Non-compliance follow-up·August 19, 2025

Licensing Program Analyst (LPA) Cassie Yang arrived on August 19, 2025, to follow up on substantiated allegations resulting from a complaint investigation. Licensing staff met with Facility Representative, Liz Cruz, to discuss the Department’s findings. On December 23, 2024, the Department concluded a complaint investigation substantiating the following allegations: Due to facility staff's lack of care and supervision, resident sustained serious bodily injury, and facility staff's lack of care and supervision resulted in resident's death. The Licensee was cited for California Code of Regulations (CCR) Title 22, § 87468.2(a)(4) Personal Rights of Residents in All Facilities. At the time of the complaint investigation on December 23, 2024, 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 of the following incident and has determined that a civil penalty is warranted for a violation that the Department determines resulted in the death of a resident. This is evidenced by facility staff’s inadequate supervision of residents in care, resulting in a fatal altercation between residents. Please continue on LIC 809-C. LIC 809-C Today, August 19, 2025, the Department will be issuing a civil penalty in the amount of $15,000 per Health and Safety Code §1569.49(e), for a violation that the Department determines to have resulted in the death of a resident. However, since an immediate civil penalty of $500 was previously issued on December 23, 2024, the amount of the civil penalty issued today will be $14,500. Exit interview conducted. A copy of the report issued. Appeal rights provided. A signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.