Follow-up·June 11, 2026

Licensing Program Analyst (LPA) , Angela Panushkina , arrived on June 11, 2026, for an unannounced inspection to follow up on a substantiated allegation of resident sustained an unexplained injury in care, resident sustained multiple falls due to lack of supervision and facility is not meeting residents’ nighttime supervision needs. LPA met with the Administrator, Assaad Zeid, and explained the reason for the visit. On March 29, 2023, the Department concluded a complaint investigation regarding the following allegations: Resident sustained an unexplained injury in care, Resident sustained multiple falls due to lack of supervision, and facility is not meeting resident's nighttime supervision needs. The licensee was cited for California Code of Regulations (CCR) Title 22, Section 87705(c)(5)(A) Care of Persons with Dementia and CCR Title 22, Section 87705(4) Care of Persons with Dementia. At the time of the complaint visit on March 29, 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 not providing proper care and supervision that resulted in multiple fractures from multiple falls. Continue on LIC809-C Today, June 11, 2026, the Department will be issuing a civil penalty per Health and Safety Code §1569.49(f) for a violation that the Department determines constitutes as serious bodily injury in the amount of $10,000. However, since an immediate civil penalty of $500 was previously issued on March 29, 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. The Administrator, Assaad Zeid, and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.