Why did it take eight years for the state to fine a San Diego-area hospital for causing baby’s death?

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Why did it take eight years for the state to fine a San Diego-area hospital for causing baby’s death?
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California Department of Public Health said delay was caused by unspecified ‘operational challenges’

recently received a $75,000 fine from the state for poor obstetric care that led to a baby’s death in 2016Why did it take the California Department of Public Health eight years to fine Paradise Valley? Stating that it understands “the gravity of this situation,” the state agency said in a short email Friday that the nearly decadelong delay was “due to operational challenges,” but did not specify the nature of those challenges.

The result was an infant delivered with its umbilical cord wrapped around its body, according to the state’s assessment. In an emailed statement, Paradise Valley said the 2016 incident did not cause it to stop offering labor and delivery services. Recently, Paradise Valley has celebrated a good run on patient safety scorecards from private arbiters such as The Leapfrog Group, a nonprofit quality hospital assessment organization, which hasMarian Hollingsworth, a San Diego-based patient advocate, because the public lost out on a chance to become informed.

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