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25 | A non-compliance conference was conducted today via Teams, due to COVID-19 and precautionary measures. The purpose of this informal conference meeting was to discuss the most recent complaint and case management conducted that had resulted in 3 Type A and 1 Type B citations, as well as 2 civil penalties. Present in the meeting was Licensing Program Analyst (LPA), DeAnna Williams-Lyons, Licensing Program Manager (LPM) Kevin Mknelly, Regional office Manager (ROM) Alycia Berryman, Administrator Elaine Brauer, Director Mike Morris, Elaine Brauer Executive Director, Shiloh Wood, Vice President of Operations, Cindy Zhang, EPH Representative, and Joel Goldman, Regulatory Counsel. The conference process was explained during this meeting.
Issues discussed during the meeting were:
o Compliance issues at this facility within the last month
o PPE use and training
o Lack of reporting
o Lack of providing requested paperwork in a timely manner
o Staffing issues and training
o Licensee/Administrator accountability
The facility has stated they will do the following to achieve continued and substantial compliance:
· Facility agrees to continue with Calmat until contract ends
· Facility agrees Continue to utilize Temporary Manager Robert Cantoria and complete all recommendations requested
· Facility agrees to continue to hire staff as needed
· Implement all reconditions from the nurses PCC tele-visit with the assistance of Temporary Manager
An exit interview was conducted, and a copy of this report will be provided to the facility via email. A copy must be signed and returned to CCLD. |