New Beginning Living

Type of visit: Office

On 5/5/2026, Licensing Program Analyst (LPA) Jose Delacruz, Licensing Program Manager (LPM) Robyn Clark, and Regional Manager (RM) Jerry Romero met with the Licensee Patricia Tapia (LIC 1), and Octavio Vazquez (LIC 2) to conduct a case-management deficiencies office visit. During a review of an unrelated case, the Department found that the facility admitted one Resident (R1) on 11/7/2025 who was classified as bedridden without an appropriate fire clearance. R1’s LIC 602 Physician’s Report dated 9/17/2025 was reviewed and indicated that R1 was “bedridden” and “non-ambulatory.” Under the reason for the bedridden status, “other” was marked noting that due to “Dementia,” R1 need help to re-position in bed.” During the office meeting LIC 2 noted that R1 required repositioning every two hours. Health and Safety Code Section 1569.72(b)(1) provides in part: "(b)(1) …'bedridden' means either requiring assistance in turning and repositioning in bed, or being unable to independently transfer to and from bed…" A review of the facility file indicates that a fire clearance was granted on 2/4/2025 allowing for 6 non-ambulatory only. Per Health & Safety Code §1568.0822, an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations: [CONTINUED ON LIC9099-C] [CONTINUED FROM LIC9099] (2) (A) Fire clearance violations, including, but not limited to, overcapacity, ambulatory status, inoperable smoke alarms, and inoperable fire alarm systems. The civil penalty shall not be assessed if the licensee has done either of the following: The preponderance of evidence indicates that the facility retained a resident who was bedridden without the appropriate fire clearance. Deficiencies were cited and are listed on the attached LIC 9099(d). Immediate Civil Penalties were also issued for a violation of the fire clearance.the state’s words, verbatim · CDSS document, May 5, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.72(b)(1) · Plan of correction due date: May 5, 2026

"(b)(1) …'bedridden' means either requiring assistance in turning and repositioning in bed, or being unable to independently transfer to and from bed…" Based on observation, interview, and record review, the licensee did not comply with the section cited above with one resident, which posed an immediate health and safety risk to a resident in care.the state’s words, verbatim · CDSS document, May 5, 2026

Plan of correction: Person is no longer a resident on the facility.

Allegation investigated: Neglect resulting in serious bodily injuries Staff did not seek timely medical attention for resident

On 04/06/2026 Licensing Program Analyst (LPA) Jose De La Cruz arrived to the facility to conclude a complaint investigation initiated on 12/22/2025. LPA was greeted by Administrator Octavio Vazquez. On 12/19/2025, it was alleged that Resident 1 (R1) sustained serious bodily injuries, including pressure injuries and foot infection, due to facility neglect and that the facility failed to obtain emergency medical care for a worsening foot infection. On 12/22/2025, the Department conducted a welfare check and collected records related to the incident. R1 was not present, having been admitted to the hospital. Subsequent interviews and record reviews were completed with internal and external sources. [CONTINUED ON LIC9099-C] Substantiated [CONTINUED FROM LIC9099] Records and interviews revealed that R1 was admitted to the facility on 11/7/2025. Their 10/7/2025 medical assessment and 11/8/2025 appraisal documented diabetes, Alzheimer’s disease, a history of pressure ulcers, which were healed at the time of the assessment. R1 was bedridden and required full assistance with activities of daily living (ADLs). At admission, the administrator (ADM) and one staff (S1) assessed R1. ADM reported that R1’s right great toenail appeared swollen, red, and possibly infected upon admission. S1 stated the toenails were long and the toe worsened over time. Charting shows that 11/11/2025, ADM documented redness on R1’s feet and toenails and notified the Licensee, who planned staff training. No further related documentation was indicated until 12/5/2025, when ADM recorded that R1’s responsible person (OS1) reported a possible foot infection. On 12/10/2025, R1 was hospitalized during a routine doctor appointment due to the progressed infection, which was not addressed by the facility until it was found by outside source (OS1). During interviews, ADM and S1 acknowledged observing the toe worsen and that R1 complained of pain. S1 reported this to R1’s responsible person, who arranged a podiatry appointment with a two month wait. Neither ADM nor SI notified R1’s physician. When asked by the Department, ADM stated no medical care was obtained because R1’s responsible person was already aware and no other skin issues were noted. ADM also confirmed that R1 began developing wounds after attending a day program in late November. Charting corroborated this and documented that on 12/5/2025, R1 returned from day program with a re-opened wound on their upper left back. Three days later, it was noted that R1’s medical provider was contacted to request a wound assessment, guidance for treatment, and any wound care supplies. S1 said that on 12/9/2025, R1 returned from the program with bandages, cream, and instructions for a pressure wound on the shoulder and for the toe. ADM acknowledged that the wound had progressed and reported that they notified R1’s physician, and not their responsible party when it progressed. [CONTINUED ON LIC9099-C] [CONTINUED FROM LIC9099-C] Staff two (S2), responsible for bathing and skin checks, confirmed receiving instructions to apply cream to the pressure injury when repositioning R1 every two hours but denied noticing concerns about the toe. Interviews were conducted with OS1 and R1’s physician (PCP), who became R1’s provider on 12/1/2025. During an intake assessment on 12/8/2025, PCP noticed R1’s infected toe and a stage 2 pressure injury on the upper left shoulder. A follow up on 12/10/2025 showed progression, including blood around the toenail bed, posing significant risk due to R1’s diabetes. Emergency treatment was arranged, and R1 was hospitalized for five days before transferring to a skilled nursing facility for extended treatment. PCP stated they were never notified by the facility of R1’s progressed toe infection. Hospital records reviewed from 12/10/2025–12/15/2025 confirm diagnoses with photos of diabetic ulcers on both great toes, a diabetic foot infection, and pressure injuries to the sacrum and upper left back. R1 required hospitalization for five days and subsequent treatment at a skilled nursing facility following hospital discharge on 12/15/2025. A preponderance of evidence supports that facility staff failed to observe R1’s changes in condition and report as required to R1’s responsible person and physician. The evidence further supports that the facility did not arrange emergency medical care for a serious toe infection which required hospitalization. Both allegations are substantiated and cited on LIC 9099(d). Pursuant to Health and Safety Code §1568.0822 an immediate civil penalty was assessed (see LIC 421 IM). Additional civil penalties remain under review with the Department’s legal division and may be assessed at a later date. An exit interview was conducted, and the report and appeal rights were provided to Administrator Octavio Vazquez, whose signature acknowledges receipt.the state’s words, verbatim · CDSS document, Apr 6, 2026 · control 08-AS-20251219142239

