complaint·February 12, 2026

(Continue from LIC9099) On 03/11/2025, it was noticed by the caregivers, that R1s abscess had some kind of drainage, but R1 was not complaining of pain or discomfort, the facility attempted to contact the hospital but there was no contact made. On 03/14/2025, a caregiver let a staff, S1, know there were two spots on R1s coccyx area, and one was open, but R1 had no complaints of pain or discomfort. An ointment was put on the area for comfort and the facility was observing the area. That same day S1 left a message for R1s doctor regarding the abscess discharge on R1s right buttock. Later that evening R1s doctor wanted to see R1, an appointment was scheduled for 03/15/2025, at 11:10 a.m. The facility contacted R1s family member but the appointment was cancelled for 11:10 a.m. On 03/15/2025, S1, then made arrangement for R1 to be sent out as a non-emergency transport, arriving at hospital at approximately 4:00 p.m. Records stated that R1s abscess looked quite large with possible extension to the muscle tissue, however on further evaluation the abscess did not extend into the muscle tissue and did not require operating room surgical intervention. The report stated there was no evidence of necrotic or infected tissue, however, R1 did have sepsis due to right gluteal abscess and cellulitis. Based on the information and evidence obtained, the facility did not meet the needs of R1 as R1s condition had changed due to the abscess having some kind of discharge. Even though staff did provide the required care the facility should have sent R1 out of the facility immediately, as the discharge from the open wound was now a portal for an infection as R1 had sepsis. Based on interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency was cited under Title 22, Division 6, Chapter 8 of the California Code of Regulations and is detailed on LIC 9099-D. A Plan of Correction (POC) was developed with Business Office Director, Ellen Arguello. (Continue at LIC9099C) (Continue from LIC9099C) An immediate civil penalty of $500 was assessed today. In accordance with Health and Safety Code Section 1569.49, an additional civil penalty is under review by the Community Care Licensing Division. An exit interview was conducted with Business Office Director, Ellen Arguello who was provided with a copy of this report, the LIC 9099-D Deficiency Report, LIC411 IM, the LIC 811 Confidential Names List, and the LIC 9058 Licensee Appeal Rights. (Continue from LIC9099A) For the allegation of Staff did not meet resident's bathing needs, RP stated that R1 is only bathed 2x per week. S3 stated that R1s Service Plan says two times a week for showers. S8 added that R1 didn’t like showers, so R1 would have bed baths. Based on interviews and records review, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Business Office Director, Ellen Arguello, who was provided with a copy of this report, and the LIC 9058 Licensee Appeal Rights. (Continue from LIC9099A) Based on interviews and records review, the department has determined that the allegation was false, could not have happened and/or is without a reasonable basis, therefore the allegation is UNFOUNDED. An exit interview was conducted with Business Office Director, who was provided with a copy of this report, and the LIC 9058 Licensee Appeal Rights.