HomeMy WebLinkAbout2022-11-02 Kalauokaaea, Bobbie Jean.pdf
PO Box 2411, Tustin, CA 92781
T: 657-622-4200 | F: 866-254-4423 | www.carlwarren.com
CA License #2607296
November 17, 2022
Ariella E. Perry, Esq.
Wilshire Law Firm
3055 Wilshire Boulevard, 12th Floor
Los Angeles, CA 90012
CLAIM REJECTION NOTICE
RE: Claimant: Bobbie Jean Kalauokaaea
Our Client: City of Palm Desert
Date of Loss: 05/05/2022
Our File Number: 3039704-WRV
Dear Ms. Perry:
Carl Warren & Company is the claims management company for the self-insured public entity the City of Palm
Desert.
Notice is hereby given that the claim which you presented to the City on November 2, 2022, was rejected on
November 16, 2022. The City notes that the area in question is outside of the City of Palm Desert’s
jurisdiction and is within the County of Riverside boundaries.
WARNING
Subject to certain exceptions, you have only six (6) months from the date this notice was personally delivered
or deposited in the United States mail to file a court action on this claim. (See Government Code Section 945.6)
The six-month time for filing such a court action is neither enlarged nor extended by the provisions of CCP
Section 335.1.
This time limitation applies only to causes of action arising under California law for which a claim is mandated
by the California Government Tort Claims Act. Government Code Sections 900 et. seq.. Other causes of
action, including those arising under federal law, may have different time limitations for filing.
You may seek the advice of an attorney of your choice in connection with this matter. If you desire
to consult an attorney, you should do so immediately.
Very Truly Yours,
William L. Rice
Claims Examiner
Carl Warren & Company, LLC | A Venbrook Company
1
Gloria Sanchez
From:William Rice <WRice@carlwarren.com>
Sent:Tuesday, November 8, 2022 9:21 AM
To:Tim Varon
Cc:Andrea Staehle; Mariana Rios; Amber Molina
Subject:Re: Bobbie Jean Kalauokaaea DOL 05/05/2022 Claim 3039704
Tim,
DIARY REVIEW – Rejection Request
Event: This is a bodily injury and property damage claim that was submitted by counsel for the claimant regarding a solo
bicycle accident in which the claimant lost control after riding off the sidewalk into the curb edge of the driveway to the
parking lot. They allege dangerous conditions due to roadway design, maintenance, and lighting issues for the City.
Statute of Limitations: 05/05/2024
Action plan items from last review and status:
1. The City has confirmed that this accident occurred in the unincorporated area of Riverside County.
2. On 11/07/2022 I submitted our ISO Claim Search on the claimant. She does not appear to be Medi-Care eligible
due to her reported age of 47. I located a match for this loss with CSAC Excess Insurance Authority for the County
of Riverside.
Coverage: Confirmed under the MOC.
Liability Review: I view this as a case of no liability on the part of the City as they do not have jurisdiction of the roadway
that is under the control of the County of Riverside.
Damages Review – Property Damage: Unknown damage to Genesis Villotti mountain bike.
Bodily Injury: Alleged Injuries: Fractured right shoulder and cheekbone with extensive multiple body contusions.
Submitted Medical Bills: None
Considered: N/A
Residuals: Unknown
Loss of Earnings Alleged: None
Reserve Review: $1,000.00 Appears adequate based on current available information and client protocol.
Updated Action Plan:
1. City to reject the claim.
2. Await any action by the claimant attorney’s office.
3. Evaluate for liability and exposure to recommend further handling and monitor the file for the Statute of
Limitations.
Subrogation Referral: N/A
William Rice | Claims Examiner
Carl Warren & Company, LLC | A Venbrook Company
PO Box 2411, Tustin, CA 92781
Office: (657) 622-4319 | Fax: (866) 254-4423
Because Quality and Integrity Matter... please EMAIL my Supervisor about the service you received.
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TO:
CJPIA (c/o CARL WARREN & CO.), CITY MANAGER, CITY ATTORNEY,
COPY:
ASSISTANT CITY MANAGER, HUMAN RESOURCES MANAGER, AND
CITY CLERK.
FROM:
MARIANA RIOS, MANAGEMENT ANALYST
DATE:
11/02/2022
SUBJECT: CLAIM NO. – 889 BOBBIE JEAN KALAUOKAAEA
The attached Claim No. is being transmitted to you for the following:
Information only.
or
Please review and provide any recommendation you may have to the Risk
X Manager, concerning any action required by the City of Palm Desert.
We would appreciate your report, if requested, by December 17 , 2022, for timely
response to the Claimant.
Note: At your earliest convenience, please let me know if you have any information
related to the incident giving rise to this Claim so that I may forward it to the City’s
thirdparty Claims Adjusters, Carl Warren & Company.
