NEW ERA GUEST HOME

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not ensure medications were secured in the unlocked staff bedroom and tools, including a chainsaw, were secured in the unlocked back shed, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 02/10/2026 Plan of Correction During the inspection, the licensee found the keys to these rooms and secured these items and LPA confirmed. Licensee stated they will conduct staff training on securing dangerous items and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility's fire extinguisher has not been inspected since May 22, 2024, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 03/09/2026 Plan of Correction Licensee stated they will purchase a new fire extinguisher or have it inspected and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, R3's appraisal has not been updated since December 15, 2024, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 03/09/2026 Plan of Correction Licensee stated they will reappraise R3, including a functional capabilities assessment to determine if they need assistance with all activities of daily living, and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee's emergency disaster drill records show only two emergency disaster drills in the last year, which is not quarterly as required, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 03/09/2026 Plan of Correction Since the last emergency disaster drill was conducted on 01/26/2026, Licensee stated they will submit a statement of understanding that emergency disaster drills are to be conducted quarterly to LPA by POC due date.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

… all residential care facilities for the elderly … shall maintain liability insurance ... in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts... This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not maintain liability insurance between August 20, 2025 and September 3, 2025, which poses an immediate personal rights risk to persons in care.

Official plan of correction

Licensee stated they have already obtained liability insurance and LPA confirmed. POC CLEARED.

Deadline recorded: Sep 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, LPA and AD could not find a standalone carbon monoxide detector and none of the smoke detectors had markings indicating they also detected carbon monoxide, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 02/07/2025 Plan of Correction Licensee stated they will purchase and install a carbon detector and submit the receipt and a photograph of the installed detector to LPA by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee has not completed reappraisals for 4 out of 5 residents for over a year, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 02/20/2025 Plan of Correction Licensee stated they will ensure all residents have reappraisals yearly and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee was unable to provide records for emergency disaster drills conducted in the last two quarters, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 02/20/2025 Plan of Correction Licensee stated they will conduct an emergency disaster drill immediately, submit proof to LPA, and conduct emergency disaster drills quarterly moving forward.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, R1 is bedridden per their physician's report dated 10/25/23 but the facility does not have a bedridden fire clearance, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 05/23/2024 Plan of Correction Licensee stated they will submit an LIC200 requesting a bedridden fire clearance, a paragraph attachment describing which room will be for bedridden residents, a new floor plan reflecting the change, and a $25 check made out to CA Department of Social Services by POC due date.

Official classification

Type B

Official code

87470(c)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility does not have an Infection Control Plan, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will review Provider Information Notice (PIN) 22-18-ASC, as well as related PINs, and submit the Infection Control Plan to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and documents, the fire extinguisher has not been inspected or replaced since 2022, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will purchase and install a new fire extinguisher and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87307(d)(5)

Regulation authority

CCR

What the official deficiency says

(5) Night lights shall be maintained in hallways and passages to nonprivate bathrooms. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee does not have nightlights anywhere in the facility, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will purchase and install nightlights and will submit proof to LPA by POC due date.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not ensure toxins were secured in the laundry room when staff could not locate the key to the lockable storage closet during the inspection, but the residents are all non-ambulatory and the facility has 2 staff caring for 4 residents to ensure safety, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction During the inspection, the licensee secured these items and LPA confirmed. POC CLEARED.

Official classification

Type B

Official code

87309(b)

Regulation authority

CCR

What the official deficiency says

(b) Medicines shall be stored as specified in Section 87465(c) and separately from other items specified in (a) above. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not ensure medications were secured in the non-lockable staff bedroom, but the residents are all non-ambulatory and the facility has 2 staff caring for 4 residents to ensure safety, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction During the inspection, the licensee secured these items and LPA confirmed. POC CLEARED.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure S1 and S2 received their 20 hour annual training, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will have staff complete the training and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87468(c)(2)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee's PUB475 is letter sized, which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will purchase and post a PUB475 of the required size and send proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, the facility does not have a current LIC610E and cannot locate their full emergency disaster plan, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will complete and post an updated LIC610E using the new 9-page form and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, the facility has not conducted an emergency disaster drill since January 1, 2020, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee stated they will conduct an emergency disaster drill as required and submit proof to LPA by POC due date and will conduct drills quarterly moving forward.