Facility Evaluation Report

Licensing Program Analyst, Perry Scott arrived on 07/29/2026 for an unannounced inspection to follow up on a substantiated allegation of complaint investigation.

On 01/27/2024, the Department concluded a complaint investigation visit regarding the following allegations: Resident wandered away from facility due to lack of supervision resulting in hypothermia and Staff did not notify police of missing resident.

The licensee was cited for California Code of Regulations (CCR) 87466 Observation of the Resident and CCR 87211(a)(D) Reporting Requirements.

At the time of the complaint visit on 01/27/2024, an immediate civil penalty of $500.00 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 R1 wandering away from the facility and hospitalized with hypothermia.