___________________
MARIANA RIOS
MANAGEMENT SPECIALIST
Attachment (as noted)
C I T Y O F P A L M D E S E R T
73 - 510 F RED W ARING D RIVE
P ALM D ESERT , C ALIFORNIA 92260-2578
T EL : 760 346-0611
I NFO @ PALM - DESERT . ORG
RECEIVED
CLAIM AGAINST THE CITY OF PALM DES~~lY CLERK'S OFFICE
For Damage(s) to Person(s) or Personal Propert y' •• LH DES ER T · Cl,
AssIGN ED ~litiQ~o? P 1 1: t 1
Received by: _____ _ Via: U.S . MA IL. __ _ Interoffice Mai l __ _ Over-the-Counter ---
A claim must be fi!ed with the City Clerk of the City of Palm Desert within six {6) months
after which the incident or event occurred. Be sure your claim is against the City of Palm
Desert, not another public entity. Where space is insufficient, please use additional paper
and identify information by paragraph number. Completed claims must be mailed
or delivered to the City Clerk, City of Palm Desert, 73-510 Fred Warin·g Drive,
Pa[m Desert, CA 92260
TO THE HONORABLE MAYOR AND CITY COUNCIL, CITY OF PALM DESERT, CALIFORNIA:
The undersigned respectfully submit(s) the following claim and information relative to damage(s) to
person(s) and/or personal property :
1. CLAIMANT INFORMATION
NAM E Bobbie Jean Kalauokaaea
ADDRESS 45805 Fargo Street, Indio, Californ ia 92201
PHONE NO. (442 ) 637-1135 DATE OF BIRTH: ...:.0..::..5/c..;:.0..::..5/=2=0=22~------
DRIVER 'S LICENSE NO. A9408118 --------
2. Name , telephone number and post office address to whic h claimant desires notices to be sent, if
different than above:
Wilshi re Law Firm, c/o Ariella E . Perry , Esq.
305 5 Wilshire Boulevard, 12th Floor
Los Angeles, California 90012
3. Occurrence or event from which the claim arises :
a. DATE: 05/05/2022 b. TIME: 2:32 p.m. c. PLACE (Exact and specific location)
Varner Rd ., 400 feet East of Washington Street , City of Palm Desert, California 92211.
d. How and under what circumstances did damage or injury occur? Specify the particular
occurrence, event, act or omission you c aim cause e 1nJury o r am age . Use add itional
paper if necessary .)
· See attached Traffic Collision Report and Attach ment "A".
e . What partic ular act ion by the City , or its employees , caused the alleged damage or injury?
See attached Traffic Collision Report -and Atta c hment "A".
Page 1 of 2
4. Give a general description of the indebtedness , obligat ion , injury , damage , or loss incurred so far as
it may be known at the time of presentat ion of the claim. If there were no injuries , state "no injuries":
See Traffic Col lision and Attachment "A".
5. Give the name(s) of the City employee(s) causing the damage or injury: Disco very and investigation
ongo ing. Uknown at this ti me .
6. Name and address of any other person(s) injured: _N_o_n_e_o_th_e_r_th_a_n_C_la_im_a_nt_. ________ _
7. Name and address of the owner of any damaged property: _N_o_n_e. ____________ _
8. Damages Claimed:
a. Amount claimed as of this date: $ 5,000 ,000.00
b. Estimated amount of future costs: $ 5,000,000.00
c. Total amount claimed: $ 5,000 ,000.00
d. Basis for computation of amounts claimed (include copies of all bills , invoices, estimates , etc.):
$5,000,000 .00 for past and future medica l expe nses, as we ll as pa in and suffering .
9. Names and address of all witnesse s , hospitals, doctors, etc.: See Attachment "A". ---------------
10. Any additional information , including police reports , which might be helpful in considering this claim :
See attac hed Traffic Col li sion Report.
_WARNING:_J.LlS_A CR!MINALOEEENSE-,-_O-F-ILE--A4AbS6-CbAIM-!-(CAbli;:ORNIA-P6-NA!,;;--
CODE 72 AND CALIFORNIA INSURANCE CODE)
I have read the matters and statements made in the above claim, and I know the same to be true of my
own knowledge, except as to those matters stated upon information or belief as to such matters, I believe the
same to be true. I certify under penalty of perjury that the foregoing is TRUE AND CORRECT.
Signed this _1_s_t ---day of No vember 20 22 at Los Angeles, California ' __ ,
~~ Attorney for Claimant, Ariella E. Perry, Esq .
