Facility Evaluation Report

On September 21, 2021, Licensing Program Analyst (LPA), Teresa Camara conducted an unannounced Case Management visit to follow up on a substantiated allegation of lack of supervision. The LPA met with Director of Healthcare Services Kim Davis and informed them of the reason for the visit.

On August 23, 2021, the Department issued findings regarding the complaint received on July 16, 2019, alleging that due to the facility’s failure to provide appropriate care and supervision, Resident #1 (R1) sustained injury(ies). More specifically, the complaint alleged that on July 13, 2019 Resident #2 (R2), a 71-year-old male without warning pushed R1, an 88-year old male, in the back and he was hospitalized for serious lacerations to his forehead, mouth, and nose.

The allegation was substantiated and the licensee was cited for violating California Code of Regulations (CCR) Title 22, §87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities., in which “Residents shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.” On August 26, 2021, an immediate civil penalty of $500 was assessed; in addition, the Department also assessed a $1000 civil penalty due to the citation being a repeat violation of the same subsection.