Preview
CM-110
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
David F, Beach (SBN 127135) / Anne C. D'Arcy (SBN 232948)
Perry Johnson Anderson Miller & Moskowitz LLP
438 First Street, 4th Floor
Santa Rosa, CA 95401
TevepHone no: 707-525-8800 FAX NO.(Optiona): 707-545-8242
E-MAIL ADDRESS (Optionay: beach@perrylaw.net / darcy@perrylaw.net
| ATTORNEY FOR (Name): Defendants Beverly Healthcare-California, Inc. dba GLC-Fresno, et al
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Fresno
streetaooress: 1130 O Street
MAILING ADDRESS:
cityano zip cove: Fresno, CA 93722
srancH name: Civil Department, Central Division
PLAINTIFF/PETITIONER: Josie May Brown, individually
DEFENDANT/RESPONDENT: Beverly Healthcare-California, Inc. dba Golden
LivingCenter-Fresno and Beverly Healthcare-California, Inc. dba Golden LivingCenter-Clovis
CASE MANAGEMENT STATEMENT CASE NUMBER:
(Check one): [X] UNLIMITED CASE () Limited CASE 17CECG04065
(Amount demanded (Amount demanded is $25,000
exceeds $25,000) or less)
A CASE MANAGEMENT CONFERENCE is scheduled as follows:
Date: December 10, 2018 Time: 9:00 am Dept: 305 Div.: Room:
Address of court (if different from the address above):
Notice of Intent to Appear by Telephone, by (name): Anne C. D'Arc:
y
INSTRUCTIONS: All applicable boxes must be checked, and the specified information must be provided.
1. Party or parties (answer one):
a. [C] This statement is submitted by party (name):
b. [
(TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY)
(2) Additional signatures are attached.
CM-110 [Rev. July 1, 2014] CASE MANAGEMENT STATEMENT Page 6 of 5
Essential
[Forms
CEB
ceb.com
GOLDEN LIVINGMC-025
SHORT TITLE:
t+ Brown v. Beverly Healthcare-California
CASE NUMBER:
17CECG04065
ATTACHMENT (Number): 6(c)—
(This Attachment may be used with any Judicial Council form.)
Trial/Mediations
Dates
11/19/18-12/05/18
01/15/19
01/23/19
01/28/19-02/11/19
02/11/19
02/15/19-02/22/19
03/11/19
03/21/19
03/25/19-04/08/19
04/03/19
04/12/19-04/17/19
04/17/19
04/19/19-05/03/19
04/22/19-05/06/19
04/25/19
05/01/19
05/03/19-05/14/19
05/13/19-05/24/19
05/17/19-05/31/19
05/31/19-06/07/19
06/07/19
06/14/19-06/27/19
07/08/19
07/19/19-07/31/19
08/09/19-08/21/19
08/21/19
08/26/19
09/09/19-09/20/19
09/23/19-10/11/19
01/13/20-01/22/20
01/17/20
02/13/20-02/28/20
03/18/20
04/17/20-05/01/20
Personal Commitments:
12/22/18-01/04/19
03/01/19-03/17/19
06/10/19-07/05/19
08/09/19-08/19/19
10/01/19-10/31/19
(If the item that this Attachment concems is made under penalty of perjury, all statements in this
Reason
Trial
MSC
MSC
Trial
MSC
Trial
MSC
MSC
Trial
MSC
Trial
MSC
Trial
Trial
MSC
MSC
Trial
Trial
Trial
Trial
MSC
Trial
MSC
Trial
Trial
MSC
MSC
Trial
Trial
Trial
MSC
Trial
MSC
Trial
Attachment are made under penalty of perjury.)
County
Santa Clara
Sonoma
Santa Clara
Santa Clara
Alameda
Sonoma
Sonoma
Sonoma
Alameda
Sonoma
Sonoma
Santa Clara
Sonoma
Santa Clara
San Mateo
Fresno
Sonoma
San Francisco
Fresno
Alameda
Solano
Sonoma
Sonoma
Solano
Sonoma
Mendocino
Alameda
Kern
Alameda
Mendocino
Alameda
Alameda
Alameda
Alameda
Page 1___ of 1__
(Add pages as required)
Form Approved for Optional Use
Judicial Council of California
MC-025 (Rev. July 1, 2009)
CEB | Essential
cebicom | {2|Forms:
ATTACHMENT
to Judicial Council Form
‘www.courtinfo.ca.gov
GOLDEN LIVINGoN a
of
i
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
PROOF OF SERVICE
JOSIE MAE BROWN, individually v. BEVERLY HEALTHCARE — CALIFORNIA, INC. dba
GOLDEN LIVINGCENTER — FRESNO; BEVERLY HEALTHCARE — CALIFORNIA, INC. dba
GOLDEN LIVINGCENTER — CLOVIS, and DOES 1 through 200, inclusive
Fresno County Superior Court Case No. 17CECG04065
STATE OF CALIFORNIA, COUNTY OF SONOMA
I, the undersigned declare:
I am over the age of eighteen (18) years and not a party to the within action. I am an
employee of Perry, Johnson, Anderson, Miller, & Moskowitz, LLP’s and my address is 438 First
Street, 4"" Floor, Santa Rosa, California 95401, which is located in the County of Sonoma.
