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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005361
Report Date: 08/16/2021
Date Signed: 01/03/2022 11:39:29 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:SUMMERSET ASSISTED LIVINGFACILITY NUMBER:
347005361
ADMINISTRATOR:BEASLEY, CARLIEFACILITY TYPE:
740
ADDRESS:2341 VEHICLE DRTELEPHONE:
(916) 330-1300
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:135CENSUS: DATE:
08/16/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Facility RepresentativesTIME COMPLETED:
02:30 PM
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On 8/16/21 the Department conducted an office meeting via Microsoft Teams to address concerns the facility had with Provider Information Notices (PINs) to mitigate the spread of COVID 19 in residential facilities. The purpose of this meeting is to specifically discuss PIN 21-32: " UPDATED FACILITY STAFF TESTING AND MASKING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19)".

Attending this meeting from the department are: Licensing Program Analyst (LPA) Kevin Gould, Licensing Program Manager (LPM) Czarrina Camilon-Lee and Regional Manager (RM) Krystall Moore. Attending this meeting on behalf of Summerset Assisted Living are: Administrator Carlie Beasley, Licensee Rick Beasley, and Regional Director, Sabrina Boyle.

The Administrator provided the following questions to the department prior to this meeting:
  1. What is going to happen when staff refuse to get tested or get a mandated vaccine?
  2. Where your supplemental staffing is coming from? Who is going to pay for it?
  3. Is the state going to indemnify us against wrongful termination suits when the staff are forced to test weekly, or get a vaccine?
  4. Why are senior residents not required to be tested weekly if they don't have the vaccine but the staff do have this requirement?

Regional Manager addressed each question with all in attendance and provided the facility with the most up to date guidance and outlined the facility's responsibility to be in compliance with CCLD regulations and to develop a plan to remain in substantial compliance with COVID mitigation measures.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Kevin GouldTELEPHONE: (619) 672-5924
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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