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25 | On 5-2-22 at 3:00pm, regional office conducted an informal meeting with facility to discuss recent citations issued and additional concerns. This meeting was held virtually via Teams Meeting. Present at the meeting were Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Michael Bilger, Ombudsman Kathryn Thomas, Licensee Sunny Saini, Administrator Anuradha Saini, and Regional Executive Director Jenna Silva. Topics in this meeting included the following: (1) Evictions, (2) Personal Rights, (3) Signal System, (4) Reporting Requirements, (5) Re-appraisals, and (6) Administrator Qualifications.
On 4-13-22 three eviction notices were given to Resident1 (R1), R2, and R3 which stated reasons for eviction to include drug and alcohol use as well as overdue rent payments. Eviction notices have since been rescinded and re-issued to reflect overdue rent as the sole reason for eviction. During this meeting, it was revealed by regional executive director that room searches did not occur, instead a "well-being check" occurred to ensure safety of residents. Regional executive director stated that alcohol bottles were found in "plain site". LPM and LPA discussed eviction notices and regulations, and personal rights with Licensee, Administrator and Regional Executive Director. LPM informed licensee that bottles and other materials cannot be confiscated without clear permission from residents. Additionally, in regards to evictions, LPA and LPM informed Licensee that appropriate documentation must be in place to justify an eviction and that internal documentation should be in place in addition to required incident reporting to licensing department. Licensee expressed concern regarding residents who are not following house rules and continue to drink and produce and unsafe environment for themselves. LPA and LPM informed Licensee that all such events should be documented and reported to licensing department. Licensee was made aware by LPA and LPM that personal rights must be honored when entering rooms and confiscating items. Licensee acknowledged understanding. Licensee stated facility is an alcohol and drug-free facility. LPM requested an update to plan of operations and admission agreement reflecting this and requested documents be sent to licensing department for approval prior to implementation. LPM made Licensee aware that an updated plan of operation must be submitted to licensing department if facility moves forward with a new transitional memory care unit. LPM discussed procedures including LIC 200 and fire department approval prior to such implementation. {Cont. on 809C}
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