New Horizon Board and Care III

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Imelda Aguila and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 2:00PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 5-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA and AD observed 2 staff and 5 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the one staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 105 and 110 degrees F in the 2 resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 12:45PM, LPA reviewed 5 resident files and 3 staff files, interviewed 1 resident and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. LPA provided California Department of Public Health informational material on Legionnaires’ Disease during the inspection. During the inspection, LPA and AD observed the following: based on documents, the facility does not have an Infection Control Plan; based on documents, S2 is background cleared, but is not associated to this facility and covers shifts at this facility; and based on documents, the physician's reports R1, R2, R3, and R4 are on the old form and do not include required information, including behavioral expressions. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421BG. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Apr 20, 2026

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff, and explained the reason for the visit. During the inspection, LPA Haley observed a closet right near the front door used by staff as a storage space. Resident bedrooms were clean, organized, and had the necessary elements and were in compliance with regulation guidelines. Resident bathrooms were clean and organized as well. Hot water temperatures were measured in the range of 105 – 108.7 degrees Fahrenheit. Hazardous items are kept under the sink in a locked cabinet. The kitchen is clean and organized. A perishable and non-perishable food supply that meets regulation requirements was observed. Knives are kept in a locked drawer next to the sink. All burners and the warmer on the stove were operational. There’s a locked medication cabinet in the kitchen with staff and resident files. A first aid kit with all the required elements was observed in the cabinet. The garage remains locked and inaccessible to residents at all times. The garage was clean and organized and walkways were free of obstruction. A refrigerator with an additional food supply was observed as well as an emergency supply of food and water. A laundry area equipped with a washer and dryer was observed. Continued on LIC809C The backyard was organized, and walkways were free of obstruction. A shaded patio area was observed with tables and chairs. Smoke detectors, and the carbon monoxide detector tested operational. A fully charged fire extinguisher was observed mounted on the wall near the front door and in the garage. Emergency evacuation drills were conducted quarterly. The last evacuation drill was conducted March 20, 2025. During the inspection, 4 resident files were reviewed, 4 resident medications reviewed, and 3 staff files were reviewed during the visit. No deficiencies will be cited as a result of today’s visit. An exit interview conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Staff Mary Leano. Leano notified facility Administrator (AD) Imelda Aguila about the visit. AD arrived shortly after. For today’s visit, LPA observed a total of 5 residents in care and 2 staff members on duty. LPA observed the Administrator's Certificate for facility AD Imelda Aguila which expires on 06/30/2025. LPA Ramirez toured the interior and exterior portions of the facility with Leano. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 5 may be on hospice and 0 bedridden. For this visit, there are a total of 5 residents in care. There are a total of 5 bedrooms, of which 4 are private resident rooms, and 1 private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms of which 1 is for staff and 2 are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 107.1-109.0 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher were charged, mounted and one was located by the main entrance, one by the kitchen and one in the garage. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the kitchen hallway. Facility had back-up emergency food and water supply, located in the garage CONTINUED ON LIC809-C... LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded patio with furniture, and the grounds were free of any hazards. There is 1 gate in the backyard, which is self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 15, 2024