Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived on July 29, 2026 for an unannounced inspection to follow up on a substantiated allegation of a complaint investigation.

On May 31, 2024, the Department concluded a complaint investigation regarding the following allegations: “Physical Abuse - Resident #1 (R1) was physically and emotionally injured by Staff #1 (S1) while under the care and supervision of the facility” and “Conduct Inimical - Staff #1 (S1) was arrested and charged with misdemeanor elder abuse and being under the influence of a controlled substance”.

The licensee was cited for California Code of Regulations (CCR) 87468.1(a)(3) Personal Rights of Residents in All Facilities and Health and Safety Code §1569.58(a)(2) Conduct Inimical.

At the time of the complaint visit on May 31, 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 physical abuse. The Welfare and Institutions Code Section 15610.63 for physical abuse means any of the following: (b) Battery, as defined in Section 242 of the Penal Code. Penal Code 242 defines battery as “any willful and unlawful use of force or violence upon the person of another.” This is evidenced by the facility surveillance video captured S1 willfully commit violence against R1 by dragging, taunting, slapping and air kicking R1 while under the care and supervision of the facility. As a result, R1 sustained a laceration to their arm. The staff denied that they committed the abuse – despite video evidence of the acts. Moreover, S1 admitted to smoking methamphetamine and a drug test confirmed that S1 had drugs in their system. The staff was arrested and charged with PC 368(b)(1) for Elderly Abuse and Health and Safety Code §11550(a) for Under