On the date below indicated, I served on the interested parties in this action the within
documents described as:
e DEFENDANTS BEVERLY HEALTHCARE-CALIFORNIA, INC, dba GOLDEN
LIVINGCENTER — FRESNO and BEVERLY HEALTHCARE ~- CALIFORNIA,
INC. dba GOLDEN LIVINGCENTER — CLOVIS CASE MANAGEMENT
STATEMENT
X_ (BY MAIL) On November 20, 2018, I caused each envelope, with postage thereon fully
prepaid, to be placed in the United States mail at Santa Rosa, California. I am readily
Jamiliar with the business practice for collection and processing of mail in this office; that
in the ordinary course of business said document would be deposited with the US Postal
Service in Santa Rosa on that same day. I understand that service shall be presumed
invalid upon motion of a party served if the postal cancellation date or postage meter date
on the envelope is more than one day after the date of deposit for mailing contained on this
declaration.
PLAINTIFF’S COUNSEL COUNSEL FOR DYCORA
Steven C. Peck TRANSITIONAL HEALTH - CLOVIS LLC
Adam J. Peck dba DYCORA TRANSITIONAL HEALTH
PECK LAW GROUP, APC & LIVING —- CLOVIS
6454 Van Nuys Boulevard, Suite 150 Bryan R. Reid
Van Nuys, CA 91401-1407 James E. Yee
Farbod Faizai
LEWIS BRISBOIS BISGAARD & SMITH
LLP
650 East Hospitality Lane, Suite 600
San Bernardino, CA 92408
I declare under penalty of perjury under the laws of the State of California that the above is
true and correct, and that this declaration was executed on November 20, 2018 at Santa Rosa,
California.
Lourie Rebizzo
1
PROOF OF SERVICE
Preview
CM-110 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY David F, Beach (SBN 127135) / Anne C. D'Arcy (SBN 232948) Perry Johnson Anderson Miller & Moskowitz LLP 438 First Street, 4th Floor Santa Rosa, CA 95401 TevepHone no: 707-525-8800 FAX NO.(Optiona): 707-545-8242 E-MAIL ADDRESS (Optionay: beach@perrylaw.net / darcy@perrylaw.net | ATTORNEY FOR (Name): Defendants Beverly Healthcare-California, Inc. dba GLC-Fresno, et al SUPERIOR COURT OF CALIFORNIA, COUNTY OF Fresno streetaooress: 1130 O Street MAILING ADDRESS: cityano zip cove: Fresno, CA 93722 srancH name: Civil Department, Central Division PLAINTIFF/PETITIONER: Josie May Brown, individually DEFENDANT/RESPONDENT: Beverly Healthcare-California, Inc. dba Golden LivingCenter-Fresno and Beverly Healthcare-California, Inc. dba Golden LivingCenter-Clovis CASE MANAGEMENT STATEMENT CASE NUMBER: (Check one): [X] UNLIMITED CASE () Limited CASE 17CECG04065 (Amount demanded (Amount demanded is $25,000 exceeds $25,000) or less) A CASE MANAGEMENT CONFERENCE is scheduled as follows: Date: December 10, 2018 Time: 9:00 am Dept: 305 Div.: Room: Address of court (if different from the address above): Notice of Intent to Appear by Telephone, by (name): Anne C. D'Arc: y INSTRUCTIONS: All applicable boxes must be checked, and the specified information must be provided. 1. Party or parties (answer one): a. [C] This statement is submitted by party (name): b. [ (TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY) (2) Additional signatures are attached. CM-110 [Rev. July 1, 2014] CASE MANAGEMENT STATEMENT Page 6 of 5 Essential [Forms CEB ceb.com GOLDEN LIVINGMC-025 SHORT TITLE: t+ Brown v. Beverly Healthcare-California CASE NUMBER: 17CECG04065 ATTACHMENT (Number): 6(c)— (This Attachment may be used with any Judicial Council form.) Trial/Mediations Dates 11/19/18-12/05/18 01/15/19 01/23/19 01/28/19-02/11/19 02/11/19 02/15/19-02/22/19 03/11/19 03/21/19 03/25/19-04/08/19 04/03/19 04/12/19-04/17/19 