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The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The 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 staff’s failure to address and update resident (R1) care plan to R1’s known fall risk, seek timely medical treatment for resident (R1), after R1 sustained multiple falls while in care, from the night of January 14, 2025, until EMS were contacted on January 16, 2025, which resulted in R1 being transported to the hospital, ICU admission, and subsequent hospitalization.
Today, 07/30/2026, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49(f) for a violation that the Department determines constitutes as serious bodily injury in the amount of $10,000. However, since an immediate civil penalty of $500 was previously issued on May 13, 2025, the amount of the civil penalty issued today will be $9,500.
Exit interview conducted. A copy of the report issued. Appeal rights provided. Facility Representative signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.
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