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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455001567
Report Date: 09/12/2022
Date Signed: 09/12/2022 09:44:40 AM

Substantiated


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 DAYFACILITY NUMBER:
455001567
ADMINISTRATOR:TAYLOR, VERNAFACILITY TYPE:
740
ADDRESS:779 KERRY-JEN COURTTELEPHONE:
(530) 223-1538
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:26CENSUS: 13DATE:
09/12/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:LACEY PERRYTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Residents are not receiving proper medical care; medications.
Staff does not have sufficient training.
Facility has insufficient staffing.
Staff are not providing hygiene care to residents.
INVESTIGATION FINDINGS:
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Donna Gurriere, Licensing Program Analyst was in contact and met with Lacey Perry, Staff. It was alleged that Residents are not receiving proper medical care; medications, Staff does not have sufficient training, Facility has insufficient staffing and Staff are not providing hygiene care to residents

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.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (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 7
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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Residents are not receiving proper medical care; medications.
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, some staff indicated that residents were not receiving proper medical care to include medications. On 08/29/22, LPA reviewed the Medication Administrative Records (MARs) and found several discrepancies to include that Resident 2 did not have some medications at the facility. Medication included Metformin 100 mg, twice daily. Resident 2 went without medication for two doses on 08/28/22 and one dose on 08/29/22. The medication was delivered on the evening of 08/29/22. Resident 2 did not have medication for Loratadine 10 mg, once daily. Resident was out of this medication on 08/20/22 until 08/29/22. Resident also did not have medication for liquid Centrum for approximately one month.

During the walk through, it was noted that Resident 3 was out of Lorazepam, .5 mg, which was a pro re nata (PRN) since 08/20/22, as the pharmacy has not refilled the prescription as required. Prescription was filled on 08/29/22.

Based on LPAs 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.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (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 7
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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Staff does not have sufficient training.
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 stated that they would have liked to have additional training to include dealing with difficult combative residents, as the facility has had at least two combative residents over the past few months. LPA Gurriere conducted a walk through on 08/29/22 and noted that at least two residents were without refills of their prescriptions as mentioned above and other medication errors were noted too. Staff do not have sufficient training in regard to medications, as required.

Based on LPAs 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.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (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 7
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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Facility has insufficient staffing.
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, numerous staff and including a walk through by LPA Gurriere, it was indicated that there is insufficient staffing. It was reported, that there are two buildings, building one and building two. Staffing includes one staff person for each building and a “floater” to go between each building only on Monday through Wednesday, 2:00 p.m. until 8:00 p.m. It was stated that if there is an emergency with one or more residents, the remaining residents are left unattended, which is especially noted on the weekends. It was reported that when there is not sufficient staffing, it is difficult for the working staff to take required breaks, as that leaves one staff person for two separate buildings. In addition, LPA Gurriere observed Resident 4 needing “one on one” supervision as the resident was in her wheelchair and wanted to stand up; she was a fall risk. There was one staff person supervising five residents. When LPA Gurriere needed assistance with reviewing the medications, one staff person came from building two to building one to watch the resident that was in her wheelchair and wanted to stand up. This left no staff present to supervise the residents in building two.

Based on LPAs 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.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (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 7
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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Staff are not providing hygiene care 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 walk-through on 08/29/22, residents were sitting in the living room area and were observed to be clean and dressed. However, during the interview process staff and others reported that there was a time where residents were unkempt. It was stated that at times, some residents were difficult to manage, however; others went without care to include not having clean clothes, not having their hair combed, not being shaved, and residents having dirt under their fingernails.

Based on LPAs 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. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed.

SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (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 7
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2022
Section Cited
CCR
87465(a)(4)
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Incidental Medical and Dental Care – A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance… The licensee shall assist residents with self-administered medications as needed.
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The administrator agrees to conduct an audit and review all medications of all residents in the facility to ensure that the licensee is in compliance by having medications on site and in place for all residents. Licensee shall provide the audit document to the licensing agency by 09/13/22.
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The licensee did not ensure that this requirement was met as evidenced by interviews and observations. Medications were not present in the facility for residents 2 and 3, which poses an immediate health and safety risk to residents in care.
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Type A
09/13/2022
Section Cited
CCR
87411(d)(4)
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Personnel Requirements - All personnel shall be given on the job training or have related experience in the job assigned to them…Knowledge required to safely assist with prescribed medications which are self-administered.
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The administrator agrees that all management and staff persons that administer medications shall be trained in ensuring that prescription mediations are filled and are present from the pharmacy. The licensee shall work with the pharmacy to have orders filled in a timely manner and to request more than a 30-day supply, if allowed. The licensee shall submit the plan in writing to the licensing agency and shall provide the training to the staff by 09/13/22.
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The licensee did not ensure that this requirement was met as evidenced by interviews and observations, in that staff have a lack of training in ensuring that prescription orders are filled and on site at the facility. This poses an immediate health and safety risk to residents 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.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 7
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2022
Section Cited
CCR
87705(c)(4)
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Care of Persons with Dementia
Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.
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The administrator agrees to develop a plan and submit it to the licensing agency. The plan shall include how there will be adequate staffing coverage for the residents. The plan may include hiring a second “floater” as needed and including assistance on the weekends. Plan of correction shall be submitted by 09/13/22.
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The licensee did not ensure that this requirement was met as evidenced by interviews and observations in that staff are responsible for two buildings, which does not allow for required breaks, emergencies, and one on one resident care. This poses an immediate health and safety risk to residents in care.
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This is the second violation of this regulation in the past twelve months. The facility was previously cited for this section on 04/28/22. A civil penalty in the amount of $1000.00 is being assessed today for repeat violation.
Type B
09/20/2022
Section Cited
CCR
87464(f)(1)
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Basic Services - Basic services shall at a minimum include: Regular observation of the resident's physical and mental condition, as specified in Section 87466, Observation of the Resident.
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The administrator agrees to submit in writing to the licensing agency, a plan as how to avoid this type of deficiency in the future. Plan of correction is due by 09/20/22.
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The licensee did not ensure that this requirement was met as evidenced by interviews and observations in that staff did not ensure that hygiene care was provided to the residents. This poses a potential risk to residents 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.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7