Facility Evaluation Report

On 06/04/2026, an informal office meeting was conducted in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager (LPM), Kimberley Mota, Licensing Program Analyst, (LPA) Jill Nakagawa, and Licensee, Jesse Plenos and Victoria Young .

The purpose of the informal office meeting was to discuss areas of non-compliance and observed ongoing Community Care Licensing (CCL) concerns of the operation of Clover Home. The Licensee was informed that this informal meeting is a part of the Administrative Action process and that further and/or repeat citations may result in a formal Non-Compliance Plan.

Items addressed in today's meeting include but are not limited to the following areas of concern:

Criminal record clearances and need for fingerprint clearances and associations of staff.

Reporting requirements of incidents occurred at the facility were not reported to CCL.

Administrator not in place and/or missing proper documentation to appoint one.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.