Follow-up·April 17, 2026

Licensing Program Analysts, Graham Gunby and Melissa Parks arrived on April 17, 2026 for an unannounced inspection to follow up on a substantiated complaint investigation. LPA met with Cathy Dustin and explained the purpose of today’s visit. On October 16, 2025, the Department concluded a complaint investigation regarding the following allegation: staff did not prevent resident (R1) from leaving the facility unassisted. The licensee was cited for California Code of Regulations (CCR) Title 22, § 87463(b)(1)(c) Reappraisals. At the time of the complaint visit on October 16, 2025 , 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. 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, which resulted in R1 eloping and being hospitalized. Today, April 17, 2026, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49 in the amount of $10,000 for a violation that the Department constitutes as serious bodily injury. However, since an immediate civil penalty of $500 was issued on October 16, 2025, the amount of the civil penalty issued today will be $9,500. Exit interview conducted. A copy of the report issued. Appeal rights provided. Cathy Dustin and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.