Facility Evaluation Report

Licensing Program Analyst, Esther Cortez issued this report on January 15, 2026 to follow up on a substantiated allegation of a complaint investigation. The facility closed on 11/07/2025. The LPA delivered this report via e-mail, first class mail, and certified mail.

On February 27, 2024, the Department concluded a complaint investigation regarding the following allegation: Staff did not seek medical attention for resident in care in a timely manner.

The licensee was cited for California Code of Regulations (CCR) 87465(a)(1) Incidental Medical and Dental Care.

At the time of the complaint visit on February 27, 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 of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the facility not to providing proper care and supervision and delayed seeking medical attention to address the resident’s extreme stomach pain which resulted in sepsis with multiple hospitalizations.

Report will continue on LIC809-C, 2nd page.