-----------------SIGNATURE OF CLAIMANT SIGNATURE OF CLAIMANT
Office of the City Clerk, Palm Desert, California
Page 2 of 2
DOC. NO. ______ DATE FILED ____ _
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ATTACHMENT "A"
C l aimant BOBBIE JEAN KALAUOKAAEA, individually presents the fo ll owin g
infom1ation in suppo1i of her claim against the C ITY OF PALM D ESERT:
DESCRIBE IN DETAIL HO'\V DAMAGE OR INJURY OCCURRED :
On 05 /05 /2022, Claimant was riding h er bicycle described as a Genesis Villotti, Green
eastb ound on the north sidewalk of Varner Road, eas t of Washington Street, as she was
ap proaching the entrance to a nearby shopping center parking lot, her front wheels h it the
roadway edge of the entrance, w h ere she l os t h er balance and fe ll on the ground l anding on th e
right si d e of her body. D ue to the dangerous n ature of the roadway, Plaintiff sustained a severe
mJury.
Additionally, C l aimant contends th at th e physical condition of the area where the
subj ect incident occmTed , and the sunounding area played a substantial rol e in causing the
subject in cident. C l aimant contends th at the CITY OF PALM DESERT, it s employees, agents,
and contractors improperly and negli gently controlled, designed, constructed, repaired, and
maintaine d the ar ea where the subj ect incident occuned. T hi s fa ilure to properly control ,
design, construct, repair, and maintain said roadway led to the existence of dangerous
conditions for individuals such as the C l a imant using the subj ec t ar ea w ith due care and in a
re aso nably fo r eseeable manner. The defects included, but wer e n ot limited to the properly
lightening, and any r epairs in this ar ea of obstruction.
Furthe1111ore, the l ack of roadway design, lack of m a inten ance cau sed and/or
con tributed to subj ect incident.
-----------
Claimant h as sustained the following injuries: lacerations to face, broken right shoulder ,
23 broken cheekbone, brui sing a ll over body, pain and suffering, medical exp enses, and prope rty
24 damage because of this subject incident.
25 WHY DO YOU CLAIM THE COUNTY IS RESPONSIBLE :
26 C la imant co ntends that the C IT Y OF PALM DESERT was awa re and had notice that
27 sa id subj ect roadway was dangerous an d in a d efective condition and fai led to do anything to
28
ATTACHMENT "A"
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improve and r emedy said dangerous conditions , or to wa rn those using the subject area of such
dangers.
LIST DA1\1AGES INCURRED TO DATE:
$5 ,000 ,000.00 for p as t and future medical expenses, as w ell as pain and sufferin g .
A TTACHMENT "A"
STATE OF CALIFORNIA
OEPARTMENT OF CALIFORNIA HIGHWAY PATROL
TRAFFIC CRASH REPORT
CHP 555 Page 1 (Rev. 3-2 0) OPI 050 ~ P•ge I of 6
! SPECIAL CONDITI ONS J.,.'JtASE'-i l-!IT ' flU N CITY JUOIClAL DISTRICT j LOCAL REPORT NUM3ER
! lhJUREO F~LOt.Y Rll'ERSIDF. SU PER I OR CO~RT L ARSOI' J t :STICE !
I I □ PALM DESERT Ctl\TER ! 9630 -2 022-00635
~UMl!ERKJLLED Hll '-"UN COUNTY RE PORTING DIS TRICT BE A.T I DAY OF iM:.EK I TOW AWAY 11.ISOEMEA"l:,R
i 0 □ RJVERSlDE 405 THURSDAY □YES IR]No I
CRASH OCCURRED ON MO. DAY Y=AR J TIME (2.<00J Net::,, I OFFICER ID
;z: VARNER RD 05/05/202 2 I 1432 9630 1021923
0
i= MILEPOST INFORM AT ION l"?S COORDI NATES PH OTOGRAPHS BY : [KjNONE
<i: LATIT\J DE 33.761650 -16 .299 434 i u l ON GrTtJOE
0 □ AT INTERSECTION Vl'\T-i
t~:E7RELIRJNO
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[Rj oa , 400 FEET EAST of WASHINGTO N STREET I
I
i PARTY
DRIVE.R 'S LICENSE NUMBER I ST AT E I CLASS IAJP BAG I SAFETY EQ UIP . VEH . YEAR V.AKEJIIAOOEUCOLOR LICENS'= NUMBER I STATE
I I A9408 118 CA ,p IV GENESIS \'ILLOTTI GRN I I I
,DRIVER NkME (FIRST MIDDLE. LAS T} I : I
□ BOBB IE JEAN KALA UOKAAEA o w..i::rrsNAME !Kl SAME AS DRIVER
P=oes-STREET ADDRE SS ·, ·.·.
