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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455001567
Report Date: 03/08/2023
Date Signed: 03/08/2023 10:22:19 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2023 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 25-AS-20230103113738
FACILITY NAME:A BRAND NEW DAYFACILITY NUMBER:
455001567
ADMINISTRATOR:TAORMINO, BRITTNIEFACILITY TYPE:
740
ADDRESS:779 KERRY-JEN COURTTELEPHONE:
(530) 223-1538
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:0CENSUS: DATE:
03/08/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Melissa JohnsonTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility staff are not providing adequate care and supervision to residents during meals.
INVESTIGATION FINDINGS:
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LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings. LPA wore a surgical mask and observed all staff wearing the masks.

This facility closed on 01/23/2023. It changed ownership. LPA met with Melissa Johnson, Administrator of the new licensee. LPA obtained contact information for the licensee of this license.

LPA investigated the allegation “Facility staff are not providing adequate care and supervision to residents during meals.” LPA interviewed facility staff and reviewed facility documentation. LPA toured the facility.

The facility has two sides. When the facility was licensed there was one staff per side and no floater. During meal times there was only one staff person to supervise the residents while eating, assisting to the restroom, and when the residents went to their rooms after eating. LPA observed during the initial complaint visit one staff per side.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2023 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 25-AS-20230103113738

FACILITY NAME:A BRAND NEW DAYFACILITY NUMBER:
455001567
ADMINISTRATOR:TAORMINO, BRITTNIEFACILITY TYPE:
740
ADDRESS:779 KERRY-JEN COURTTELEPHONE:
(530) 223-1538
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:0CENSUS: DATE:
03/08/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Melissa JohnsonTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
1. Facility staff does not stock adequate supplies for the residents.
2. Facility staff does not accurately charge residents for supplies/products
3. Facility staff did not seek resident timely medical attention.
4. Facility staff does not accurately manage and dispense medications to residents.
INVESTIGATION FINDINGS:
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LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings. LPA wore a surgical mask and observed all staff wearing the masks.

This facility closed on 01/23/2023. It changed ownership. LPA met with Melissa Johnson, Administrator of the new licensee. LPA obtained contact information for the licensee of this license.

LPA investigated the allegation “1, Facility staff does not stock adequate supplies for the residents; 2. Facility staff does not accurately charge residents for supplies/products; 3. Facility staff did not seek resident timely medical attention; and 4. Facility staff does not accurately manage and dispense medications to residents.”

LPA interviewed facility staff and reviewed facility documentation. LPA toured the facility. LPA conducted interviews and reviewed recods.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 25-AS-20230103113738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: A BRAND NEW DAY
FACILITY NUMBER: 455001567
VISIT DATE: 03/08/2023
NARRATIVE
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1. LPA toured the facility and observed the place had cleaning and incontinence supplies. It looked adequate. Interviews with employees had different versions. LPA could not prove or disprove the allegation.

2. LPA reviewed admission agreements and was informed the staff were to complete a checklist of supplies used by each resident. LPA is unable to determine if the staff completed the checklist correctly based on interviews and the list.

3. Based on interviews it was difficult to determine when the resident's condition started and when it was treated. The condition also ended up becoming a reoccurring issue. LPA unable to prove or disprove allegation.

4. The medication in question is a cream. LPA was unable to determine the amount of cream applied and if it was applied correctly. LPA unable to prove or disprove the allegation.

Due to the information gathered, LPA cannot determine the supply issue, billing issue, and medical issues. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2023 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 25-AS-20230103113738

FACILITY NAME:A BRAND NEW DAYFACILITY NUMBER:
455001567
ADMINISTRATOR:TAORMINO, BRITTNIEFACILITY TYPE:
740
ADDRESS:779 KERRY-JEN COURTTELEPHONE:
(530) 223-1538
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:0CENSUS: DATE:
03/08/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Meilssa Johnson.TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility staff eat the residents' food.
INVESTIGATION FINDINGS:
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13
LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings. LPA wore a surgical mask and observed all staff wearing the masks.

This facility closed on 01/23/2023. It changed ownership. LPA met with Melissa Johnson, Administrator of the new licensee. LPA obtained contact information for the licensee of this license.

LPA investigated the allegation “Facility staff eat the residents' food." LPA toured the facility and interviewed staff.

The interviews all stated the staff were eating leftovers of the resident meals. They were not taking food directly from a resident nor were they taking food directly from a resident's plate. The cook makes extra food for staff as well.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 25-AS-20230103113738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: A BRAND NEW DAY
FACILITY NUMBER: 455001567
VISIT DATE: 03/08/2023
NARRATIVE
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“This agency has investigated the complaint alleging; Facility staff eat the residents' food. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis."
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 25-AS-20230103113738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: A BRAND NEW DAY
FACILITY NUMBER: 455001567
VISIT DATE: 03/08/2023
NARRATIVE
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However, since this license closed and the new licensee took over, the issue has resolved itself. The new licensee has two staff on each side and floater.

Based on the above the allegation is substantiated.

Based on the interviews and LPA touring the facility during the initial complaint visit, the allegation is substantiated. Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Failure to correct shall result in civil penalties.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 25-AS-20230103113738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

FACILITY NAME: A BRAND NEW DAY
FACILITY NUMBER: 455001567
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/09/2023
Section Cited
CCR
87411(a)
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Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.
This requirement is not met as evidenced by: Based on interview and observation,
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This has been corrected. This facility closed on 01/23/2023, and the new licensee has ensured there is at least two staff for each side during resident awake hours.
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Licensee only had one staff per side and there was not enough staff to supervise residents during meal times. This is an immediate risk to residents.
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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.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 7