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This web site is in no manner affiliated with any Kaiser entity and the for profit Permanente
Permission is granted to mirror this web site -
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fines.kaiserpapers.org

CALIFORNIA REGULATORY FINES - KAISER PERMANENTE

Not all fines are listed here.  As time is available news ones are placed on this page.
DMHC and California Department of Public Health Fines Stored here
Jan 10, 2016 - A former top regulator for the state who was involved in an audit of Kaiser Permanente before going to work for the HMO has admitted she acted improperly and has agreed to pay a fine, according to documents released Monday.

Marcella Faye Gallagher was supervising attorney for the state’s Department of Managed Health Care while it audited Kaiser to make sure the HMO’s mental health plan complied with state law by providing timely access to services.
http://www.latimes.com/politics/la-pol-ca-marcella-gallagher-kaiser-fppc-fine-20160111-story.html


Patrick McGreevyContact Reporter

Dec. 3, 2015
- Cal/OSHA today cited Kaiser Foundation Hospitals in Vallejo $149,900 for exposing workers to injury and infection from used needles at the hospital's collection box for biomedical waste.   Originally Posted here:

http://www.prnewswire.com/news-releases/calosha-cites-kaiser-149900-
for-exposing-employees-to-infectious-disease-collection-box-for-used-needles-frequently-overflowed-300187954.html


Mirrored for historical purposes here:
http://fines.kaiserpapers.org/california/dec-3-2015.html


- California orders Kaiser to stop denying physical, occupational and speech therapy to certain patients
mirrored for historical purposes here


June 2013 -- Kaiser Hit with 4 Million Dollar Fine for Behavioral/Mental Health Issues
http://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055bh031813.pdf

- Kaiser Mental Health Final Report of Routine Medical Survey

January 2012 Non-Routine Medical Survey conducted by the California Department of Managed Health Care - Pertaining to Ambulance/Transport Services and patient reporting of denial of service.This survey took two years to prepare and appears to be thorough.  Numerous complaints were investigated and are cited in the report.  
You may read the DMHC Report in clear English here:
You may read Kaiser's response to the DMHC Survey here:

December 09, 2011 -
Kaiser fined over vaccine monitoring
http://fines.kaiserpapers.org/december-2011-vaccine-monitoring.html

Medication Storage Error Affects Thousands of Kaiser Patients
Dec. 8, 2011 -
Two patients who had received compromised pneumonia vaccines later died from the illness
By Katharine Mieszkowski
http://fines.kaiserpapers.org/medication-storage-error-affects-thousands-of-kaiser-patients-dec-2011.html

Kaiser Foundation Hospital in Fontana faces two fines totaling $75,000 - April 2010
Source: Mercury News

June 4, 2007
"Review of Vendor Rebates Paid to Hospitals-Kaiser Foundation Hospitals and Health Plans, Inc., Oakland, California (A-05-07-00051)

The objective of the review was to determine whether Kaiser Foundation Hospitals and Health Plans, Inc. (the provider) reduced costs reported on its fiscal year 2003 Medicare cost report by the $35,438 vendor rebate it received.  The provider did not reduce costs reported on its fiscal year 2003 Medicare cost report by the $35,438 rebate, contrary to Federal regulations and CMS guidance.

...recommended that the provider (1) revise and resubmit its 2003 Medicare cost report, if not already settled, to properly reflect the $35,438 rebate as a credit reducing its health care costs and (2) consider performing a self-assessment of its internal controls to ensure that future vendor rebates are properly credited on its Medicare cost reports.  The provider agreed
http://oig.hhs.gov/oas/reports/region5/50700051.htm

April 15, 2003 Kaiser Foundation Hospital –Sunset, Los Angeles, California, agreed to pay $20,000 to resolve its liability for CMPs under the patient dumping statute. The OIG alleged that Kaiser was a hospital that had specialized capabilities or facilities that refused to accept the transfer from another hospital of an 83-year-old patient needing Kaiser’s capabilities for coronary bypass surgery. The OIG alleged that Kaiser’s cardiac surgeon refused to accept the transfer saying that the patient was too unstable to transfer and that he was going to die anyway. The patient was transferred to another hospital where he underwent successful surgery and was discharged.