TRIAN
□ 4580 5 FARGO ST OV-.WER 'S ADDRESS 1K] SAME AS DRIVER
c~~rc~~ CITY/S T,',iE/ZIP
D INDIO CA 92201 DISPOSITION OF VEHIC LE ON ORO!:RS OF : IR] OFF ICER □D RIVER □OTHER
91CY-SEX j HAI R I EYES I HEIGHT WElGHT
I
BIRTHD ATE
1:CE INDIO CHP OFFICE CUST
I BLK
Mo. D•r Year
~ F I HZL 5' 5" 134 07 /26/I 975 PRIOR MECHANICAL DEFECTS: ~ NONE APPARENT □ R EFER TO NARR ATIVE
O'iHER HOME PHONE BUSINESS PHONE VEH ICLE IGENTIFICA TION NUMBER . GB92806
□ (213 ) 638-6970 :"\ONE VEH ICLE TY?E OC:SCM-1:!E VEHICLE DAMAGE SHAD E It-.' DAMAGED AREA I er.[•RJOH'T
OPEF!. 1'1SURANCE CARR IE R POLICY NUMSE.R Q uNK. □NON E [RjMINOR @\10 I ATOR
□ NONE NONE 04 I □MO D. □MAJOR DROLL-OVER !
;
DIR OF I ON STREET CR HIGYWAY LANE i THSU I TOTAL I SPeED
I
TRAVEL I LANE s LANE s LIMIT CA OOT I
E VARNER ROAD OTHE R , 3 3 50 C.4.L•T TCP/?SC MCIMX I
PARTY ORIVER"S LI CE~SE NUM3ER I STATE CLAS S !AIRBAG I SAFETY EQUIP. VEH. YE.AR ~KE/MODEUCOLOR LICE NSE NUMB ER I ST.rE
2
ORIV-~ NAME (FI RST. MIDDL£ tASi) I
□ OW.-.,ER-S NAME □ SAME AS DRIVER
PEDES-STRE!:T ADDRES S
TRIAN I
D OIM-JER"S ADDRESS □ SAME AS DRIVER
P-'.RKEO CITY/STATEIZIP
!VEHICLE , ...
10 DISPOSITION OF VEHICLE ON ORDERS OF : □OFFICER □·DRIVER Oornrn I BICY-SEX
IHAIR !EYES rEIGHT l 'NEIOHT
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BIRTHOATE I RACE CLIST Mo, Dar Yu;
□ ; PRI OR MECHANICAL OEF ECTS: □ NONE APPARENT D REFER TO NAR RATIVE I
I OTHER HOME PHON E I BUSINESS PHONE VEHICLE IDENTIF ICATION NUMBE =I:.
i □ VEHICL E TYPE I DESCRIBE VEHlCU: 0.4.MAGE SH ADE IN OAW,I.GED ARE"'-
OP ER. INSURANCE CARRIER POLICY NUMBER
l°UNK □NO N E □MINOR ATOR
□ I □MOD. □MAJOR □ROL L-OVER
OIROF ! ON STREET OR HIG HWAY ! LANE I THRU I TOT <L I SPEED CA DOT
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TRAVEL I LA.NES LANE S LIMIT
! I ' CAL-T TCP!PSC MCll.lX
PA RTY ORIVER"S LIC ENSE. NUMBER
-----ISTATE -!~IAIRBAG
! SAFETY EQUIP. VEH . YEAR MAKE/MODEUCOLOR UCENSE NUMBER ____ , ~TA~,
I 3 ! ! I
DRIVER NAME (C1RST MIDDLE. LA ST.I ' i i
□ 0\-\N~R'S NAME [J SAME AS DRIVER I
PEDE~ STREET A0D"1.ESS i TRlAN n O\\"-IER'S AOORSSS 0 SAME AS DRI VER i ..
~ PAR.KEO CITY/STA TE/ZIP i VEHI CL.E
□ DISPOSITION OF VEHICLE ON ORDERS Of· □OFFICER O oRIVER □OTH E R I BIC'f-SEX !HI-.IR iEYES I HEIG HT Vv'clGHT
I
9tRTHOATE. IRACE CUST I I "'· □,, Year
□ PRIOR MECHA.-"IICA L DEFECTS: □ NONE APPARENT □ REFER TO NARRATIVE
OTHER HO ME PHON E BUSINESS PHONE VEHICLE IDE NTIFICA710N NUMBER :
□ VEHICLE TYPE OESCP.laE VEHICLE OW.A.AGE SHADE IN OAMAG!:.O AREA
OPER-INSURANCE CARR IER POLICY NUMBER DUNK. □NONE □M I NOR ATOR
□ I □M OD. □M AJ OR []ROLL-OVER I
I
DIR Of I ON STREET OR HIG HWAY I U-NE I THRU I TOTAL I SPEED CA DOT TRAVEL I _A I./ES I LANES LIIAIT
I CAL~T TCPIPSC MC 1MX
FREPARER'S NAME DISP -' TCH NOTI FIED I REVt ::~R·s NAME DA1'E REVIEVv':::D ! I
lcHRlSTOPHER T OREHl::K, 020 061 / CARLOS I GRANADOS -AQU(:-10, 021923 [Rj YES □NO ON/A 07/12/2022 I
An Internationally Ac credrted Agency Destroy Previous Ed1t1ons Chp555_D320.pdf
STATE OF CALIFORN IA
DEPARTMENT OF.CALI FORNI A HIGHWAY PATROL
TRAFF lC CRASH CODI NG
CHP 5 "5 Paa e 2 (Rev 3 20) O PI 060 ~~' ~ -~~.· Page 2 of 6
DATE OF CRASH (MO , DAY YEAR) I Til,1E (2400) jN;~~~ I OFF ICER IC I NUM3ER (,' •.· ·, .
