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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603436
Report Date: 04/16/2026
Date Signed: 04/16/2026 11:24:22 AM

Document Has Been Signed on 04/16/2026 11:24 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:HIGHPOINTE CARE - FRENCH LANEFACILITY NUMBER:
198603436
ADMINISTRATOR/
DIRECTOR:		STEWART, REUBENFACILITY TYPE:
735
ADDRESS:430 FRENCH LN.TELEPHONE:
(562) 682-0946
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 4CENSUS: 3DATE:
04/16/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:07 AM
MET WITH:Bilikisu Jinadu, DSPTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
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Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced Case Management- Deficiencies visit regarding a complaint reported on 08/14/25 about a client sustaining a fracture. LPA Gonzalez met with Bilikisu Jinadu, DSP and explained the reason for the visit.

During the course of the investigation related to Complaint Control Number: 28-AS-20250814095323, the Department interviews revealed facility staff were neglectful as they failed to report C1’s fall sustained that was on 02/12/25. As a result, there was no change to C1’s care plan by a medical professional. Per C1’s Primary Care Physician (PCP), they did not receive any report from the facility for the fall C1 sustained on 02/12/25. Per C1’s PCP, any fall or accident is classified as a change of condition. If there is a change of condition, the PCP must be made aware. PCP added had the facility reported C1’s fall on 02/12/25, it was possible that an adjustment to C1’s care plan may have prevented C1’s fall on 08/08/25 that caused a nasal fracture. The Department interview with S4 revealed that S4 admitted to staff not reporting C1’s fall on 02/12/25. S4 added there was no change in C1’s care plan by a medical professional for any fall prevention between the fall on 02/12/25 or the fall on 08/08/25. LPA Gonzalez reviewed facility file for special incident reports submitted to CCL and confirmed no SIR was submitted for the 02/12/25 fall of C1.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed is indicated on the LIC809D page. Additionally, an immediate $500 civil penalty is being assessed today, due to client sustained a fracture while in care. (Refer to LIC421IM)

Exit interview held, and a copy of the report along with appeal rights were provided to Bilikisu Jinadu, DSP

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Blanca Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 04/16/2026 11:24 AM - It Cannot Be Edited


Created By: Blanca Gonzalez On 04/16/2026 at 10:08 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: HIGHPOINTE CARE - FRENCH LANE
FACILITY NUMBER: 198603436

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2026
Section Cited
CCR
85075.4(c)

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85075.4 Observation of the Client (c) The licensee shall bring observed changes, including but not limited to unusual weight gains or losses, or deterioration of health condition, to the attention of the client's physician and authorized representative, if any.
This standard is not met as evidence by:
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An updated care plan prepared by PCP was already submitted to licensing.
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Based on interviews with C1’s PCP, they did not receive any report from the facility for the fall C1 sustained on 02/12/25, any fall or accident is classified as a change of condition. If there is a change of condition, the PCP must be made aware. PCP added had the facility reported C1’s fall on 02/12/25, it was possible that an adjustment to C1’s care plan may have prevented C1’s fall on 08/08/25 that caused a nasal fracture.
This posed a potential health and safety risk to clients in care.
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Type B
04/23/2026
Section Cited
CCR80061(a)(1)(E)

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80061 Reporting Requirements (a)Each licensee or applicant shall furnish to the licensing agency reports as required by the Department, including, but not limited to, those specified in this section. (1) Events reported shall include the following: (E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client.
This standard is not met as evidence by:
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Staff agreed to submit an SIR for C1's fall that occured 02/12/25.
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S4 admitted to staff not reporting C1’s fall on 02/12/25. LPA Gonzalez reviewed facility file for special incident reports submitted to CCL and confirmed no SIR was submitted for the 02/12/25 fall of C1.This posed a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Blanca Gonzalez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2026


LIC809 (FAS) - (06/04)
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