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Inspection visit

Routine inspection

NEW BETHANYLicense 2472007459 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with DSD Nurse Nicole Lowe Ciuffo. Facility is licensed for 76 residents and has a current census of 38. Nicole stated currently there are no residents on hospice and 1 resident with home health. Home Health Plan was reviewed. Water temperature was checked in 2 different wings in the facility, first bathroom water temperature read at 113.1 degrees Fahrenheit and the second bathroom read at 106.3 degrees Fahrenheit. Fire Extinguishers were serviced March 18, 2026 and is within the safety regulation period. Carbon monoxide detectors were tested and in working order. Facility had the annual inspection for the sprinkler system on February 12, 2026, and passed with no concerns. Basuny Eldaouch Administrator's Certification expires November 20, 2026. Staff files were reviewed, and not complete at this time. Resident files were reviewed, and some are not complete. First aid kit on site and complete. There is a locked storage are for medications. LPA inspected the interior and observed the exterior of the facility including the common areas, resident bedrooms, bathrooms, medication storage, and kitchen. Bedrooms are clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed the following deficiencies: Laundry detergent accessible to residents under the sink in a laundry room. Cleaning/disinfectant in unlocked utility closet in activity room. Scissors, hand pruners, and insect killer in unlocked closest in the activity room. Ice machine had build up on the inside and hard water build up on the outside Water dispenser in activity room has hard water build up on dispenser. Current physician reports for residents. Pre-Admission Appraisals for residents. Personal inventory logs for residents. R1's centrally stored medication log which did not have a start date for Tamsulosin 0.4MG & Atorvastatin Calciui/40MG LPA reviewed staff files and some of the following were missing: TB test results, current training, physicals. Training duration for completed training. Deficiencies observed were cited during today's inspection per California Code of Regulations, Title 22. LPA's requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing by April 6, 2026. Exit interview conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to DSD Nurse Nicole Lowe Ciuffo.

Citations

10 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed ice machine to have mildew/build up on the inside and hard water build up on the outside, water dispenser in activity room has hard water build up on dispenser tray.

  • 87309(a)Type A

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed scissors, hand pruners, and insect killer in unlocked closest in the activity room. LPA observed cleaning/disinfectant in unlocked utility closet in activity room. LPA observed laundry detergent accessible to residents under the sink in a laundry room.

  • 87411(a)Type B
  • 87411(f)Type B

    Based on observation & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA reviewed staff records and 5 staff records did not have the TB test results in the files.

  • 87412(c)(2)(D)Type B

    Based on observation, & record review, the licensee did not comply with the section cited above in 5 out of 5 staff files which poses/posed a potential health, safety or personal rights risk to persons in care. Training documentation does not reflect number of hours conducted on training.

  • 87458(c)(1)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above in 2 out of 7 resident physician reports do not have a diagnosis listed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(h)(1)Type B

    Based on observation, interview & record review, the licensee did not comply with the section cited above in 4 out of 7 resident files did not have a current physician's report which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type A

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA reviewed R1's centrally stored medication log which did not have a start date for Tamsulosin 0.4MG & Atorvastatin Calciui/40MG.

  • 87506(b)(17)(A)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above in 3 out of 7 resident files did not have a pre-admission appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.153(d)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above in 3 out of 7 resident files did not have a written personal property inventory which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 25, 2026 inspection of NEW BETHANY?

This was a inspection inspection of NEW BETHANY on March 25, 2026. 9 citations were issued: 2 Type A (serious) and 7 Type B.

Were any citations issued to NEW BETHANY on March 25, 2026?

Yes, 9 citations were issued (2 Type A, 7 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in which poses/posed a potential health, ..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.