Facility Evaluation Report

Licensing Program Analyst (LPA) Luisa Fontanilla arrived on March 20, 2025 and conducted a case management visit as a follow-up to the case management visits made on October 12, 2023, and December 5, 2024. LPA met with Lallie Valencia-Garcia and explained the purpose of the visit.

On October 12, 2023, the Department conducted a case management visit in connection with an incident reported by the facility when a client (C1) was sent out to the hospital.

On December 5, 2024, the Licensee was cited for violating California Code of Regulations (CCR), Title 22 § 85075.4(c) Observation of the Client, California Code of Regulations (CCR), Title 22 § 80092.9(a)(3) Wounds, and California Code of Regulations (CCR), Title 22 § 80091(a)(4) Prohibited Health Condition.

At the time of the case management visit on December 5, 2024, an immediate civil penalty of $500 was issued and the licensee was informed that an additional civil penalty might be assessed for serious bodily injury.

The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Penal Code Section 243 defines serious bodily injury as a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement. This is evidenced by the facility not providing observation, care of R1’s skin, and supervision, which resulted in hospitalization, debridement of an unstageable pressure injury of the right hip and cellulitis.