Stonehaven Senior Living

Allegation investigated: 'Staff abandoned resident Staff refuse to accept resident back to facility

On 7/01/2026, Licensing Program Analysts (LPAs) M. Medina and K. Brown conducted a subsequent complaint visit. LPAs introduced themselves, stated purpose of visit and allowed entrance to facility. LPAs met with Administrator, Radhika Jaw and Mike Salway to conduct complaint visit. During the investigation, interviews were conducted and information was gathered. During interviews it was stated that Resident 1 (R1) was admitted to skilled nursing on 3/20/2026, facility provided documentation that documents attempted e-mail correspondence with skilled nursing to obtain updated medical assessment for R1 and had a scheduled re-assessmented for 5/06/2026. Documents provided by skilled nursing facility document that as of 4/14/2026, R1 had a beside 1:1 companion which is not provided at facility and an open order for intramuscular injections which would require a higher level of care. We have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted. A copy of this report was provided to Administrator. Unfoundedthe state’s words, verbatim · CDSS document, Jul 1, 2026 · control 24-AS-20260415095554

Type of visit: Case Management - Other

On 7/01/2026, Licensing Program Analysts (LPAs) M, Medina and K. Brown conducted a Case Management visit due to observations made during facility tour conducted during complaint (#24-AS-20260518094805) visit on this date. During facility tour, LPA Brown observed kitchen scissors and a pairing knife in the drawer of the kitchenette as well as laundry detergent and cleaning supplies under the sink. All items were unsecured and accessible to resident 1 (R1) and resident 2 (R2). Review of medical assessment for R1 documents that these items could pose a danger to resident. Items were immediately removed and locked at time of inspection. A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 9099D. Exit interview conducted with Administrator. A copy of this report provided to facility via email for facility records. Appeal rights provided.the state’s words, verbatim · CDSS document, Jul 1, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(b)(1) · Plan of correction due date: Jul 1, 2026

(b) Residents may have access to items specified in subsection (a) for personal use unless there is documentation, as specified in Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, that indicates the resident's or other residents’ safety would be at risk if allowed access. (1) The licensee shall implement reasonable interventions in order to ensure that access to the items specified in subsection (a) does not pose a hazard to other residents. **This was not meant as evidenced by LPA observation of kitchen scissors, pairing knife, and cleaning items unlocked and accessible to resident 1 (R1).the state’s words, verbatim · CDSS document, Jul 1, 2026

Plan of correction: Items were removed and locked at time of facility visit. DEFICIENCY CLEARED AT TIME OF FACILITY VISIT.

Allegation investigated: Staff did not respond to resident's call button in a timely manner

On 06/27/2026 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit to deliver findings. LPA was unable to locate staff and went to Skilled Nursing Facility for assistance in getting in contact with Administrator. LPA spoke with several staff (kitchen, caregivers and RN) who were unaware of who to contact. Housekeeping Director, Percilla Mendez was found and contacted Administrator, Radhika "Rads" Jawa. Reason for visit was explained to Administrator and Administrator arrived an hour and 15 minutes later. During the complaint investigation interviews were conducted and documentation was requested and reviewed. During interviews with residents, 6 of 6 residents confirmed that when a call button is pushed it takes a significate amount of time for staff to answer the call lights, "if they come at all". The allegation listed above is SUBSTANTIATED. The preponderance of evidence standard has been met per California Code of Regulations, meaning the allegation occurred or has occurred.the state’s words, verbatim · CDSS document, Jun 27, 2026 · control 24-AS-20260106091029

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Aug 7, 2026

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by LPA interviews conducted. The licnesee did not comply with the section cited above in that 6 of 6 residents interviewed disclosed staff are not answering call lights in a timely manner, when residents need assistance, “if they come at all”. This poses a potential health safety and or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jun 27, 2026

Plan of correction: All staff meeting and training will be conducted. In service sign in sheets and training material for assiting residents in a timely manner will be provided to CCL by POC date as proof of correction.