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Apr 7, 2026

A plan for… medical… care shall be developed by each facility…. by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental... This requirement was not met as evidenced by. Based on interview and record review, the licensee did not arrange medical care for one residents (R1) severe toe infection resulting in hospitalization. This posed an immediate health safety and personal rights risk to 1 of 5 residents in care.the state’s words, verbatim · CDSS document, Apr 6, 2026

Plan of correction: Licensee will arrange, or assist in arranging, for medical and dental care for the needs of residents.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87466 · Plan of correction due date: Apr 7, 2026

The licensee shall ensure that residents … the licensee shall ensure that such changes are ... brought to the attention of the resident's physician and ... responsible person, if any. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not report two (2) changes in condition for one resident (R1) to their responsible person and physician. This posed a immediate risk to 1 of 5 residents in care.the state’s words, verbatim · CDSS document, Apr 6, 2026

Plan of correction: Licensee shall reach out to responsible partied and residents physician when updates to the resident's health are observed.

Allegation investigated: Staff does not maintain resident's hygiene. Staff does not meet resident's diapering needs.

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced follow-up complaint investigation visit to deliver findings. LPA Silveira explained the purpose of the visit and was granted entry into the facility by Care Staff Ana Karen Cobos. The Department’s investigation consisted of observations, interviews and a records review. On February 20, 2026, it was alleged that staff does not maintain Resident #1 (R1’s) hygiene in relation to bathing and nail care. A records review of R1’s medical report dated August 26, 2025 revealed that R1 has incontinence issues and needs assistance with diaper changes. The report also indicates that R1 is not able to bathe self and needs assistance with all ADLs. Interviews with Staff #1 (S1) and the Responsible Relative (RR) for R1 revealed that R1 is a very private person and is still quite independent when bathing and when attending the bathroom. (CONITNUED ON NEXT PAGE, LIC 9099C) Unsubstantiated (CONTINUED FROM PAGE 1, LIC 9099) R1 is still able to toilet and bathe on their own, monitored and prompted by staff. During the facility visit, the Licensing Program Analyst (LPA) observed that R1 went to the bathroom alone with a brief check-in from staff. R1 was able to complete their task independently. Finally, an interview with an outside source (OS) who cares for R1 while at their medical appointments revealed that they have observed that R1 has been clean when picked up for their appointments and the OS does not believe there are hygiene issues with R1. Regarding nail care, an interview with the RR revealed that due to illness on two occasions from R1 and the RR, a podiatrist appointment was cancelled in January 2026 and the next available appointment was scheduled for tomorrow, March 3, 2026. LPA also observed on the facility board that R1’s podiatrist appointment was listed on the board for this date. There was not enough evidence to corroborate this allegation. It was also alleged that staff do not meet resident’s diaper needs. Specifically, it was alleged that staff do not provide extra diapers for R1 when they attend their weekly medical appointments three times per week. An interview with S1 revealed that when R1 started attending these appointments in September of 2025, S1 sent extra diapers with the resident. When R1 was dropped off at the facility after the appointment, S1 stated that the diapers were returned by the outside agency care staff and it was indicated that they were not needed. S1 also stated that from September 2025 to present, no one from the outside agency that assists R1 has indicated that R1 needed extra diapers. Finally, an interview with the RR and with the Licensee also revealed that they were never made aware that R1 needed extra diapers for these appointments. The RR also stated that they were very content with the care services provided at the facility and does not believe that this is due to negligence. During the Department facility tour, the Licensing Program Analyst (LPA) observed that the facility was very clean, the residents rooms were organized and R1 had diapers available in their bedroom. There was not enough evidence to corroborate this allegation. Due to a lack of corroborating evidence, the allegation that staff do not maintain R1’s hygiene and that staff do not meet R1’s diapering needs are unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore, the allegations are unsubstantiated. An exit interview was conducted with care staff Ana Karen Cobos. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) was provided. The signature below confirms the receipt of these documents.the state’s words, verbatim · CDSS document, Mar 2, 2026 · control 08-AS-20260220123955