05105/20 22 , 1432 02 1923 9630 -2 oiioo635
PROPERTY I OW<ER'S N.<ME \ ow~eR s Ao o;:iess
D AMAGE
PERSON NOTIFIED n SAME AS O\M~ER l T~LEPHONE NUl.13ER l METHOD OF NOTIFI CATION (M/IRK ALL THA T A?Pi.. Y} l LOG / INCIDENT NUMBER
LJ jr; IN PERSON n ?HONE" n DI.SPATCH □ CHP-422
DESCR IPTI ON OF !:>AMAGE
S EAT IN G PO SIT IO N SA FETY EQUI P ME NT I AI R BA G INA TT E NT IO N CODES
OCCUPANTS CHl kD BESTBAINI I 8. UNKNOWN A · CELL PHONE HANDHELD
A· NONE IN VEHICLE Q • IN VE HICLE USED l ·AIRBAG DEPLOYED B ·CELLPHONE KANDSFREE
fl 1 TO 9 • STANDARJ 8 -UNKNOWN R · IN VEHICLE NOT USED M -AIR BAG NOT DEPLO YED C • ELECTRONIC EQU IPMENT
~ SEATING POSITION C. LAP BELT USED S -IN VEHICLE USE UNKNOWN N • OTHER D -RADIO/CD
D -lAP BEL T NOT USED T • IN VEHICLE IMPROPER USE P • NOT REQU IRED E • SMOKING
10 • REAR OCC. TRK . VAN, E • SHOULDER HA RNESS USED U • NONE IN VEHICLE EJ ECT ED F ROM VEHICLE F -EATING
1 2 3 STAT ION WAGON , ETC.• 1 F . SHOULDER HARNES S NOT USED G · CH ILDREN
4 5 6 '. G . LAP/ SHOULDER HARNESS USED ~LE -H•LMET 0 . NOT EJECTED H·•ANIMALS
7 8 9 1 \ • POS ITION UNKNOWN' i H ·LAP/ SHO ULDER HARNESS NOT USED DRIVER PASSENGER 1 -FULLY EJECTED 1-PERSONAL HYG IENE
J . PASS IVE RESTRA INT USED V -NO X -NO 2 ·PARTIALLY EJECTED J • READING
10 0-OTHER" I K . PASSIVE RESTRAINT NOT USED W-YES y ·.YES 3 • UNKNOWN K -O~HER
P • NO T RE ·J UIRED
IT E MS MARKED B ELOW FOLL OW E D BY AN ASTERIS K (') SHOU LD BE EXPLAIN ED IN THE NA RRATIV E.
PRIMAR Y CRASH FACTOR TRAF FIC CO NTRO L DEVIC ES l 1 2 3 VEH ICLE AUTO MATI ON LE VEL . l 2 3 MOVEM ENT PRE CE DING CRA SH I
LIST NUMB ER(#) OF PAR TY AT FAU LT
A CV( SEcnoi. \/101.J. no CITtO □YES A CONTROLS FUNCT ION ING X A SAE LEVEL-0 I A STOPPED
11 vc 2210 7 .s;jNO B CONTROLS NOT FUNCTION ING " I B SAE LEVEL-1 X B PROCEEDING STRA IGHT
B OTHER IMPROPER DRIVING "· C CONTROLS OBSCURED i C SAE LEVEL -2 I C RAN OFF ROAD
X I D NO CONTROLS PRESENT / FACTOR" D SAE LEV.EL · 3 D l\j_AK{NG RIGHT TUIJ,N"· ·
i C OTHER THA N DRIVER"· TYPE OF CRA SH E SAE LEVEL -4 E r~AKING LEFT TURN
D UNKN0\11,N • A HE AD· Ofl F SAE LEVEL -5 F MAK ING U T URN
B SIDE SWIPE G UNKN0\11,N " G BACKING
I C REA R END I H SLOWING I STOPPING
D BROADSIDE l 2 13 VEHIC LE AUTOMATION EN GAGED I I PASSING OTHER VEHICLE WEATH ER (MA RK 1 TO 2 ITEMS)
X A CLEAR E HI T OBJECT X A NO AUTOMATION J CHA NGING LANES