December 05, 2005 Kaiser Foundation Hospital, California, agreed to pay $20,000 to resolve its liability for CMPs under the patient dumping statute.


Sanction levied against Kaiser Permanente Sunset Facility by the County of Los Angeles, Department of Health Services on behalf of the Federal Government
http://horror.kaiserpapers.org/heart/512.html

Department of Health and Human Services - October 25, 2007 Survey report on Kaiser Foundation Hospital Fresno.  The Kaiser plan of correction was denied by CMS as of February 1, 2008.  A new Plan of Correction by Kaiser is due to CMS by February 8, 2008.


It clearly states that once again, that an investigation was initiated by the reporting of The Los Angeles Times.  The report states that when articles, such as this appear, it is necessary a regulatory investigation of the event mentioned in the article occurs.  -  This means that if the only reason the government investigated this facility was because of The Los Angeles Times, how many dozens of other hospitals or medical facilities are the same or worse but are not investigated because there is no large scale publicity?  NOTE:  This is a large document.  If it does not readily open online for you I suggest that you right click with your mouse and "save link as" to download it to your computer.

http://kaiserpapers.org/pdfs/cmsfresnrecdfeb2008.pdf


Kaiser Told to Reinstate Coverage
Regulators' action in a kidney patient's case comes as scrutiny over cancellations grows.
By Lisa Girion, Times Staff Writer
October 19, 2006
State regulators for the first time have ordered a health plan to reinstate the insurance coverage of a patient whose policy was ruled to have been illegally canceled.
http://www.latimes.com/business/la-fi-kaiser19oct19,1,3274480.story?coll=la-headlines-business&track=crosspromo
mirrored at:
http://californianews.kaiserpapers.org/oct192006.html

Kaiser says it will finally pay fine of $1,000,000.00 levied by Department of Managed Health Care in 2000./Nov. 2002     http://fines.kaiserpapers.org/kaiser1milliondollarfine.html

Kaiser fined1/2 Million Dollars by DMHC in California for death of 19 year old for denial of medical treatment
http://fines.kaiserpapers.org/november15.html


1999 - Karl Jacobs and Tami Michelle Cope appeared before the Southern Compliance Committee
as the result of an investigation that revealed that Kaiser Hospital Pharmacy incorrectly filled

narcotic requisitions, and pharmacy staff did not follow the pharmacy’s policy and procedures.

http://fines.kaiserpapers.org/karltami.html

1998 Kaiser Cited Again For ImproperUse Of Unlicensed Surgical Technicians!!!
CNA received written notice from the DHS that they had issued another Statement of Deficiencies (SOD) against Kaiser-Sacramento (Morse Ave.) facility for their improper use of unlicensed surgical technicians. Kaiser was using the unlicensed technicians as first assistants during orthopedic procedures. Nurses reported numerous eye-witness accounts of unlicensed technicians suturing, cutting tissue, using a bovie on vessels, and drilling pins and screws. The hospital was cited in 1996 for allowing the unlicensed technician to administer marcaine into the joints of patients in the OR.

http://horror.kaiserpapers.org/cnatechno.html


1998 Kaiser Permanente Hospital in Santa Rosa has been cited by the state Department of Health Services for allowing a technician to perform medical procedures during orthopedic operations.

The Santa Rosa hospital is the third Kaiser facility to be cited by the state for using an unlicensed assistant during operations. Kaiser hospitals in Sacramento and in San Jose were also cited by the agency, which licenses and regulates the state's hospitals.