04/17/19 04/19/19-05/03/19 04/22/19-05/06/19 04/25/19 05/01/19 05/03/19-05/14/19 05/13/19-05/24/19 05/17/19-05/31/19 05/31/19-06/07/19 06/07/19 06/14/19-06/27/19 07/08/19 07/19/19-07/31/19 08/09/19-08/21/19 08/21/19 08/26/19 09/09/19-09/20/19 09/23/19-10/11/19 01/13/20-01/22/20 01/17/20 02/13/20-02/28/20 03/18/20 04/17/20-05/01/20 Personal Commitments: 12/22/18-01/04/19 03/01/19-03/17/19 06/10/19-07/05/19 08/09/19-08/19/19 10/01/19-10/31/19 (If the item that this Attachment concems is made under penalty of perjury, all statements in this Reason Trial MSC MSC Trial MSC Trial MSC MSC Trial MSC Trial MSC Trial Trial MSC MSC Trial Trial Trial Trial MSC Trial MSC Trial Trial MSC MSC Trial Trial Trial MSC Trial MSC Trial Attachment are made under penalty of perjury.) County Santa Clara Sonoma Santa Clara Santa Clara Alameda Sonoma Sonoma Sonoma Alameda Sonoma Sonoma Santa Clara Sonoma Santa Clara San Mateo Fresno Sonoma San Francisco Fresno Alameda Solano Sonoma Sonoma Solano Sonoma Mendocino Alameda Kern Alameda Mendocino Alameda Alameda Alameda Alameda Page 1___ of 1__ (Add pages as required) Form Approved for Optional Use Judicial Council of California MC-025 (Rev. July 1, 2009) CEB | Essential cebicom | {2|Forms: ATTACHMENT to Judicial Council Form ‘www.courtinfo.ca.gov GOLDEN LIVINGoN a of i 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE JOSIE MAE BROWN, individually v. BEVERLY HEALTHCARE — CALIFORNIA, INC. dba GOLDEN LIVINGCENTER — FRESNO; BEVERLY HEALTHCARE — CALIFORNIA, INC. dba GOLDEN LIVINGCENTER — CLOVIS, and DOES 1 through 200, inclusive Fresno County Superior Court Case No. 17CECG04065 STATE OF CALIFORNIA, COUNTY OF SONOMA I, the undersigned declare: I am over the age of eighteen (18) years and not a party to the within action. I am an employee of Perry, Johnson, Anderson, Miller, & Moskowitz, LLP’s and my address is 438 First Street, 4"" Floor, Santa Rosa, California 95401, which is located in the County of Sonoma. On the date below indicated, I served on the interested parties in this action the within documents described as: e DEFENDANTS BEVERLY HEALTHCARE-CALIFORNIA, INC, dba GOLDEN LIVINGCENTER — FRESNO and BEVERLY HEALTHCARE ~- CALIFORNIA, INC. dba GOLDEN LIVINGCENTER — CLOVIS CASE MANAGEMENT STATEMENT X_ (BY MAIL) On November 20, 2018, I caused each envelope, with postage thereon fully prepaid, to be placed in the United States mail at Santa Rosa, California. I am readily Jamiliar with the business practice for collection and processing of mail in this office; that in the ordinary course of business said document would be deposited with the US Postal Service in Santa Rosa on that same day. I understand that service shall be presumed invalid upon motion of a party served if the postal cancellation date or postage meter date on the envelope is more than one day after the date of deposit for mailing contained on this declaration. PLAINTIFF’S COUNSEL COUNSEL FOR DYCORA Steven C. Peck TRANSITIONAL HEALTH - CLOVIS LLC Adam J. Peck dba DYCORA TRANSITIONAL HEALTH PECK LAW GROUP, APC & LIVING —- CLOVIS 6454 Van Nuys Boulevard, Suite 150 Bryan R. Reid Van Nuys, CA 91401-1407 James E. Yee Farbod Faizai LEWIS BRISBOIS BISGAARD & SMITH LLP 650 East Hospitality Lane, Suite 600 San Bernardino, CA 92408 I declare under penalty of perjury under the laws of the State of California that the above is true and correct, and that this declaration was executed on November 20, 2018 at Santa Rosa, California. Lourie Rebizzo 1 PROOF OF SERVICE