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25 | Licensing Program Analyst, Lavinia Muscan arrived on September 17, 2026, for an unannounced inspection. LPA met with facility representative, Lighthouse Director Jennifer Hinch, to follow up on substantiated allegations of neglect which resulted from a complaint investigation.
On April 8, 2025, the Department concluded a complaint investigation regarding the following allegations: Neglect/lack of care and supervision resulted in residents in care sustaining multiple falls with serious injuries, Staff failed to seek timely medical attention for resident, and Questionable Death.
The licensee was cited for California Code of Regulations (CCR) Title 22, § 87465(g) Timely Medical, and CCR Title 22, § 87466 Observation of the Resident.
At the time of the case management inspection on April 8, 2025, an immediate civil penalty of $500.00 was issued and the licensee was informed that an additional civil penalty may be assessed based on 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. The Welfare and Institutions Code Section 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 facility staff’s failure to obtain timely medical care and treatment for Resident (R2), after R2 sustained an unwitnessed fall while in care resulting in R2 suffering undue physical pain prior to R2’s surgical procedure for diagnosed hip fracture and subsequent hospitalization.
Today, September 17, 2026, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49 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 April 8, 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. Lighthouse Director Jennifer Hinch and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.
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