The investigation of Kaiser in Santa Rosa, conducted in June and completed Aug. 7, revealed that the hospital's four orthopedic surgeons were using an orthopedic assistant, who is a technician, to perform such procedures as suturing deep tissue wounds, placing pins in bones and cauterizing veins.
http://horror.kaiserpapers.org/cnamoreunlicen.html


1998  The death investigation of 7 - year - old Gregory McCan was the latest in a string of state queries into patient deaths, emergency room delays and other problems at Kaiser facilities in the East Bay.
http://californianews.kaiserpapers.org/gregorymccan.html


Kaiser Radiation Event 1999 Los Angeles
May 24, 1999 
U.S. Nuclear Regulatory Commission
Operations Center
L.A. COUNTY DEPT OF HEALTH SERVICES |NOTIFICATION DATE: 05/21/1999
LICENSEE: KAISER PERMANENTE MED CARE PROGRAM

THERAPEUTIC MEDICAL MISADMINISTRATION AT KAISER PERMANENTE MEDICAL CARE |
| PROGRAM OF SOUTHERN CALIFORNIA. |
| |
| A PATIENT WAS SCHEDULED FOR THREE THERAPEUTIC TREATMENTS FOR CANCER OF THE |
| CERVIX USING THE HIGH DOSE RATE AFTERLOADER. PRIOR TO THE INITIATION OF THE |
| FIRST TREATMENT ON 04/23/99, THE AUTHORIZED USER MADE A "LAST MINUTE" CHANGE |
| IN THE TREATMENT PLAN WITH RESPECT TO THE SOURCE TRAVEL DISTANCE. AFTER THE |
| CHANGE WAS MADE, THE SETUP CALLED FOR THE SOURCE TO BEGIN AT 989 |
| MILLIMETERS. THE PHYSICIST, HOWEVER, SET UP THE UNIT SO THAT THE SOURCE |
| BEGAN ITS TRAVEL AT 889 MILLIMETERS. PRIOR TO INITIATION OF THE TREATMENT, |
| THE AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THIS |
| TREATMENT PLAN. THE PATIENT WAS THEN TREATED. THE SOURCE TRAVEL DISTANCE |
| WAS 100 MILLIMETERS SHORTER THAN THE TREATMENT PLAN REQUIRED, AND DIFFERENT |
| FROM THAT INTENDED. IT WAS NOT NOTED DURING OR AFTER COMPLETION OF THIS |
| TREATMENT. |
| |
| THE SECOND TREATMENT OCCURRED ON 04/30/99. A SECOND PHYSICIST, WITHOUT |
| VERIFYING THE ACCURACY OF THE FIRST TREATMENT, SET UP THE SECOND TREATMENT |
| USING THE SAME PARAMETERS, A TRAVEL DISTANCE OF 894 MILLIMETERS. THE |
| AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THE SECOND |
| TREATMENT PLAN. THE TREATMENT WAS ADMINISTERED TO A DIFFERENT LOCATION THAN |
| INTENDED. THE ERROR WAS NOT NOTED PRIOR TO, DURING, OR AFTER THIS |
| TREATMENT. |
| |

| THE THIRD TREATMENT PERFORMED ON 05/07/99 BY A THIRD PHYSICIST WHO SET UP |
| THE PARAMETERS CORRECTLY, AS PLANNED (TRAVEL DISTANCE OF 994 MILLIMETERS) |
| WAS COMPLETED WITHOUT INCIDENT. |
| |
| THE THIRD PHYSICIST PERFORMED A CHART REVIEW ON 05/11/99 AND FOUND THE ERROR |
| IN THE 04/23/99 AND 04/30/99 TREATMENTS AND NOTIFIED THE RADIATION THERAPY |
| ADMINISTRATOR AND CHIEF OF SERVICE. |
| |
| THE REGIONAL RADIATION SAFETY OFFICER (RSO) WAS NOTIFIED ON 05/17/99 BY THE |
| SITE RSO IN VIOLATION OF THE REQUIRED 4 HOUR NOTIFICATION TIME. |
| |
| THE PATIENT AND HIS REFERRING PHYSICIAN WERE NOTIFIED OF THIS INCIDENT ON |
| 05/18/99. |
| |
| A COMPLETE INVESTIGATION OF THESE INCIDENTS, INCLUDING A DOSE ASSESSMENT, |
| AND THE DEVELOPMENT OF AN ACTION PLAN TO PREVENT FURTHER OCCURRENCES WILL BE |
| MADE.
http://www.nrc.gov/reading-rm/doc-collections/event-status/event/1999/19990524en.html





Kaiser on average pays the State of California Department of Managed Health Care a little over $1,000,000.00 per year in fines.

