Follow-up·October 21, 2025

Licensing Program Analyst, Valeria Conway arrived on October 21, 2025, for an unannounced inspection to follow up on a substantiated allegation of a death report investigation. The LPA met with Joeyvic "Joey" Alvarado. On May 12, 2023, the Department conclud ed a death report investigation regarding the following incident: neglect/lack of care and supervision and failure to seek timely medical attention. The licensee was cited for California Code of Regulations (CCR) 87465(g) Incidental Medical and Dental Care; 87628(a) Diabetes; and 87705(c)(5) Care of Persons with Dementia, and 87705(c)(6) Care of Persons with Dementia At the time of the case management visit on May 12, 2023, 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 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 evidenced by the facility having caused serious bodily injury to the resident by creating a “substantial risk of death” in failing to comply with the standard of care to timely summon emergency medical care. Continued on LIC 809-C Continued from LIC 809 Today, October 21, 2025, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49(f) for a violation that the Department constitutes as serious bodily injury in the amount of $10,000. However, since an immediate civil penalty of $500 was previously issued on May 12, 2023, the amount of the civil penalty issued today will be $9,500. Exit interview conducted. A copy of the report issued. Appeal rights provided. Joeyvic "Joey" Alvarado signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.