Follow-up·October 31, 2025

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Jocelyn Real, Licensee . The purpose of the visit was to issue a citation for a deficiency found as part of a complaint investigation that the department received on 08/04/2025. On 07/19/2025, at approximately 0900 hours, a small purple bruise was found on resident R1’s right upper arm and reported to all staff via a group chat. It was not until 07/22/2025 that staff contacted R1’s home health nurse to report R1’s bruise. R1’s home health nurse advised staff to address the bruise at R1’s existing appointment on 07/24/2025 and to apply a cold compress for the time being. A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D page for more information. This report was reviewed with Jocelyn Real, Licensee, and a copy of this report and appeal rights were provided.