In comparison for the 7 years that DMHC has been in existence - :  Aetna was ordered to pay - $ 385,375.00; Healthnet - $ 972,500.00; Blue Cross - [taking into consideration that 3 documents are missing and one was found misfiled in the Health Net section, so some data is missing] - $1,309,000.00; Blue Shield - [again some documents could not be located as indexed on the DMHC web site] - $487,500.00.  This was written in 2007 - the talley is considerably higher now.  It is also outrageous.  If these companies were to conduct themselves honestly, there would not be half the problems that have been revealed.

   California Fines and Santions
DMHC Fines         Department of Public Health


California Fines and Sanctions(67+) roughly -
$8,267,500.00

City of Los Angeles Fines
$555,000.00


The Kaiser Foundation Rehabilitation Center in Vallejo has been fined $25,000 after staff members last year left a sponge inside a surgical patient.  The Department of Public Health Report was completed in December of 2008.
See:  
The Vacaville Reporter Newspapers also reported on this incident:
which is also mirrored for historical purposes at:  http://californianews.kaiserpapers.org/sponge.html

2010 Doc located here

Source:CA Dept of Public Health Document

2009 Doc located here:




Health Document


The California Department of Public Health reported that Kaiser Permanente Hospital in Bellflower has been assessed an administrative penalty of
$187,500 after determining the facility failed to prevent unauthorized access to confidential patient medical information.
See story by clicking
or mirrored for historical purposes here:  http://fines.kaiserpapers.org/nadia2.html


Kaiser hospital fined $250,000 for privacy breach in octuplet case
The Bellflower facility, where 23 unauthorized workers accessed Nadya Suleman's records, is the first to be monetarily penalized under a new state law. By Charles Ornstein - May 14, 2009
See: 
mirrored for historical purposes at:  http://fines.kaiserpapers.org/octomom.html


August 28, 2007 -  Kaiser Permanente Riverside - 10800 MAGNOLIA AVENUE, RIVERSIDE, CA 92505 RIVERSIDE COUNTY
On August 23, 2007, at 5:22 PM, Immediate
Jeopardy    (IJ)   was    identified regarding the
Pharmaceutical Services. The IJ was abated on
August 23, 2007, at 6:40 PM.

Source:  
, click the "Certificates & Licenses" tab at the top and select the "Health Care Facilities" link.

1-/26/07 - Department of Public Health on Kaiser Permanente regarding the Santa Clara Hospital fine of $25,000 at:
http://www.cdph.ca.gov/certlic/facilities/Documents/2567KaiserFoundation.pdf
and
http://californianews.kaiserpapers.org/pdfs/2567KaiserFoundation.pdf
text version of the above pdf file is at:
http://californianews.kaiserpapers.org/kaiserpermanentesantaclaratextfine.html

For a complete list of DMHC enforcement actions against Kaiser please see this very lengthy list at: http://www.dmhc.ca.gov

$2,500.00
July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23251.pdf

$5,000.00
July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24017.pdf

$3,000,000.00
July 30, 2007
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24139.pdf

July 30, 2007
Kaiser Foundation Health Plan, Inc: Consent Agreement Re: Oversight of Quality Assurance Programs, July 30, 2007
http://www.dmhc.ca.gov/library/enforcements/noteworthy/enf_notew.asp

$250,000.00
May 3, 2007
Kaiser Foundation Health Plan, Inc: Letter of Agreement Re:Reasonable Person Standard for ER Claims, May 3, 2007
http://www.dmhc.ca.gov/library/enforcements/actions/055/22560.pdf

