455001567-9-12-2022-25-AS-APEZ-CJ8TJS-20220913144642

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455001567
Report Date: 09/12/2022
Date Signed: 09/12/2022 09:54:03 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20220408165349

FACILITY NAME:	A BRAND NEW DAY		FACILITY NUMBER:	455001567
ADMINISTRATOR:	TAYLOR, VERNA		FACILITY TYPE:	740
ADDRESS:	779 KERRY-JEN COURT		TELEPHONE:	(530) 223-1538
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	26	CENSUS:	DATE:	09/12/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	LACEY PERRY		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Medication was not given as prescribed.
Staff are not following hospice care plan.
Staff are verbally abusive to residents.
Staff are not seeking timely medical care.
Staff left residents in bed without proper repositioning resulting in pressure ulcers.
Facility staff are not following hospice waiver conditions.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst was in contact and met with Lacey Perry, Staff. It was alleged that Medication was not given as prescribed, Staff are not following hospice care plan, Staff are verbally abusive to residents, Staff are not seeking timely medical care, Staff left residents in bed without proper repositioning resulting in pressure ulcers, and Facility staff are not following hospice waiver conditions.

LPA Gurriere completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. The administrator/staff person was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask. Additionally, LPA Gurriere was screened by a staff person upon entering the facility

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

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-20220408165349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A BRAND NEW DAY	FACILITY NUMBER: 455001567
	VISIT DATE: 09/12/2022

NARRATIVE

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Medication was not given as prescribed.
During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report, Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

During the interview process, it was reported that a resident (Resident 1) did not get his pain medications. On 08/29/22, during a walk-through of the facility, it was noted that the resident had been on hospice; however, had since passed away, and his condition could not be reviewed. Interviews were conducted and overall, staff indicated that staff were not aware that the resident did not get his pain medications, as prescribed.

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

Staff are not following hospice care plan.
During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report, Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

During the interview process staff persons were interviewed and indicated that they were following the hospice care plans to their knowledge. Hospice care plans were obtained and reviewed, which were clear and concise.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 25-AS-20220408165349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A BRAND NEW DAY	FACILITY NUMBER: 455001567
	VISIT DATE: 09/12/2022

NARRATIVE

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

Staff are verbally abusive to residents.
During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report, Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

During the interview process, staff persons were interviewed and overall, staff stated that they were not aware of residents being verbally abused. During the walk-through of the facility, the residents were up and in the livingroom sleeping or interacting with the staff. Staff being verbally abusive to residents was not observed.

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

Staff are not seeking timely medical care.
During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report, Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 25-AS-20220408165349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A BRAND NEW DAY	FACILITY NUMBER: 455001567
	VISIT DATE: 09/12/2022

NARRATIVE

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During the interview process, all staff reported that they seek medical care in a timely manner. It was reported that if a resident has a fall/injury or needs medical attention, Emergency Services (911) are contacted and the resident is sent out to the hospital.

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

Staff left residents in bed without proper repositioning resulting in pressure ulcers.
During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report, Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

During the interview process, staff persons were interviewed and reported that residents at the facility did not have pressure ulcers. In addition, on 08/29/22 a walk-through was conducted by LPA Gurriere, and staff were interviewed a second time. Staff advised again that that residents at the facility did not have pressure ulcers. Hospice records/plans were reviewed which did not indicate that residents had pressure ulcers.

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

Facility staff are not following hospice waiver conditions.

During the investigative process, eight staff persons and other persons were interviewed. In addition, a walk-through of the facility was conducted whereas residents’ well-being was observed, and several records were reviewed. Various documents were obtained and reviewed to include Physicians Report,

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

Page: 5 of 5

Control Number 25-AS-20220408165349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A BRAND NEW DAY	FACILITY NUMBER: 455001567
	VISIT DATE: 09/12/2022

NARRATIVE

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Admission Agreement, Personnel Report, Hospice Records, Medication Administration Records (MARs), staff training records, list of staff names and a list of resident names.

During the interview process staff persons were interviewed and indicated that they were following the hospice waiver conditions. Hospice waivers were obtained and reviewed, which were clear and concise.

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

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 5