Facility Evaluation Report

On January 30, 2025 at 12:30 PM, Licensing Program Analyst (LPA) James Sampair conducted an unannounced case management visit to follow up on multiple substantiated allegations. LPA met with Caregiver Marvin Misa and explained the purpose of the visit.

On May 9, 2024, the Department concluded a complaint investigation and substantiated the following five (5) allegations while a resident (R1) was under care: severe malnutrition, severe dehydration, developing pressure injury, developing a Urinary Tract Infection (UTI), and staff not seek medical attention in a timely manner.

The Licensee was cited for violating the Health and Safety Code (HSC) Section 1569.269(a)(10) Enumerated Rights; California Code of Regulations (CCR), Title 22, Section 87464(f)(1) Basic Services, CCR, Title 22, Section 87615(a)(1) Prohibited Health Conditions; CCR, Title 22, Section 87466 Observation of the Resident; and CCR, Title 22, Section 87465 (a)(1) In cidental Medical and Dental Care.

At the time of the complaint visit on May 9, 2024, an immediate civil penalty of $500 was issued. The licensee was informed that an additional civil penalty was still being determined and might be assessed based on Health and Safety Code § 1569.49.