$7,500.00
April 18, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23092.pdf

$225,000.00
March 1, 2007
Kaiser Foundation Health Plan, Inc.:  Letter of Agreement Re:  Post Claims Underwriting, March 1, 2007
On March 1, 2007, Kaiser and the Department entered into a second Letter of Agreement
wherein Kaiser agreed to pay $225,000 for a wrongful rescission where an internal data
input error caused the wrongful rescission of the member’s coverage. The member
disclosed several pre-existing conditions and a Kaiser employee omitted a disclosure of
kidney stones. It was this initial defect in Kaiser’s underwriting process that led to
wrongful rescission of the enrollee’s coverage. As a result, Kaiser failed to properly
complete medical underwriting and also failed to prove that the member willfully
misrepresented his health history before rescinding coverage in violation of section
1389.3 of the Knox-Keene Act.
http://www.dmhc.ca.gov/library/enforcements/actions/055/22337.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf

$2,500.00
February 21, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/22113.pdf

$100,000.00
December 13, 2006
Kaiser Foundation Health Plan, Inc.:  Letter of Agreement Re:  Post Claims Underwriting, December 13, 2006
On December 13, 2006, the Department and Kaiser entered into a Letter of Agreement to
settle a wrongful rescission case where Kaiser rescinded a member for failing to disclose
signs and symptoms of epilepsy when the member had never been formally diagnosed.
Kaiser contested liability in the case but agreed to pay a $100,000 penalty to settle the
matter.
http://www.dmhc.ca.gov/library/enforcements/actions/055/21519.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf

October 6, 2006
Kaiser Foundation Health Plan, Inc.:  Order To Reinstate Enrollee's Health Care Coverage - October 6, 2006
On October 6, 2006, the Department ordered Kaiser to reinstate a member who had been
covered under a Kaiser group-plan for 20 years. During that time Kaiser treated her for
arm and neck pain and filled her prescriptions through its pharmacies. Thus, it was on
notice of her arm and neck condition at the time she applied for individual coverage.
Nevertheless, Kaiser rescinded the member’s coverage because she did not disclose her
neck and arm pain even though the enrollee reasonably believed Kaiser was aware of the
condition. The member also had a congenital kidney disease and contacted the
Department at a time when she was uninsured and believed she would need emergency
care for the kidney condition. Because Kaiser was on notice of the member’s arm and
neck pain at the time it approved her application, the Department ordered Kaiser to
reinstate her coverage to allow her to obtain medically necessary services for her kidney
condition.
http://www.dmhc.ca.gov/library/enforcements/actions/055/doc000.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf


$2,500.00
September 12, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20819.pdf

$5,000.00
September 8, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19496.pdf

$5,000.00
August 21, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20480.pdf

$7,500.00
August 18, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20271.pdf

$2,000,000.00
(Kidney Transplant Services 06-162)
August 9, 2006
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20533_2.pdf

$5,000.00
March 7, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/18550.pdf

 (Kidney Transplant Services 06-162)
May 12, 2006
Order re: Kaiser Foundation Hospitals' San Francisco Kidney Transplant Medical Center
http://www.dmhc.ca.gov/library/enforcements/actions/055/19793.pdf

 (Kidney Transplant Services 06-162)
May 10, 2006
Stipulated Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19729.pdf

$2,500.00
April 24, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19390.pdf

 April 4, 2006
ORDER RE: COMPLIANCE WITH California Code of Regulations, title 28, section 1300.65(c)(4)
http://www.dmhc.ca.gov/library/enforcements/actions/055/19412.pdf

$2,500.00
December 6, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/17902.pdf

$200,000.00
$25,000.00 carry over from violation levied in 2001 and no longer reflected on the DMHC website but is referenced in this document.
July 18, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16686.pdf

$2,500.00
Handling of Grievance 05-189)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16273.pdf

$5,000.00
(Handling of Grievance 05-188)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16233.pdf

$10,000.00
April 28,2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf

$2,500.00
April 11, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15439.pdf
 (Order against former Kaiser employee 05-081)
April, 15, 2005
Amended Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/16009.pdf

