Facility Evaluation Report

On February 19, 2026, Licensing Program Analyst (LPA) Murial Han met with Administrator, Phil Surdel during a case management visit to follow up on substantiated allegations.

On November 5, 2024, the Department concluded an investigation which alleged neglect/lack of care and supervision – staff failed to seek timely medical attention for resident.

The allegation was substantiated, and the licensee was cited for violating the California Code of Regulations (CCR) Title 22, § 80075 (a) Health Related Services, CCR 80072(a)(3) Personal Rights, and CCR 80078(a) Responsibility for Providing Care and Supervision.

At the time of the Case Management visit on November 5, 2024, an immediate civil penalty of $1,000.00 was issued. At the time of the Case Management visit on February 12, 2026, the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code §1548(f)(1)(A).

The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Penal Code Section 243 defines serious bodily injury as a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement. This is evidenced by the facility’s lack of care and supervision and for not seeking timely medical attention for a resident (R1). A staff member (S1) hit R1 in the head and body and pushed R1 into a bedpost causing traumatic head injury and fractured two of R1’s ribs. As a result, R1 suffered from extreme pain and impairment.