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an announced Pre-Licensing Inspection. The visit included a Component III orientation and a walkthrough of the facility's physical plant to evaluate compliance with Title 22, Division 6 of the California Code of Regulations and the California Health and Safety Code. Upon arrival, LPA was greeted at the front entrance by Administrator, Octavio Vazquez and granted entry after properly identifying herself and stating the purpose of the visit. This facility applied to be licensed as a Residential Care Facility for the Elderly (RCFE). The fire clearance was approved on February 4, 2025, authorizing care for up to six (6) non-ambulatory adult residents. No bedridden residents are approved. As of today’s visit, no clients are in care. The submitted facility sketch matched the current physical layout. Facility Inspection LPA, accompanied by Administrator, Octavio Vazquez, conducted an inspection of both the interior and exterior areas of the facility. The following observations were made: · The facility was clean, sanitary, and in good repair. · Required postings were displayed in visible locations. · There was sufficient space and equipment to support laundry, visitation, meetings, and resident activities. (Continue at LIC809C) (continue from LIC809C) · Indoor and outdoor pathways were clear of obstructions and slip hazards. · Smoke and carbon monoxide detectors, emergency lighting, and a facility telephone were operational. · Fire extinguishers were purchased on February 1, 2025 and bore valid inspection tags. · All chemicals and toxic substances were stored in locked areas, inaccessible to residents. Bedrooms and Bathroom · Client bedrooms were equipped with the required furnishings, allowed for easy passage, and had windows with intact screens. · The facility had adequate linens and hygiene supplies available. · Bathroom (1) was equipped with non-skid mats and grabbars · Toilet, sink, and one shower were fully functional. · The facility's ambient temperature was comfortable and compliant. · Hot water measured at 118°F, within the regulatory range. Kitchen and Storage · The kitchen contained appropriate cooking utensils and equipment. · Knives and other sharp objects were securely stored in a locked cabinet. · A 7-day supply of non-perishable and a 2-day supply of perishable food will be stocked upon resident admission. · Medications will be stored in a locked cabinet inside the facility. · A complete first aid kit and manual were available in the medicine cabinet. · Client and staff records will be stored in a locked cabinet. Continue at LIC809C) (continue from LIC809C) Additional Observations · Per Vazquez, no firearms or ammunition are or will be stored on the premises. Conclusion LPA reviewed and discussed ongoing operational requirements, recordkeeping, reporting obligations, and physical plant standards with the applicant. All items reviewed were in compliance with applicable regulations. The Pre-Licensing Inspection and Component III orientation were completed during today’s visit. The applicant was advised that the facility is ready for licensure, pending final review and approval by Licensing management. An exit interview was conducted with Vazquez, during which a copy of this report and the Licensee Appeal Rights (LIC 9058, 03/22) were provided. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Sep 9, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census : 0 Method: Telephone call with CAB COMP II Participants: TAPIA, PATRICIA (Administrator/Licensee) & DEGMETICH, JOSHUA (Analyst). Administrator/Licensee participated in COMP II via telephone call with CAB analyst. Identification of the Administrator/Licensee was verified by confirming driver’s license number. During COMP II, Administrator/Licensee confirmed the understanding of Title 22. Component II was successfully completed. Administrator/Licensee was advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Administrator/Licensee's understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 27, 2025