility after the Informal Conference was last held on 05/23/2023. Present in the meeting was Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Charlie Yang, and Facility Designated Administrator Steven Paul Hardin with Licensee Georgia Wilcomb.

The Non Compliance Conference process was explained during this meeting to include the Administrative Process as well.

The focus of the concerns at this time were as followed:

Designated Facility Administrator-Qualifications/Duties

Physical Plant Issues-Flooring/Carpeting for facility bedrooms and common areas

Oversight of facility staff for proper care and supervision

Licensee Role, Duties, and Responsibilities

Licensee agreed to do the following in order to bring the facility into compliance:

Complete and Submit the LIC 500 for the most current staff, shifts, and coverage by COB 09/22/2023

Complete and Submit the LIC 308 by COB 09/22/2023