455001567-4-4-2023-25-AS-KHOS-CQSM7S-20230411092200

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455001567
Report Date: 04/04/2023
Date Signed: 04/04/2023 02:40:33 PM

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
10/12/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20221012152042

FACILITY NAME:	A BRAND NEW DAY		FACILITY NUMBER:	455001567
ADMINISTRATOR:	TAORMINO, BRITTNIE		FACILITY TYPE:	740
ADDRESS:	779 KERRY-JEN COURT		TELEPHONE:	(530) 223-1538
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	0	CENSUS: 14	DATE:	04/04/2023
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	STACEY MILLER		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff are not properly trained.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst was in contact and met with Stacey Miller, Facility Manager. LPA Gurriere completed the required COVID-19 screening process and wore an N-95 mask.

During the interview process, the licensee Mary Burger and one staff person were interviewed by a previous Licensing Program Analyst (LPA). LPA Gurriere interviewed three staff persons. Additional staff were not available or interviewed, as the facility officially closed on 01/23/23 and has since changed ownership. The resident was not interviewed as he had since moved.

continued

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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 5

Control Number 25-AS-20221012152042

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: 04/04/2023

NARRATIVE

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Staff are not properly trained.

The licensee and staff persons reported that they felt that they were not prepared to meet the resident’s behavioral issues and that they felt that they were not properly trained.

Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.

Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 25-AS-20221012152042

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: 04/04/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/05/2023 Section Cited CCR 87411(6)(d)	1 2 3 4 5 6 7	Personnel Requirements – All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance:	1 2 3 4 5 6 7	The facility closed on 01/23/2023; therefore, there is no plan of correction at this time.
	8 9 10 11 12 13 14	The licensee did not ensure that staff were properly trained to assist residents with behavioral issues.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 5

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
10/12/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20221012152042

FACILITY NAME:	A BRAND NEW DAY		FACILITY NUMBER:	455001567
ADMINISTRATOR:	TAORMINO, BRITTNIE		FACILITY TYPE:	740
ADDRESS:	779 KERRY-JEN COURT		TELEPHONE:	(530) 223-1538
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	0	CENSUS: 14	DATE:	04/04/2023
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	STACEY MILLER		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Unlawful eviction.
Resident needs are not being met.
Facility failed to contact primary care physician of resident’s condition.
Medication was not given as prescribed.

INVESTIGATION FINDINGS:

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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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 5

Control Number 25-AS-20221012152042

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: 04/04/2023

NARRATIVE

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Unlawful eviction.
During the interview process, there was not an indication that the resident did not receive a 30-day eviction notice. It was reported that the resident resided at the facility for approximately three weeks and moved prior to the 30-day required eviction due to the resident’s behavioral issues.

Resident needs are not being met.
Staff persons reported that to their knowledge, the resident’s needs were being met.

Facility failed to contact primary care physician of the resident’s condition.
It was reported that although the resident’s physician may have not been contacted, the staff reported that the facility had their own nurse practitioner to monitor and manage the resident’s care in the facility.

Medication was not given as prescribed.
Staff persons advised that to their knowledge, the resident did get his prescribed medication.

Although the allegations may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are Unsubstantiated.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

LIC9099 (FAS) - (06/04)

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