Follow-up·April 9, 2026

On 04/09/2026, Licensing Program Analyst (LPA) Felias met with Executive Director, Camille Brown, for a Case Management visit to follow up on a substantiated complaint allegation; complaint number 21-AS-20240906144108. On January 3, 2025, the Department concluded an investigation which alleged that neglect resulted in pressure injuries. The licensee was cited for violating California Code of Regulations (CCR) Title 22, § 87466 Observation of the Resident. A Non-Compliance Conference was conducted on April 23, 2025, and the licensee was advised an additional civil penalty was under review per 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. Welfare and Institutions Code § 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 care, supervision, and timely medical treatment that resulted in resident sustaining unstageable pressure wounds resulting in hospitalization and surgical debridement. Today, 04/09/2026, the Department is issuing a civil penalty per Health and Safety Code § 1569.49 for a violation that the Department constitutes as serious bodily injury in the amount of $10,000.00. Exit interview conducted. A copy of the report issued. Appeal rights provided. Executive Director's signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.