Type of visit: Required - 1 Year

On 6/24/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA arrived, stated purpose of visit and met with Administrator, Radhika "Rads" Jawa to conduct today's inspection. . Currently there are 106 residents in care, facility has two separate buildings on campus as well as a large activities building. The Hope building has rooms 1 through 24 and the Faith building has rooms 1 through 33. Facility buildings toured. Each building has separate dining rooms, menus posted for residents in care. Kitchen toured, refrigerator was at 37 degrees F and freezers were at 0 degrees F. Facility observed to have 2-day supply of perishable and a 7-day supply of non-perishable food available. Facility receives food deliveries 2 times per week. Facility also has an additional emergency food supply available. Resident rooms toured during facility tour. LPA observed private bathrooms in resident rooms to have slip resistant surfaces in showers, grab bars and shower chairs available. Faith building also has a walk in shower room available. Resident rooms observed to have adequate lighting and a comfortable temperature for residents. Residents receive housekeeping every other day as well as laundry services on a daily basis. Facility is equipped with smoke detectors, fire sprinklers, and pull stations throughout buildings. Fire extinguishers are present throughout buildings, in each hallway with a service date of 11/02/2025. LPA reviewed staff schedules and fingerprint clearance during inspection. LPA observed staff 1 to have fingerprints and not associated, staff 2, staff 3, staff 4, staff 5 to not be fingerprinted. Due to time constraints, LPA will return to review medication, staff and resident files, complete inspection tool and document any additional observations. Deficiency cited on the attached 809-D. Pursuant to Health & Safety Code, an immediate civil penalty of $500 is assessed. Exit interview conducted and a copy of report provided for facility records.the state’s words, verbatim · CDSS document, Jun 24, 2026

Allegation investigated: Staff disturbing resident’s sleep.

On 5/22/2026, Licensing Program Analyst M. Medina and Licensing Program Manager S. Moua met with the facility licensee and administrator. Finding was delivered for the above allegation. The Department conducted interviews and reviewed records. Based on the interviews conducted and records reviewed, staff conduct 2-hour checks on the residents to provide care and supervision. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview was conducted and a copy of report provided for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 22, 2026 · control 24-AS-20251216125900

Type of visit: Office

An Office meeting was conducted on this date to discuss concerns regarding the facility, obtain clarifying information, and provide support. Present during the meeting were: Brenda White, Regional Manager See Moua, Licensing Program Manager Melinda Medina, Licensing Program Analyst D. Adam Salow, Licensee Benjamin Cortes, Licensee Mike Salway - Administrator of Stonehaven Senior Living Radhika Jawa - Administrator Carissa Danielson - Admissions The following subjects were discussed: -Licensee responsibilities -Administrator Qualifications -Reporting Requirements -Proper Evictions The Department also delivered findings on opened complaints during this office meeting. TSP was offered and accepted. Exit interview was conducted. A copy of report provided for facility records.the state’s words, verbatim · CDSS document, May 22, 2026

Allegation investigated: Staff sell drugs to residents

On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit. During complaint visit, LPA toured facility, conducted interviews and gathered documentation. During interviews and review of documentation, Resident 1 (R1) stated that staff 1 (S1) attempted to sell them drugs. R1 provided text messages between them and S1, review of records confirmed that the telephone number belonged to S1. Based on LPA’s interviews, and review of documentation the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D. Exit interview conducted with Administrator and a copy of this report provided for facility records. Substantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2026 · control 24-AS-20260309122748

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Apr 17, 2026

a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. **This was not met as evidenced by Resident 1 (R1) stated that staff 1 (S1) attempted to sell them drugs. R1 provided text messages between them and S1, review of records confirmed that the telephone number belonged to S1.the state’s words, verbatim · CDSS document, Apr 17, 2026

Plan of correction: S1 was suspended then employment was terminated. Administrator conducted an all staff meeting on 3/26/2026 and 3/27/2026, agenda and sign in sheets provided to LPA during visit. DEFICIENCY CLEARED AT TIME OF VISIT

Allegation investigated: Staff do not ensure medications are being dispensed as prescribed Staff did not ensure resident records were updated in a timely manner

On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit. During complaint visit, LPA toured facility, conducted interviews and gathered documentation. The information obtained during interviews states that Resident 1 (R1) was prescribed medication and that the medication was not administered when received. There are fax records documenting a physician order but it does not indicate who it was faxed to and the time stamp information for the fax is prior to when ordered by the physician, the medication for R1 had not been received by facility. Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Administrator and copy of report this report was provided for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2026 · control 24-AS-20260115134506

Allegation investigated: Facility staff are not meeting resident care needs Staff did not assist resident with medical appointments

On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit. During complaint visit, LPA toured facility, conducted interviews and gathered documentation. During interviews and review of documentation, the facility assists R1 with arranging a third party service to transport Resident 1 (R1) to and from scheduled appointments. Additional information obtained during interviews states that R1 had not missed any appointments but agency could not provide written record of appointment schedule without a supoena. During record review and interviews, it was disclosed that R1 had been out of facility on two separate occasions for illness and treated at an area hospital. During the first hospital visit R1 was out of the facility for two days and during the subsequent hospital visit R1 was treated and then transferred to a skilled nursing facility. R1 returned to the facility approximately 45 days later. Although the allegations may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Administrator and copy of report this report was provided for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2026 · control 24-AS-20260203112430

