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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202153
Report Date: 09/17/2024
Date Signed: 09/18/2024 11:06:19 AM

Document Has Been Signed on 09/18/2024 11:06 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:NEW HORIZON, A.R.F.FACILITY NUMBER:
275202153
ADMINISTRATOR/
DIRECTOR:		BENJAMIN MACASAETFACILITY TYPE:
735
ADDRESS:1121 E. LAUREL DR.TELEPHONE:
(831) 758-2139
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 30CENSUS: 26DATE:
09/17/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Facility staff, Richard Macasaet TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analysts (LPA's) Sarah Hurt and Shawna Doucette arrived at the facility unannounced to conduct the facilities annual inspection. LPA's met with Licensee Benjamin Macasaet, and facility staff Richard Macasaet, and explained the purpose of today's visit.

LPA's observed several facility resident bedroom dressers with broken drawers. LPA's observed the facility hot water temperature measuring at 138 degrees. LPA's observed the facility first aid is not complete and missing thermometer. LPA's observed holes in facility common area couches. LPA's observed trash/junk in the facility backyard / side area. LPA's observed the facilities back grass to be overgrown. LPA's observed several rips/ tears in facility window screens along with broken windows. LPA's observed broken bathroom vanity's. LPA's observed resident beds with no sheets or linens. LPA's observed a washing machine being stored in the facility common area. LPA's observed a room listed on the facilities sketch as resident bedroom is completely full and used as storage for mattresses and other furnishings. LPA's observed several facility electrical outlets uncovered, and some covered with silver tape. LPA's observed expired food in facility kitchen, and pantry area. LPA's observed food not labeled or dated in facility refrigerator. The facility LIC610E Emergency Disaster Plan is not on current form, and has not been updated annually. The facility is not conducting Quarterly Disaster Drills as required. The facility does not have a required Infection Control Plan. LPA's observed medications in facility office not listed on Centrally Stored Medication Record. LPA's observed brown bags of medication in facility office with resident names, and dates cut off the labels. Administrator Jose Vitan stated the medications are waiting to be returned to the pharmacy for disposal. LPA's observed paint, paint brushes, and paint trays in outside facility entrance.
LPA's have photos of all observed regulation deficiencies listed.

Exit interview conducted with facility staff Richard Macasaet ,and a copy of this report provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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