Follow-up on corrections·July 1, 2025

07/01/2025 11:00 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with licensees Mark & Linda O’Sullivan, and care staff Lindsey Lang. Today’s visit is regarding an incident that occurred on 06/29/2025 and was reported to licensing on 06/30/2025. It was reported that on 06/29/2025 at 3:30 PM Staff 1 (S1) saw Resident 1 (R1) heading to their room. At 04:50 PM S1 went to get R1 from their room for dinner, R1 was not in their room. S1 found R1 in the facility backyard almost laying down against the chicken coop. S1 checked R1 for breathing, heartbeat, and awareness. S1 carried R1 inside and placed R1 on a recliner. S1 placed ice packs wrapped in towels and wet wash cloth on R1's forehead, then called 911. R1 stopped breathing, S1 started CPR. EMS arrived and took over. R1 passed away in the facility. According to The City of Red Bluff past weather report the temperature was 106 degrees at 3:53 PM on 06/29/2025 as a high for that day. LPA requested the following documents during the visit: Admission agreement, Physicians Report, MAR for one resident, staffing schedule for the date of June 29 2025, meal schedule. Continued on LIC809-C Based on evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview was conducted and the report was provided to licensee Linda O’Sullivan. At the time of the case management visit, an immediate civil penalty of $500 shall be assessed for a violation of California Code of Regulations § 87411(a) and is documented on the attached LIC421. The licensee has been informed that a civil penalty is under review and may be assessed at a future date according to Health and Safety Code §1569.49.