B CLOUDY . X F OVERT URNED B DR IVER ASSISTANCE K PARKING MANE UVER
C RAINING G VEHICLE / PEDESTRIAN C PARTIAL AUTOMAT ION I L ENTER ING TRAFFIC
D SNOWING H OTHER": D CONDITIONAL AVTO~.ATION I \ M OTHER UNSAF E TURN ING
E FOG I VIS IBILITY FT . MOTOR VEHI CLE INVO LVED WITH E HIGH A_UTOMATION I i N XING INTO OPPOS ING LANE
I F OTHER•· (MARK 1 TO 2 ITEMSJ F FULL AUTOMATION '0 PARKED
G WIND A NON COLLISION G UNKNOWN" P MERGING
LI GHTI NG I B PEDESTRIAN Q T~VELI NG WRONG WAY
X A DAYLIGH T i C OTHER MOTOR VE HICLE I OTHE R ASSOCIATED FACTOR(S) R OTHER•·
B DUSK· DA\11,N I D MOTOR VEHIC LE ON OTHER ROADWAY 1 2 13 I (MARK 1 TD 2 ITEMS) S LANE SPLITTING
C DARK· STREET LIGHTS E PARKED MOTOR VEHICLE ~---:1:.:;,: eve SECTION VIO LATION C1':"EO SOBR IETY · DRUG . PHYS ICA L ·ff:;~~~A OYES 1 2 3 D DARK· NO STREET LIGHTS I F TRA IN ~-:-• ,.::~ ONO (MARK ALL THAT APPLY)
E DARK · STR EET LIGHTS NO T I G BICYCLE ~~t fif: B eve S!:;TI OH \/'IOLATl ON Cl1f~
QYES X A HAD NOT BEEN DRINKING
I FUNCTIONI NG•
k"!ll"'
H ANIMAL: l{;,';f.;_ ONO B HBD -UNDER THE INFLUENCE ~--
ROAD WAY SUR FACE I FIXED OBJECT : ~ 'fl
C eve sE:TJON VIOLATI ON CITED C -HBD -NOT UNDER INF LUENCE "
A
X AS PH ALT ROADWAY ~ □YES
X DRY ~','" ONO D HBO -IMPAIRM ENT UNKNOWN "
B WET J OTHER OBJECT : D ~.;~~;':~~i~1~-iifll;-~~~i?il~~2: E UNDER DRUG IN FLUENCE "
C SNOWY -ICY I E VISION OBSCUREMENT: DR E EXAM. CONDUCTED
D SLIPPERY (MUDDY , Oil Y, ETC.) K ADDITIONAL OBJECT($) STRUC K F INATTENT ION": '.,· STIMULANT --:,.
ROADW AY CONOITION(S) PED ESTR IAN'S ACTI ON S G STOP & GO TRAFFIC I -. HALLUC INOGEN'
(MARK 1 TO 2 ITEMS) X A NO PEDESTRIANS INVOLVED H ENTER ING/ LEAVING RAMP DISSOCIATIVE ANESTHETICS
A HOLES . DEEP RU T" B CROSSING IN CROSSWALK -I PREV IOUS CRASH NARCOTIC ANALGESIC
I B LOOSE MATER IAL ON ROADWAY' AT INTERSECTIO N J UNFAM ILIAR WITH ROAD INHALANT
C OBSTRUCTION ON ROADWAY" C CROSSING IN CROSSWALK -NOT K DEFECTIVE VEH . EQU IP.: CITEO
QYES CANNAB IS
D CONSTRUC TI ON · REPA IR ZONE AT INTERS ECT ION ONO D_EPRESSAN T
E REDUCED ROADWAY WIDTH D CROSSING - NOT IN CROSSWALK L UNINVOLVED VEHICLE F IMPAIRMENT . PHYSICAL ' I
F FLOODED • E IN ROAD -INCLUDES SHOULDER MOTHER": G IMPA IRMENT NO T KNOWN
G OTHER •: F NOT IN ROAD X N NONE APPARENT H NO T APPLICABLE
X H NO UNUSUAL CONDITIONS , G APPROACH ING/ LEAVING SCHOOL BUS . 0 RUNAWAY VEHICLE I SLEEPY/ FATIGUED' ..
