Facility Evaluation Report

A Non-Compliance Conference (NCC) was conducted on this day, 08/22/2023, by the Sacramento South Regional Office via Teams meeting. The purpose of this Non-Compliance Conference meeting was to discuss existing deficiencies, problem areas in the operation of the facility, and ways to bring the facility into compliance as to avoid legal action.

Present at the meeting were Regional Office Manager (RM), Stephenie Doub, Licensing Program Managers (LPMs) Liza King and Stephen Richardson, and Licensing Program Analysts (LPAs), Kimberly Viarella and Jason Lund. Representing Koelsch Senior Communities were Eva Arant, Chief Operating Officer, Michelle Baker, Vice President of Operations, Steve Sarine, Regional Director of Operations – CA, Kayleen August, Regional Director of Nursing – CA, and Kent Mulkey, Executive Director, El Rio Memory Care. The Non-Compliance Conference process was explained during this meeting to include the Administrative Process.

- Resident on Resident (R:R) Altercations

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

· The presence of an Administrator 40 hours a week.

· Conduct training related to the following every 6 months for a year then annually thereafter. Proof of

training to include name of trainer, topics covered with duration of training, and list of all attendees.