Allegation investigated: Staff did not administer medication to a resident in care

On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit. During complaint visit, LPA toured facility, conducted interviews and gathered documentation. Medication for R1, was called into pharmacy and was awaiting approval from doctor. Per interviews, R1's physician did not provide refills on medication for R1. R1's physician had limited availability on Tuesday and Thursday, and open only during morning hours. R1 has recently changed their primary physician. Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Administrator and copy of report this report was provided for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2026 · control 24-AS-20260413092203

Allegation investigated: Staff is not allowing resident to return to the facility

On 3/18/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA met with Mike Salway, CEO and Radhika Jawa, Assistant Administrator to conduct visit. During the course of the investigation, information was gathered, documents were reviewed, and interviews conducted. Based on information gathered during interviews and review of documentation, there was information on discharge paperwork that the physician ordered skilled nursing for rehabilitation prior to return to community. This Department has found that the above allegations is UNFOUNDED, meaning they were false, could not have happened, and/or were without reasonable basis. We have therefore dismissed the complaint. No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records Unfoundedthe state’s words, verbatim · CDSS document, Mar 18, 2026 · control 24-AS-20260313112421

Allegation investigated: Staff forged a resident's signature

On 3/18/2026, Licensing Program Analyst (LPA) M. Medina conducted a subsequent complaint visit to gather additional information and deliveri findings for complaint. During the investigation, LPA conducted interviews, gathered information and toured facility. Based on information gathered during interviews and documentation reviewed, Resident (1) provided paperwork to LPA with their signature on a form and stated that they had not signed it. During an internal investigation conducted by facility after initial complaint visit on 2/23/2026, it was determined that a former staff who was working on special project, which included all resident's medical assessments faxed over a signed document to R1's physician, which R1 did not sign. The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. Exit interview conducted and a copy of report and appeal rights provided for facility records. Substantiatedthe state’s words, verbatim · CDSS document, Mar 18, 2026 · control 24-AS-20260219132210

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87207 · Plan of correction due date: Apr 3, 2026

No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. **This was not met as evidenced by: Resident (1) provided paperwork to LPA h with their signature on a form and stated that they had not signed it. During an internal investigation conducted by facility after initial complaint visit on 2/23/2026, it was determined that a former staff who was working on special project, which included all resident's medical assessments faxed over a signed document to R1's physician, which R1 did not sign.the state’s words, verbatim · CDSS document, Mar 18, 2026

Plan of correction: Administrator to conduct training with staff regarding regulation and submit agenda and sign in sheet to Fresno Regional office by POC due date.

Allegation investigated: Staff are not administering resident's medication in a timely manner Staff engaged in a verbal altercation with residents

On 3/18/2026, Licensing Program Analyst (LPA) M. Medina conducted a subsequent complaint visit to gather additional information and deliver findings for complaint. LPA met with Mike Salway, CEO and Radhika Jawa, Assistant Administrator to conduct visit. During the investigation, LPA conducted interviews, gathered information, reviewed documentation and toured facility. Based on information gathered during interviews and documentation reviewed, there is no documentation on medication administration records that R1 did not receive medication as prescribed by physician or that staff engaged in a verbal altercation with residents. The department has insufficient information regarding the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED. Nothe state’s words, verbatim · CDSS document, Mar 18, 2026 · control 24-AS-20260108144909

Allegation investigated: Resident sustained a severe fracture due to staff neglect Staff did not assist resident after a fall Staff made inappropriate comments towards residents

Licensing Program Analyst (LPA)'s Shawna Doucette and Brianna Miranda conducted an unannounced complaint visit and was granted entry by Staff Radhika Jewa. LPA's explained the purpose of the visit. Staff Radhika Jewa contacted Consultant Jaycee Sanderson who responded to assist with the visit. LPA's reviewed records. LPA's interviewed staff and residents. Based on interviews and records review, it was undetermined if a resident sustained a severe fracture due to staff neglect. Based on interviews, LPA's received conflicting statements regarding R2's fall. It is undetermined if staff did not assist resident after a fall. Based on interviews, it is undetermined if staff made inappropriate comments towards residents. Unsubstantiated Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. A copy of this report was provided and signed by Staff Radhika Jewa.the state’s words, verbatim · CDSS document, Oct 27, 2025 · control 24-AS-20250922144728

