Follow-up·March 19, 2025

Licensing Program Analyst (LPA) G. Luk conducted an unannounced case management visit as a follow-up to a substantiated allegation on September 21, 2022. LPA met with Licensee, Arnold Soleta and explained the purpose of the visit. On September 21, 2022, the Department concluded a complaint investigation and substantiated an allegation that resident (R1) sustained a stage 4 pressure injury while in care. On September 21, 2022, the licensee was cited for violating Health and Safety Code (HSC) §1569.269(a)(10) Enumerated rights, severability. The Department concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. Per Welfare and Institutions Code § 15610.67, serious bodily injury is defined 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 did not change R1’s diapers and reposition R1 which resulted in R1 sustaining a stage 4 pressure injury on their coccyx requiring pain control. (Continue on LIC809C...) Today March 19, 2025, the Department will be issuing a civil penalty per Health and Safety Code for a violation that the Department constitutes as serious bodily injury in the amount of $10,000.00. However, since an immediate civil penalty of $500.00 was previously issued on September 21, 2022, the amount of the civil penalty issued today will be $9,500.00. Exit interview conducted. A copy of the report issued. Appeal rights provided. Licensee, Arnold Soleta and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.