A New Haven Care Home - Berlin

Type of visit: Required - 1 Year

On 3/18/2026 at 2:20PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Robert Abella and caregiver, Imee Baquir. LPA explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 2/4/2026. First Aid kit is complete. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.1 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passageways were free of obstruction. There was no bodies of water observed. LPA reviewed 5 residents and 3 staff files starting at 2:24PM. Residents and staff files were complete. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted with Robert Abella. A copy of this report and technical violation was provided.the state’s words, verbatim · CDSS document, Mar 18, 2026

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 3/6/2025 at 10:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Robert Abella and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 2/6/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 5 residents and 4 staff files starting at 11:45AM. Residents files were complete with medical assessment, admission agreement, appraisal needs & service plan, etc. All staff are fingerprint cleared and associated to the facility. Staff files were complete and training information was available. LPA reviewed a sample of resident's medications during inspection. At 11:15AM, LPA observed silicone caulking tubes inside an unlocked container outside in the backyard. Administrator locked up the items during inspection. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted with Roberto Abella. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Mar 6, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Facility staff did not follow reporting requirements.

On this day, September 27, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to deliver the findings for the above allegation. LPA met with Administrator (ADM) Roberto 'Robert' Abella. LPA called and spoke with Arnold Soleta, licensee, over the phone, and informed the reason for visit. During the course of investigation, the Department obtained copies of LIC501 Staff Records and resident’s LIC601 Identification and Emergency Contact Information, Facility Notes and Unusual Incident Reports (UIRs). Local law enforcement was also involved in the investigation and copy of Police Report was obtained. The Department conducted interviews on 5/24/23, 5/25/23, 6/02/23, 2/12/24 and 2/13/24. The following were interviewed: licensee; staff (S1 and S2); family members (FM1 and FM2); witnesses (SS and W1). UIRs were reviewed. ..continued 9099C Substantiated Staff indicated the alleged abuse happened on first week of May 2023; however, licensee submitted the UIR on 5/23/23 with incident date 5/06/23. Police report showed the alleged abuse was reported by third party not by the licensee and there’s no evidence that the licensee reported the alleged abuse to law enforcement. R1 sustained bruises which were observed by R1’s family member (FM2) and witness (SS) on May 1, 2023. W1 also confirmed observing the bruises which resulted from R1’s falling when being assisted in the bathroom. FM2 stated S2 informed him of the fall incident but S2 did not inform him of the bruises on R1’s chest area and shoulder. FM1 indicated he was informed by the facility staff about the fall incident which the Department confirmed with S2. Review of records and UIRs didn’t show the fall incident was reported to Community Care Licensing. Based on information gathered, the preponderance of evidence has been met, therefore, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with licensee over the phone in the presence of ADM. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. The Department interviewed staff members and licensee on 6/05/23 and 621/23, residents (R1, R2, R3 and R4) on 6/05/23, and R1’s family members (FM1, FM2) and friend (W1) on 5/31/23 and 6/02/23. Although R1’s statement about S1 touching R1’s breast was consistent, details pertaining to when the touching occurred, frequency and statements made were inconsistent. S1 never provided 1:1 care to R1 and only assisted when another caregiver requested S1’s help in lifting and transferring R1, and S1 was never left alone with R1. It was reported that the incident occurred on or around 5/6/23, and S1 was not scheduled to work at the facility that day, but S1 does reside in the facility. Because of R1’s diagnosis of Multiple Sclerosis (MS), staff used a “bear hug” technique to lift R1 from the front to prevent them from losing balance and falling over if done from behind. R1’s family member (FM1) and staff stated R1 was a heavyset woman with large breasts. It was possible that whoever transfers R1 could inadvertently touch R1’s breast. FM2 stated when he visited R1 at the facility, R1 reported to him the alleged abuse which took place on May 6, 2023. W1 stated R1 told W1 that when R1 was in bed, S1 entered R1’s room and placed his hand on R1’s right breast and squeezed it. S1 adamantly denied touching R1 inappropriately. Other female residents (R2, R3 and R4) were interviewed, and they denied S1 helped them and denied S1 touching them. None of the staff or other residents witnessed inappropriate touching of R1. Based on information obtained, there is not a preponderance of evidence to prove that the alleged violation occurred or did not occur, therefore, the allegation is unsubstantiated. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 27, 2024 · control 15-AS-20230523113154

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(c) · Plan of correction due date: Oct 11, 2024

87211 Reporting Requirements (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency..... ... within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1). -This requirement is not met as evidenced by:the state’s words, verbatim · CDSS document, Sep 27, 2024

Plan of correction: R1 is no longer at the facility. Licensee and administrator to read the Regulations and submit self-certification by 10/11/24

From the deficiency page — Deficiency type: Type B · Section cited: CCR 0000 · Plan of correction due date: Oct 11, 2024

CONTINUED BELOW: -Based on records review and interviews, the licensee did not comply with the section above in not reporting the incident and not reporting timely the alleged abuse which posed a potential safety and personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Sep 27, 2024

Type of visit: Case Management - Deficiencies

While conducting an investigation of a complaint (Control # 15-AS-20230523113154), the Department observed that staff’s (S1) fingerprint clearance was still in process (pending) as of 05/24/2023. Copy of S1’s LIC501 Personnel Record obtained from Arnold Soleta, licensee, showed 05/16/2023 as S1’s date of employment. S1 was fingerprint cleared and associated to other facility as of 03/07/2023 but not associated to A New Haven Care Home - Berlin. S1 was associated only on 05/25/2023. On this day, September 27, 2024, Licensing Program Analyst (LPA) Delmundo conducted a case management as a result of the above. LPA met with Administrator (ADM) Roberto 'Robert' Abella. LPA called and spoke with Arnold Soleta, licensee, over the phone, and informed the reason for visit. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with licensee over the phone in the presence of ADM. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 27, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(2) · Plan of correction due date: Oct 11, 2024

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review.......shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance..... -This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above in S1 working prior to being associated which posed an potential safety and/or personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Sep 27, 2024

Plan of correction: The staff was associated to the facility on 5/25/23. In addition, licensee and ADM to read the Regulations and send self-certification by 10/11/24.

Type of visit: Required - 1 Year

On 3/21/2024 at 12:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Robert Abella and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 3 residents maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 2/2/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.6 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 4 residents and 3 staff files starting at 1:15PM. LPA reviewed a sample of resident's medications starting at 2:30PM. LPA interviewed 2 residents and 2 staff at around 2:00PM. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Mar 21, 2024