 March 17, 2005
Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf

$5,000.00
February 25, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf

$2,500.00
January 7, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf

$5,000.00
December 7, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13663.pdf

$5,000.00
(Handling of Grievance 04-162)
October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf

$5,000.00
October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf

$2,500.00
(Handling of Grievance 04-119)
August 4, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/12069.pdf

$2,500.00
(Handling of Grievance 04-039)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10842.pdf

$2,500.00
(Handling of Grievance 04-037)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10844.pdf

$2,500.00
(Handling of Grievance 03-423)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10670.pdf

$2,500.00
(Handling of Grievance 03-422)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10732.pdf

$2,500.00
(Handling of Grievance 03-421)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10737.pdf

$2,500.00
(Handling of Grievance 03-230)
December 16, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10108.pdf

$10,000.00
(Handling of Grievance 03-185)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10095.pdf

$7,500.00
(Handling of Grievance 03-186, 03-187, and 03-188)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10096.pdf

$2,500.00
(Handling of Grievance 03-350)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10097.pdf

$2,500.00
(Handling of Grievance 03-352)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/97142.pdf
$10,000.00
(Handling of Grievance 03-119)
October 9, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/9045.pdf

$40,000.00
(Handling of Grievance 03-085)
August 28, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8986.pdf

$50,000.00
(Handling of Grievance 02-084)
June 13, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8126.pdf

$1,000,000.00
Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf

$1,100,000.00 - $100,000.00 later removed and above referrenced item - payment made.
November 15, 2002
Stipulation, Decision, and Order
http://www.dmhc.ca.gov/library/enforcements/actions/055/6053.pdf

$5,000.00
November 15, 2002
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/5636.pdf

$100,000.00
(Adopting IMR Decision 01-047, 02-033)
August 26, 2002
Letter of Agreement: Home Health Care
http://www.dmhc.ca.gov/library/enforcements/actions/055/5086.pdf

 (Kaiser Foundation Health Plan, Inc. v. Daniel Zingale)
June 27, 2002
Court of Appeal Opinion
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra020727.pdf

$110,000.00
Kaiser Foundation Health Plan (Timothy Waters)
May 24, 2002
Stipulated Settlement Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/4192.pdf

 March 19, 2002
Cease and Desist Orderhttp://kaiserpapers.org/images
http://www.dmhc.ca.gov/library/enforcements/actions/055/3695.pdf

$5,000.00
(Handling of Grievance 01-156)
November 16, 2001
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/2459.pdf

$5,000.00
(Handling of Grievance 01-143)
November 16, 2001
Letter of Agreement
(Handling of Grievance 04-162)
http://www.dmhc.ca.gov/library/enforcements/actions/055/2420.pdf

$500,000.00
November 15, 2001
Accusation and Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/2331.pdf

 (Prescription Drug Benefits 00-245)
July 6, 2001
Ruling on Submitted Matter
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra_ruling.pdf

$25,000.00
Kaiser Foundation Health Plan (KP On-line)
December 27, 2000
Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/001227.pdf

Kaiser Permanente faces record fine
By Tracy Weber and Charles Ornstein, Times Staff Writer
9:09 PM PDT, July 25, 2007
LOS ANGELES -- Kaiser Permanente will be assessed a record fine Thursday for its haphazard investigations of questionable care, physician performance and patient complaints at its California hospitals, state HMO regulators said Wednesday.

