Facility Evaluation Report

A Non-Compliance Conference (NCC) was conducted on this day, 09/22/2023, by the Sacramento South

Regional Office via Microsoft Teams meeting. The purpose of this Non-Compliance Conference meeting was to discuss the deficiencies at Memory Lane Manor, the status of its license and ways to bring it back into compliance and avoid legal action.

The focus of this meeting will be to discuss Memory Lane Manor’s change of status from a sole proprietorship to an LLC. This was completed on February 9, 2022 and would have required that the Licensee contact the Centralized Applications Bureau to apply for a new license. The other issue being discussed today is that the Licensee/Administrator is not listed as Associated to the facility.

Present at the meeting were Licensing Program Manager (LPM) Liza King and Licensing Program Analysts (LPAs), Kimberly Viarella, Maja Jensen and Arielle Pascua. Representing Memory Lane Manor was Consuela Hozan-Farcas. The Non-Compliance Conference process was explained during this meeting to include the Administrative Process.

· Criminal background check for Licensee/Administrator

· Deficiencies observed during annual inspection on 08/23/23

Licensee agreed to do the following in order to bring the facility into compliance no later than the following dates: