Facility Evaluation Report

Licensing Program Analyst (LPA), Angela Panushkina, arrived on August 3 rd , 2026, for an unannounced inspection to follow up on substantiated allegations.

On February 2, 2024, the Department concluded a complaint investigation regarding the following allegations: a resident sustained a burn in care due to lack of supervision and facility staff did not seek timely medical attention for the resident.

The Licensee was cited for California Code of Regulations (CCR) Section 87465(g) Incidental Medical and Dental Care and 87411(d)(5) Personnel Requirements.

At the time of the complaint visit on February 2, 2024, an immediate civil penalty of $500 was issued, and the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code §1569.49(f).

The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Welfare and Institutions Code Section 15610.67 defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the facility not providing proper supervision and delayed medical treatment for Resident 1 (R1). R1 sustained 4% total body surface area third-degree burns to the left thigh that required surgical intervention.