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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700354
Report Date: 03/04/2025
Date Signed: 03/04/2025 01:26:05 PM

Document Has Been Signed on 03/04/2025 01:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:A NEW DAY HOME CARE LLCFACILITY NUMBER:
304700354
ADMINISTRATOR/
DIRECTOR:		BETANCOURT,JORGE RAMOSFACILITY TYPE:
300
ADDRESS:22485 LA PALMA AVE STE 105TELEPHONE:
(714) 222-8990
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY: CENSUS: DATE:
03/04/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Jorge Betancourt, licenseeTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
NARRATIVE
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted an on site inspection for the purpose of a post licensing visit. The EA met with the licensee, Jorge Betancourt. The EA observed the posting of the license and operating business hours. Business operating hours are from 9am-5pm, Monday thru Friday.

During the inspection, the EA reviewed personnel records for licensee, and Home Care Aides including fingerprint status', registry status', Tuberculosis (TB), and required training. The HCO’s business records were also reviewed during the visit including, designee in the absence of the license and insurance requirements.

Based on the file review, EA informed the licensee of the deficiency found and explained they would be noted on the 809D.

An exit interview was conducted, a copy of this report (HCS809), staff records review (HCS 859) and appeal rights were provided to the licensee, Jorge Betancourt via email.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 03/04/2025 01:26 PM - It Cannot Be Edited


Created By: Mila Quinto On 03/04/2025 at 12:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: A NEW DAY HOME CARE LLC
FACILITY NUMBER: 304700354

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/18/2025
Section Cited
1796.45(a)
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1796.45 TB Testing (a) Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease.
This requirement is not met as evidenced by:
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Based on file review 2 HCAs (Ref#9 and Ref#10) did not have tb clearance available for review. Per licensee, the 2 HCAs are working on obtaining a current TB clearances.
This poses an immeidate health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/04/2025 01:26 PM - It Cannot Be Edited


Created By: Mila Quinto On 03/04/2025 at 12:50 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: A NEW DAY HOME CARE LLC
FACILITY NUMBER: 304700354

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2025
Section Cited
1796.44(b)(1)
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1796.44 Training Requirements (b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows:
(1) Two hours of orientation training regarding his or her role as caregiver and the applicable terms of employment.
This requirement is not met as evidenced by:
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Based on file review, 2 HCAs (Ref#3 and Ref#8) did not have the orientation training available for review.
This poses a potential health and safety risk to clients in care.
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Type B
03/18/2025
Section Cited
1796.44(b)
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1796.44 Training Requirements
(b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client...
This requirement is not met as evidenced by:
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Based on file review, 1 HCA (Ref#5) did not have the initial training available for review.
This poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
LIC809 (FAS) - (06/04)
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