The California Department of Managed Health Care said it will levy a $3 million fine against Kaiser, the largest health maintenance organization in the state, with 29 medical centers and more than 6 million members. If Kaiser makes necessary improvements, agency director Cindy Ehnes said, she will forgive $1 million of that.
http://www.latimes.com/news/local/la-me-kaiser26jul26,0,351981,full.story?coll=la-home-center

From DMHC http://www.dmhc.ca.gov/aboutTheDMHC/gen/ann/ann_prkaiserqap.asp
FINAL REPORT
http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055full072607.pdf
in html/text form at:



Kaiser Told to Reinstate Coverage
Regulators' action in a kidney patient's case comes as scrutiny over cancellations grows.
By Lisa Girion, Times Staff Writer
October 19, 2006
State regulators for the first time have ordered a health plan to reinstate the insurance coverage of a patient whose policy was ruled to have been illegally canceled.
http://www.latimes.com/business/la-fi-kaiser19oct19,1,3274480.story?coll=la-headlines-business&track=crosspromo
mirrored at: http://californianews.kaiserpapers.org/oct192006.html

Kaiser says it will finally pay fine of $1,000,000.00 levied by Department of Managed Health Care in 2000./Nov. 2002     http://fines.kaiserpapers.org/kaiser1milliondollarfine.html

Kaiser fined1/2 Million Dollars by DMHC in California for death of 19 year old for denial of medical treatment
http://fines.kaiserpapers.org/november15.html

1999 - Karl Jacobs and Tami Michelle Cope appeared before the Southern Compliance Committee
as the result of an investigation that revealed that Kaiser Hospital Pharmacy incorrectly filled
narcotic requisitions, and pharmacy staff did not follow the pharmacy’s policy and procedures.
http://fines.kaiserpapers.org/karltami.html

1998 Kaiser Cited Again For ImproperUse Of Unlicensed Surgical Technicians!!!
CNA received written notice from the DHS that they had issued another Statement of Deficiencies (SOD) against Kaiser-Sacramento (Morse Ave.) facility for their improper use of unlicensed surgical technicians. Kaiser was using the unlicensed technicians as first assistants during orthopedic procedures. Nurses reported numerous eye-witness accounts of unlicensed technicians suturing, cutting tissue, using a bovie on vessels, and drilling pins and screws. The hospital was cited in 1996 for allowing the unlicensed technician to administer marcaine into the joints of patients in the OR.
http://horror.kaiserpapers.org/cnatechno.html

1998 Kaiser Permanente Hospital in Santa Rosa has been cited by the state Department of Health Services for allowing a technician to perform medical procedures during orthopedic operations.

The Santa Rosa hospital is the third Kaiser facility to be cited by the state for using an unlicensed assistant during operations. Kaiser hospitals in Sacramento and in San Jose were also cited by the agency, which licenses and regulates the state's hospitals.

The investigation of Kaiser in Santa Rosa, conducted in June and completed Aug. 7, revealed that the hospital's four orthopedic surgeons were using an orthopedic assistant, who is a technician, to perform such procedures as suturing deep tissue wounds, placing pins in bones and cauterizing veins.
http://horror.kaiserpapers.org/cnamoreunlicen.html

1998  The death investigation of 7 - year - old Gregory McCan was the latest in a string of state queries into patient deaths, emergency room delays and other problems at Kaiser facilities in the East Bay.
http://californianews.kaiserpapers.org/gregorymccan.html

Kaiser Radiation Event 1999 Los Angeles
May 24, 1999 
U.S. Nuclear Regulatory Commission Operations Center
L.A. COUNTY DEPT OF HEALTH SERVICES |NOTIFICATION DATE: 05/21/1999
LICENSEE: KAISER PERMANENTE MED CARE PROGRAM