Type of visit: Case Management - Other

On 10/27/2025 LPAs B. Miranda & S. Doucette arrived to the facility unannounced to conduct a case management visit. LPAs initially met with Radhika Jawa Assistant Administrator, and Consultant Jaycee Sanderson arrived later. During the unannounced visit LPAs observed the following: LPAs reviewed staff roster and cleared staff on licensing system. LPAs observed staff files, schedule, and conducted interviews which verified some staff on duty to not have proper background clearance. Jaycee sent uncleared staff home and informed staff not on duty with uncleared background clearances to not return to work until background clearance is completed. LPAs observed some residents without call buttons and another resident with call button not working. LPAs were informed that the call button board only holds 6-7 calls and then will stop sounding if the board is full. LPA also observed R5’s call button in the bathroom to not be in working order. Jaycee later explained the system for the bathroom call lights was unplugged. Jaycee plug in system and placed a notice to not unplug. LPA observed R5’s bathroom to have dead cockroaches and debris. LPA observed R4’s file and conducted interviews. Documentation shows on 10/5/2025 R4 fell and hit his head. A timely report was found to not be made to licensing. The facility failed to call 9-1-1 and seek medical attention, this did not allow R4 to directly refuse medical services to emergency services or to be properly assessed. Under California Title 22 citations will be issued. Exit interview was conducted with Radhika Jawa, a copy of this report LIC809, LIC809-D, and appeal rights were provided to Radhika Jawa Assistant Administrator.the state’s words, verbatim · CDSS document, Oct 27, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Oct 28, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on record review, the licensee did not ensure fingerprint clearance has been obtained for all staff members on and off duty, which poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 27, 2025

Plan of correction: Jaycee had all staff without proper background clearance to leave the facility until background clearance has been completed.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(g) · Plan of correction due date: Oct 28, 2025

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee failed to call for 9-1-1 after R4 fell and hit their head, which poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 27, 2025

Plan of correction: Facility will be speaking with family regarding calling emergency services for residents who fall and hit their head.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Nov 7, 2025

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee failed to report R4's fall in a timely manner to CCLD, which poses a potential Health, Safety, or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 27, 2025

Plan of correction: Jaycee stated reports will be sent for any incidents that happen at the facility.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(i)(1)(B) · Plan of correction due date: Nov 7, 2025

87303 Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee failed to have a proper signal system within the facility. LPA tested call buttons which did not alarm due to call button board being full. The call button board hold only 6 calls, this poses a potential Health, Safety, or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 27, 2025

Plan of correction: Jaycee will have a call button board added to each wing.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Nov 7, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation & interviews the licensee failed to maintain R5's bathroom which has dead cockroaches and debris, this poses a potential Health, Safety, or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 27, 2025

Plan of correction: Jaycee will have R5's room checked in and cleaned.

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Rachel Bruce and Jimmy Duarte, arrived at the facility for the purpose of conducting a pre-licensing inspection as a result of change of ownership effective October 2024. LPAs were greeted by Administrator Jaycee Sanderson. LPAs toured the facility inside and outside. The facility was observed to be clean, free from clutter and was odor free. The common area rooms were observed to have adequate furnishings, window coverings and lighting. LPAs inspected three resident rooms and observed them to be with in regulatory requirements. All bedrooms had the required furniture, to include beds with good mattresses, night stands, and chairs. All rooms had overhead lighting; however; some rooms were missing lamps. Administrator will purchase lamps for every room, regardless of resident's request. Water temperature in rooms were within range. Showers had slip resistant flooring with grab bars. In addition, there were grab bars next to the toilets. Hot water temperature was observed to be 126 F in the kitchen sink and there was a sign indicating there is extremely hot water. LPAs observed an adequate amount of perishable and nonperishable food. There was also 72 hours of emergency food and water properly stored. The frozen food freezer door was repaired since last inspection and is functioning properly. Continued in LIC809-C Continued from LIC809 Medications are locked in a medical designated office. LPAs conducted pill count and compared numbers to the medical distribution system Point Click Care (PCC). Fire extinguishers noted to be inspected December 2024 and were located throughout the facility. Smoke detectors and carbon monoxide detectors are combined with the sprinkler system and were also tested in December of 2024. Component III was not needed at today's visit as operations are continuing from the previous owner. Pre-Licensing Inspection is complete. Applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issuedthe state’s words, verbatim · CDSS document, Apr 9, 2025

Type of visit: Office

COMP II by CAB successfully completed Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Jan 9, 2025