496803639-3-12-2025-21-AS-CCOO-DEPSV2-20250312141201

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 496803639
Report Date: 03/12/2025
Date Signed: 03/12/2025 02:12:12 PM

Document Has Been Signed on 03/12/2025 02:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	PEOPLE'S CARE CHARMIAN		FACILITY NUMBER:	496803639
ADMINISTRATOR/ DIRECTOR:	SEAWRIGHT, PATRICK		FACILITY TYPE:	740
ADDRESS:	5087 CHARMIAN DR		TELEPHONE:	(707) 537-9795
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95409
CAPACITY: 4		CENSUS:	DATE:	03/12/2025
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:24 PM
MET WITH:	Patrick Seawright, Adminstrator		TIME VISIT/ INSPECTION COMPLETED:	02:28 PM

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On 3/12/25 Licensing Program Analyst (LPA) Christi Coppo met with Administrator Patrick Seawright for a Case Management Regional Office meeting to follow up on substantiated complaint allegations; complaint number 21-AS-20240214082730.  

On May 16, 2024, the Department concluded an investigation which alleged that a staff did not seek medical attention for a resident (R1) in a timely manner, and due to staff neglect, R1 sustained a blister on their leg.

The licensee was cited for violating California Code of Regulations (CCR) Title 22, § 87411(a) Personnel Requirements due to staff severe neglect as resident sustained a blister on their leg when staff put a heating pad on their leg. Additional citation was issued under California Code of Regulations (CCR) Title 22, § 87466 Observation of the Resident, Staff did not seek medical attention for resident in a timely manner when change of condition was observed.

At the time of the complaint visit on May 16, 2024, an immediate civil penalty of $500.00 was issued and the licensee was informed that an additional civil penalty might 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. Per 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 putting a heating

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SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: PEOPLE'S CARE CHARMIAN	FACILITY NUMBER: 496803639
	VISIT DATE: 03/12/2025

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pad on R1, causing a blister, later to be identified as a 2^nd degree burn, failing to seek timely medical care once blister was observed and then continuing to not seek timely medical care until after it had burst.

Today, 3/12/25 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. However, since an immediate civil penalty of $500 was previously issued on May 16, 2024, the amount of the civil penalty issued today will be $9,500.

A copy of the LIC 421D was given to Administrator Patrick Seawright and originals were signed.

Exit interview conducted. A copy of the report issued. Appeal rights provided. Administrator Patrick Seawright's signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

LIC809 (FAS) - (06/04)

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