THERAPEUTIC MEDICAL MISADMINISTRATION AT KAISER PERMANENTE MEDICAL CARE |
| PROGRAM OF SOUTHERN CALIFORNIA. |
| |
| A PATIENT WAS SCHEDULED FOR THREE THERAPEUTIC TREATMENTS FOR CANCER OF THE |
| CERVIX USING THE HIGH DOSE RATE AFTERLOADER. PRIOR TO THE INITIATION OF THE |
| FIRST TREATMENT ON 04/23/99, THE AUTHORIZED USER MADE A "LAST MINUTE" CHANGE |
| IN THE TREATMENT PLAN WITH RESPECT TO THE SOURCE TRAVEL DISTANCE. AFTER THE |
| CHANGE WAS MADE, THE SETUP CALLED FOR THE SOURCE TO BEGIN AT 989 |
| MILLIMETERS. THE PHYSICIST, HOWEVER, SET UP THE UNIT SO THAT THE SOURCE |
| BEGAN ITS TRAVEL AT 889 MILLIMETERS. PRIOR TO INITIATION OF THE TREATMENT, |
| THE AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THIS |
| TREATMENT PLAN. THE PATIENT WAS THEN TREATED. THE SOURCE TRAVEL DISTANCE |
| WAS 100 MILLIMETERS SHORTER THAN THE TREATMENT PLAN REQUIRED, AND DIFFERENT |
| FROM THAT INTENDED. IT WAS NOT NOTED DURING OR AFTER COMPLETION OF THIS |
| TREATMENT. |
| |
| THE SECOND TREATMENT OCCURRED ON 04/30/99. A SECOND PHYSICIST, WITHOUT |
| VERIFYING THE ACCURACY OF THE FIRST TREATMENT, SET UP THE SECOND TREATMENT |
| USING THE SAME PARAMETERS, A TRAVEL DISTANCE OF 894 MILLIMETERS. THE |
| AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THE SECOND |
| TREATMENT PLAN. THE TREATMENT WAS ADMINISTERED TO A DIFFERENT LOCATION THAN |
| INTENDED. THE ERROR WAS NOT NOTED PRIOR TO, DURING, OR AFTER THIS |
| TREATMENT. |
| |
| THE THIRD TREATMENT PERFORMED ON 05/07/99 BY A THIRD PHYSICIST WHO SET UP |
| THE PARAMETERS CORRECTLY, AS PLANNED (TRAVEL DISTANCE OF 994 MILLIMETERS) |
| WAS COMPLETED WITHOUT INCIDENT. |
| |
| THE THIRD PHYSICIST PERFORMED A CHART REVIEW ON 05/11/99 AND FOUND THE ERROR |
| IN THE 04/23/99 AND 04/30/99 TREATMENTS AND NOTIFIED THE RADIATION THERAPY |
| ADMINISTRATOR AND CHIEF OF SERVICE. |
| |
| THE REGIONAL RADIATION SAFETY OFFICER (RSO) WAS NOTIFIED ON 05/17/99 BY THE |
| SITE RSO IN VIOLATION OF THE REQUIRED 4 HOUR NOTIFICATION TIME. |
| |
| THE PATIENT AND HIS REFERRING PHYSICIAN WERE NOTIFIED OF THIS INCIDENT ON |
| 05/18/99. |
| |
| A COMPLETE INVESTIGATION OF THESE INCIDENTS, INCLUDING A DOSE ASSESSMENT, |
| AND THE DEVELOPMENT OF AN ACTION PLAN TO PREVENT FURTHER OCCURRENCES WILL BE |
| MADE.
http://www.nrc.gov/reading-rm/doc-collections/event-status/event/1999/19990524en.html

DMHC for the State of California Enforcement Actions Against Kaiser Permanete

This case is brought pursuant to the provisions of the Knox-Keene Health Care Service Plan Ac t of 1975, as amended (the "Act")1 based on the failure by Kaiser Foundation Health Plan, Inc. ("Kaiser"), the largest health care service plan in California, to provide three (now deceased) Kaiser enrollees, Margaret Utterback, Wolfgang Spunbarg, and James West with care and services as mandated by the Act.

Also at: http://www.hmohelp.ca.gov/library/enforcements
and
$1,000,000.00
Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
and
http://fines.kaiserpapers.org/enforcement.html

 Kaiser Fined for Phlebotomy Practices, Policies; Safety Needles Called Ineffective
http://fines.kaiserpapers.org/bloodletter.html

Department of Health Services Sanction Against Kaiser Permanente Santa Clara
http://kaiserpapers.org/pdfs/kaiserDHSReport.pdf
21 pages

Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations
Numerous deficiencies were found in all inspected facilities
http://businesspractices.kaiserpapers.org/1989.html

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