Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Viarella and Sommer Hayes arrived on 04/17/25 for an unannounced inspection to follow up on a substantiated complaint investigation. LPA Viarella met with facility administrator Danielle Barry and explained the purpose of the visit.

On July 1, 2024, the Department concluded a complaint investigation regarding the following allegations: resident fell sustaining fractures due to staff neglect, staff did not seek medical attention for resident, staff did not notify resident’s authorized representative of incident, and staff are not meeting a resident’s hygiene needs.

The licensee was cited for California Code of Regulations (CCR) 87468.1(a)(2) Personal Rights of Residents in All Facilities, 87465(g) Incidental Medical and Dental Care, and 87211(a)(1)(B) Reporting Requirements, and 87464(f)(4) Basic Services.

At the time of the complaint visit on July 1, 2024, substantiated findings were delivered to the facility. On September 5, 2024, this report was amended to include issuance of an immediate civil penalty in the amount of $500 and the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code Section 1569.49.

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 a mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the administrator not providing R1