SKETCH MI SC EL LANEOU S I 2 I 3 I SPEC IAL INFORMA TI ON
-
RE FER TO SKET C H PAGE(S) I I A HAzARDOUS MATERIAL
B CELL PHONE HANDHE LD IN USE
I C CELL PHONE HANDS FREE IN
USE
X I D CELL PHONE NOT IN USE
E CELL PHONE USE UN KNOWN
F SCHOOL BUS RELATED I
I
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An Jnternat,on afly Ac cr od1ted Agency Destroy Previous Ed1t1on s Cnp555_0320.pdf
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STA TE OF CALIFORNI A
DE PARTM ENT OF CALIFORN IA HIGHWAY PATROL
[NJURED /WITNESS / PASSENGERS
CHP 555 Page 3 {Rev 3 20 ) OPI 060 ~l -_ __..,....:~
DATE OF CRASH (MO. DAY YEAR) TIME (2400)
05/05 /20 22 1432
INCIC#
963 0
WITN ES S PASSENGER EXT E NT O F INJ URY ("X" ON E)
ONLY ONLY AGE SEX FATA L i SUSPECTED SER IOUS I SUSPECTE D MI NOR I
INJURY INJ URY INJUR Y
0# 0 46 f 0 I 0 I !Kl !
NAME /0.0.B. / ADDRESS
BOBBlE JEAN KALAUOKAAEA (07 /26 /1975) 4580 5 FARGO ST L'iDIO CA 9220 1
(INJURED ONLY) TRANSPORTED 3Y: I EMS RUN N\J!.19ER
AMR 22 0092 557
0ESCRl3E INJU RIES
i COMPLAINT OF PAIN TO RJG HT SHOULDER.
I lo# I 0 I I I 0 I 0 I n I !
NAME f 0.0.B. I ADDRESS
(INJURED ONLY) TRANSPOR~D BY: I EMS RUN NUMBER
DESCRIBE INJURIES
0# I □ I ! I □ I □ I □ I
NAME I D.0.8. I ADD ~ESS
(lf\JURED ONLY) TRANSPORTED 9Y; I EMS RUN NU MBER
DESCRIBE INJURI ES
0 # I □ I I I 0 I 0 I □ I
NAME I 0 .0.B. / ADDRESS
(INJURED ONLY) TKANSPORTEO BY: I _EMS RUN NUMBER
DESCRIBE INJURIES
0# I 0 I I I □ I 0 I 0 I
NAME I D.O.B. / ADDRESS
(1 ITTOR EO-O NLY) TRANSPORTEO-S : I EM"S'R:UR NOMBER
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INJURY
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□
D
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□
PR EPARER'$ NAME I'D NU MBER I MO. DA y YEAR
CARLOS I GRANADOS-AQUINO 021923 05105 /2022
-I C~FI CER ID I NUM3ER
I 02 l 923 I 96_30-2022-0 063 s
: INJ URED WA S ("X" ONE) C .. "
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TELE.?HO NE
(2 13) 638-6970
I TAKEN TO:
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02006 1 07/12/2022
An lnternat1onally Ac credtted Agency Destroy Prev iou s Editions Cnp555_0320.pdf
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STATE OF CALIFORNIA
OEPARTMENT OF CALIFORi,IA HIGHWAY ?ATROL
SKETCH DIAGRAM
CHP 555 Page 4 (Rev . 3-20) OP I 060
DATE OF CRASH (MO. DAY YEAR)
05/05/2022
Private Property
Concrete Sidewalk
Raised Curb Edge
Varner Road
TIME (2.\00) NCIC# OFFICER ID
1432 9630 021923
ALL MEASUREMENTS ARE APPROXIMAT E AND NOT TO SCALE UNLESS STATED (SCALE =
78210 VAR ER ROAD,
PALM DESERT, CA 92211
Party -1 l1J ,,..,,..-,
I ,.,
5 ft. ----~-------52 ft.--------+i 5 ft.
Vehicle-1
Asphalt Roadway
-Raised Alphalt Edge
.. Washington Street
PR:!PAAEO BY 10 NUMBER /AO, DAY YEAR P.EvtE'NER'S NAME
Page 4 of 6
NUMBER
9630 -2 022 -00635
N ... W*E
" s
.. _,,·
CAR LOS I GRANADOS-AQUINO 021923 05/05 /2022 CHRISTOPHER T OR E HEK, 020 607/12/2022
An lnternt:tio nal/y Accredited Agency
, I
I
STATE OF CA LI FO RNIA
NARRATIVE/SUPPLEMENTAL
DATE OF I NC I DEN T
05 /05 /2022
1 NOTIFICATION:
2
TIME
1432
NCIC NUMBER
9630
PAGE 5 OF 6
OFFICER 1.0 . NUMBER
021923 9630-2022-00635
3 On May 5, 2022, at appro xim ately 1432 hours : I r~c~iv ed a call from the Californ ia Highway Patrol (CHP)
4 Indi o Dispa tch Center of a crash with unknown injur ies , whic h occurred in a shopp ing center park ing lot , at
5 an address of 78210 Varner Road , in Palm Desert , CA 92211 . I responded from Int erstate 10 (1 -10)
6 eastbound , west of Monroe Street, and arrived on scene at approximately 1443 hours. Upon arrival , I
7 dete rm ined th is was a crash with minor inju ries. Al l times , speeds and measurements are approx imations.
