New West Haven II

Allegation investigated: Facility staff did not issue a refund

On 9/10/2026, Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived at the facility unannounced to open and deliver complaint findings into the allegation listed above and met with Med Tech Karina Hernandez. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Based on regulation requirements (87507(g)(5)(A)(1) Admission Agreements), facility should have paid refund to R1's responsible party within 15 days after R1's death. R1’s responsible party received a refund of $1925 on September 4, 2026, 5 months after R1’s death which was on April 18, 2026. Based on Title 22 regulations, licensee did not issue a refund to R1's responsible party within 15 days therefore, department finds that the allegation Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The deficiencies are cited on 9099-D, per Title 22 Regulations, Division 6. Exit interview with administrator. Appeals rights provided. Copy of the report provided to facility. Substantiatedthe state’s words, verbatim · CDSS document, Sep 10, 2026 · control 59-AS-20260901121621

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(5)(A)(1) · Plan of correction due date: Sep 24, 2026

Admission Agreements(g) Admission agreements shall specify the following: (5) Refund conditions(A) Facility policy concerning refunds, ...conditions under which a refund for ... fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652… must be made to the individual...for the payment of the resident’s fees,... identified in admission agreement. 1569.652(c) A refund … within 15 days after the personal property is removed. This requirement was not as evidence by- From record review, it was found that facility did not pay the refund to R1s family/responsible party within 15 days of R1s death as required per regulation which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Licensee/Administrator agrees to submit a statement of understanding of this regulation and send proof of refund payment to CCL by the POC date 9/24/26.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived on February 23, 2026 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident five (5) and staff three (3) files. All staff files contained the required paperwork and training. LPA and staff toured the facility together to ensure the health and safety of residents in care. The areas toured included, kitchen, hallways, resident apartments, resident dining room/kitchen, and resident common areas. Food is within compliance. Fire drills reviewed. Medications locked. In the areas toured, there were no health or safety violations observed. Fire extinguisher is ready for use. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. No deficiencies cited. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 23, 2026

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced at the facility to conduct an unannounced quarterly on-site visit regarding the Stipulation and Waiver and Order, effective two years from 10/16/2023 to 10/16/2025. LPA met with Administrator Jennifer Scarberry and explained the purpose of the visit. During today's visit, LPA reviewed the Compliance Binder and observed a copy of the Stipulation in the Binder. LPA and Administrator discussed the end of probation terms. LPA informed facility that probation has ended and a new license will be generated and mailed to the facility. At this time, LPA found facility to be in compliance with the Stipulations and Waiver and Order. No deficiencies cited. Exit interview conducted and a copy of report will be provided.the state’s words, verbatim · CDSS document, Nov 3, 2025

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Lavinia Muscan arrived on October 14, 2025 to conduct a case management visit to ensure the facility is following the stipulation and waiver. LPA Muscan reviewed the probation binder. LPA confirmed with the Med Tech that facility is complying with probation conditions. LPA did a brief walk through, no concerns noted. No deficiencies cited. Exit interview conducted. A copy of this report was provided to staff.the state’s words, verbatim · CDSS document, Oct 14, 2025

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Lavinia Muscan arrived on July 14, 2025 to conduct a case management visit to ensure the facility is following the stipulation and waiver. LPA Muscan reviewed the probation binder. LPA confirmed with the Administrator that facility is complying with probation conditions. LPA did a brief walk through, no concerns noted. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Jul 14, 2025

Allegation investigated: Staff mismanages residents' medications. Staff does not ensure resident's medical needs are being met. Staff does not provide adequate food service.

On June 18, 2025, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Jennifer Scarberry. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unsubstantiated Staff mismanages residents' medications. Staff does not ensure resident's medical needs are being met. Based on documents obtained and statements reviewed for May 2025, the department determined that there was insufficient evidence that any medication errors have occurred, and that residents’ medical needs are not being met. Documents obtained show that all current medications were administered and logged correctly for residents per their doctor’s orders. Four staff interviews (4) indicated that staff were not aware of any medication errors. Five resident interviews (5) expressed no concerns with medication administration and needs not being met. Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Staff does not provide adequate food service. Department conducted interviews with five (5) residents and four (4) staff to investigate this allegation. Interviews indicated that residents were happy with dietary services at facility and did not indicate any issues with food service. Interviews also indicated that facility accommodates the dietary needs and restrictions of residents in care based on their needs and service plan. Based on all this information, the allegation is found to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jun 18, 2025 · control 59-AS-20250506130012

Allegation investigated: Facility is in disrepair. Facility staff did not ensure that the facility is clean/sanitized.

