Follow-up on corrections·March 27, 2025

On 03/27/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced at the facility to conduct a case management visit. During the visit, the LPA met with the facility Benched Executive Director Angelina Rodriguez and stated the purpose visit is to issue a civil penalty related to the substantiated complaint allegation filed on July 31, 2018, complaint # 24-2018080731160804 while licensed as Pacifica Senior Living Bakersfield Memory Care, facility #157204131. Please note that Pacifica Senior Living Bakersfield Memory Care changed their name to Riverstone Terrace Senior Living Memory Care effective January 10, 2025, the licensee did not change. On December 7, 2018, the Department completed an investigation into a complaint alleging staff failed to provide adequate care and supervision, resulting in resident sustaining severe burns, and staff failed to obtain timely medical care for resident The licensee was cited for violating Health and Safety Code 1569.312(a), Basic Services Care and Supervision. At the time of the complaint visit on December 7, 2018, the licensee was informed that a civil penalty might be assessed based on Health and Safety Code § 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 of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidence by information gathered through medical records and interviews that the licensee did not ensure R1 received the required care and supervision, which resulted in an elopement and RI sustaining severe burns to the upper extremities, arms, legs, and feet. RI eloped from the facility on July 22, 2018, in temperatures over 100°F. Medical records show R1 was diagnosed with second and third-degree burns, requiring surgery and skin grafts. Today, 03/27/25, the Department is issuing a civil penalty per Health and Safety Code § 1569.49 for violation that the Department constitutes as serious bodily injury in the amount of $10,000.00. Exit interview conducted. A copy of the report issued. Appeal rights provided. Benched Executive Director Angelina Rodriguez and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.