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Inspection visit

Follow-up on corrections

NEW HORIZONSLicense 3318001505 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 07/15/2024, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to commence a case management visit. LPA Brown was greeted and granted entrance by a staff member and LPA Brown met with Licensee/Administrator Teresa Perez. LPA Brown identified herself and discussed the purpose of the visit with Licensee/Administrator Teresa Perez. At the time of the visit, there were fourteen (14) residents, and five (5) staffs present. During today's visit, LPA Brown observed Staff #8 (S8) and Staff #9 (S9) working at the facility and per documents review, LPA Brown noticed that S8 and S9 have criminal background clearance but S8 and S9 criminal background clearance were not transferred to the facility prior to their employment. Also, staff interviews and records review indicated that S8 started working at the facility on 06/16/2024 and S9 started working at the facility on 06/07/2024. Licensee/Administrator Teresa Perez was informed that deficiency will be issued. Also, Civil Penalty was assessed with the amount of $500.00 per individual and will continue to be assessed of $100.00 per day per citation until corrected for not transferring S8 and S9 criminal background clearance to the facility prior to employment. In addition, during the tour of the facility, LPA Brown observed that Resident #1 (R1) has full bed rail and staff interview and records review indicated that R1's not on hospice and no exception report was submitted and approved by Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office. Deficiency will be issued. Moreover, LPA Brown observed Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), Resident #8 (R8), Resident #9 (R9), and Resident #10 (R10) with half bed rails but staff interviews and document review indicated that there are no written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued. To add to that, during the review of R1's Medication Administration Record (MAR), LPA Brown observed that there's no record at the facility showing that staff are dispensing R1's medications per R1's physician's order since 07/01/2024. Deficiency will be issued. **** Continuation in LIC809C **** Furthermore, LPA Brown observed R1's Physician Report (form LIC602) does not have physician signature and signature date. Deficiency will be issued. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Licensee/Administrator Teresa Perez.

Citations

5 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.

  • 87411(g)(2)Type B

    87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) orThis requirement is not met as eveidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not transferring Staff #8 (S8) and Staff #9 (S9) criminal backgound clearance to the facility prior to employment which pose potential health, safety and personal rights risks to residents in care.

  • 87465(a)(6)Type A

    87465 Incidental & Medical Services (a) 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...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not updating Resident #1 (R1) Medication Administration Record (MAR) when dispensing R1 medications from 07/01/2024 to 07/15/2024 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type B

    87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency...This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by having Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), Resident #8 (R8), Resident #9 (R9), Resident #10 (R10) with half bed rails with no written order from their physician indicating the need for the postural support for mobility which poses a potential health, safety and personal rights risks to resident in care.

  • 87608(a)(5)(B)Type A

    87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do...(5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by having a full bed rail for Resident #1 (R1) and R1's not on hospice and no exception was submitted and approved to CCLD which poses an immediate health, safety or personal rights risk to persons in care.

    Read full inspector narrative
  • 87458(a)Type A

    87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited aboveby not having a completed Physician Report with Physician Signature Date for Resident #1 (R1) which poses an immeidate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 15, 2024 inspection of NEW HORIZONS?

This was a other inspection of NEW HORIZONS on July 15, 2024. 5 citations were issued: 3 Type A (serious) and 2 Type B.

Were any citations issued to NEW HORIZONS on July 15, 2024?

Yes, 5 citations were issued (3 Type A, 2 Type B). The first citation was for: "87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and vo..."

What type of inspection was this?

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

SourceView on CCLDView original report

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