8 Measurements were obta in ed by ro ll-meter and vi sual estimation .
9
10 ADDITIONA L INFORMATION:
11 .. ., ..
12 Party-1 was transported from the scene of the crash to the Eisenhower Med ical Ce nter_i n Rancho Mirage
13 by American Medical Res pon se (AMR) for compla int of pa in to her right shoulder .
14
15 Vehicle-1 (Genesis) was transported in my patrol veh ic le to the CHP Indio Area offic e and booked int o th_e
16 CHP ev idence for safe keeping.
17
18 STATEMENTS:
19
20 Party-1 (Ka lauokaaea, P-1)
21 Upon arrival, I con tacted the ride r of Vehicle -1 (Genes is, V-1) laying on the side w alk near the shopping
22 center parking lot, and she was identified verbally as Bobb ie Jean Ka lauokaaea, with date of b irth
23 07/27/1975. Party-1 related the following information. Party-1 was riding Vehicle-1 eastbound on the north
24 sidewalk of Varne r Road , east of Washi ngton Street, at an unknown speed. Party-1 was steering Veh icle-j_
25 with her left hand and hold ing a milkshake with her right hand. Party -1 noticed she w as approaching the
26 ent rance to the parki _ng lot , and steered Vehicle-1 down the sidewa lk towards the parking lot. Party -1 felt
2 7 Vehic le-1 's front wheel hit the road way edge of the entrance . Party-1 steered Vehicle-1 to the left and lost
28 her balance. Party-1 fell onto the ground and landed on the right side of her body. After the crash, Party -1
29 stood up and walked onto the sidewalk and waited for CHP arrival. I as ke d Party-1 if she was us ing a
30 bicycle helmet at the time of the crash and she said she was not.
31 ·
PR EPARED BY 1.0. NU MBER
CARLOS I GRANADOS-AQUINClll 21 923
DATE
05 /05/2022
REVI EWER 'S NAME DATE
CHRISTOPHER T OR EHEK ,ffi0Ql2!022
t
---
2
STATE OF CAL IFO R.J'\JIA
NA RRA TI VE/S UPPLEMEN TAL
DATE OF INCID ENT TIME
05/05 /2022 1432
ST ATEM E NTS (C ontinued):
NCIC NUMBER
9630
PA GE 6 OF 6
OFFICER 1.0 . NUMB E R
021923 9630-2022-00635
:\,''._::·.
3 I asked Party -1 if she hit her head, and she stated she did not. I asked Party-1 if s he wa s injured, an? she
4 stated she ha d pain on her right shoulde r from landing on it.
5
6
7 Th e Summa ry , A rea of Impac t, an d Caus e were determined by P-1 's statement, damage to
8 Vehicle-1, an d t he physica l ev i de nce.
9
10 SUMMARY:
11
12 Party -1 (Kalauokaaea) was rid ing Vehicle-1 (Genesis) eastbound on the nort h westbound side sidewalk of
13 Varne r Road , ea st of Washingto n Stree t , at an un known speed. P arty -1 rode Vehicle-1 down the s idewalk
14 curb edge and the front wheel of Vehicle-1 went over a rai sed portion of the aspha lt roadway . Party-1
15 steered Veh icle -1 to the left and lost her balance. Th is caused Party-1 to fa ll off Veh icl e-1 and land on the
16 rig ht side of he r b ody , subsequently caus ing Veh icle-1 t o fall over on its' righ t side onto the aspha lt
17 roadway. After the crash, Party -1 stood up and wa lk ed over to the sidewalk and wait ed fo r CHP arriva l.
18
19 AREAS O F IM PA CT (A O l's):
20
21 AO l-1 (Party -1 v s aspha lt roadway) was located 400 feet east of the east roa d edge of Was h ington Street
22 and 40 feet north of the north roadway edge pro longa t ion of Varne r Road.
23
24 AO l-2 (Veh icl e-1 vs aspha lt roadway) was located 398 feet east of the east road edge of Washington
25 Street and 38 feet north of the north roadway edge prolongati on of Varner Road .
26
27 CA USE:
28
29 Party-1 (K alauokaaea) caused this· col lision by driving Vehicle -1 (Genesis) in vio lation of sect io n 22107
30 eve which states, in part " ... No person sha ll turn a vehicle from a di rec t cou rse or move r igh t o r left upon a
31 roadway until such movement can be made with reasonable safety ... "
PREP ARED BY I.D . NUMBER
CAR LOS I GRANADOS-AQ UINCllJ21923
DATE
05 /05 /2022
REVIEWER'S NAME DATE
CHRISTOPHER T OREH E K,®Za'0tJ@022