On June 18, 20025, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Jennifer Scarberry. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unsubstantiated Facility is in disrepair. Department conducted a facility walk-through on 4/22/25 and 6/9/25, department did not observe facility in disrepair during either visit. Department observed the facility equipment to be operational. Department observed portable heaters and AC units available in case the old unit goes out. Department and the Administrator discussed plans to update the AC unit and Furnace and its appliances. Based on information obtained during the investigation, Department finds the allegations to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Facility staff did not ensure that the facility is clean/sanitized. Based on interviews and observations, the facility did not appear to have an unclean and unsanitary facility. On 4/22/25 and 6/9/25, department observed client bedrooms, bathrooms, kitchen, activity room and common areas and all areas appeared clean and sanitary. Department could not corroborate the allegation. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jun 18, 2025 · control 59-AS-20250417153232

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Lavinia Muscan arrived on Tuesday April 22, 2025 to conduct a case management visit to ensure the facility is following the stipulation and waiver. LPA Muscan reviewed the probation binder. LPA confirmed with the Administrator that facility is complying with probation conditions. LPA did a brief walk through, no concerns noted. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Apr 22, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived on March 17, 2025 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident four (4) and staff three (3) files. All staff files contained the required paperwork and training. LPA and staff toured the facility together to ensure the health and safety of residents in care. The areas toured included, kitchen, hallways, resident apartments, resident dining room/kitchen, and resident common areas. Food is within compliance. Fire drills reviewed. Medications locked. In the areas toured, there were no health or safety violations observed. Fire extinguisher is ready for use. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. No deficiencies cited. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 17, 2025

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Lavinia Muscan arrived on Monday February 10, 2025 to conduct a case management visit to ensure the facility is following the stipulation and waiver. LPA Muscan reviewed the probation binder. LPA confirmed with the Med Tech that facility is complying with probation conditions. LPA toured the home. The home is well maintained and residents appeared to have needs met. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Med Tech.the state’s words, verbatim · CDSS document, Feb 10, 2025

Allegation investigated: Staff did not ensure that resident had a working call pendant while in care. Staff did not ensure that resident's showering needs were met while in care. Staff did not ensure that resident's clothing needs were met while in care. Staff did not ensure that resident's hygiene needs were met while in care. Staff did not ensure that resident was provided with clean bedding while in care. Staff did not ensure that resident's room was maintained in a sanitary condition. Staff do not adhere to resident's special diet. Staff did not respond to resident's requests for assistance in a timely manner.

On 9/17/24, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Jennifer Scarberry. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unsubstantiated Staff did not ensure that resident's showering needs were met while in care. Staff did not ensure that resident's clothing needs were met while in care. Staff did not ensure that resident's hygiene needs were met while in care. Staff did not ensure that resident was provided with clean bedding while in care. Staff did not ensure that resident's room was maintained in a sanitary condition. Based on interviews, record reviewed and observation it was determined that the facility is meeting residents showering, laundry, and hygiene needs, based on the residents needs and service plan. LPA toured the facility on 7/24/24 and 9/10/24 and did not find any dirty bedding, smells, or dirty rooms. Seven (7) resident interviews stated the caregivers/staff clean the facility, the bedding, the resident clothes and take out trash frequently. Additionally, six (6) staff and seven (7) resident interviews did not indicate any issues at the facility with cleanliness, sanitation, toilets, resident rooms, and other areas. Based on all this information, the allegations are found to be UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Staff did not ensure that resident had a working call pendant while in care. Staff did not respond to resident's requests for assistance in a timely manner. Based on interviews, record reviewed and observation it was determined that all pendants are checked on the office monitor which alert staff when batteries need to be changed. Additionally, staff always check resident pendants, especially the ones that do not regularly use them. Staff (6) interviews and seven (7) resident interviews indicated that pendants work when they are being used. Seven (7) resident interviews stated that staff respond within a reasonable amount of time when the pendants are used. Six (6) staff interviews stated that the response time for pendants being pressed range between immediately to 10 min based on current situation. Based on all this information, the allegations are found to be UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Staff do not adhere to resident's special diet. Department conducted interviews with seven (7) residents and six (6) staff to investigate this allegation. Interviews indicated that residents were happy with dietary services at facility and did not indicate any issues. Interviews also indicated that the cook accommodates the dietary needs and restrictions of residents in care based on their needs and service plan. Based on all this information, the allegation is found to be UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 17, 2024 · control 59-AS-20240717125107

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 9/10/2024 to conduct a health and safety check in response to facility being on probation. Today, LPA checked the food supply, did a brief walk through with the facility with Staff. No concerns noted. Stipulation requirements met. No citations were cited during today's visit.the state’s words, verbatim · CDSS document, Sep 10, 2024

Allegation investigated: Staff allowed resident in care to leave the facility unassisted

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced to deliver findings for allegation listed above. LPA met with Administrator, Jennifer Scarberry during today's inspection. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Based on record review and staff (6) interviews it was determined that residents do not leave the facility unassisted. Staff follow behind and try to redirect residents back to the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation UNSUBSTATIATED. Exit interview conducted and copy of this report left at facility. Unsubstantiated Facility not following Stipulation requirements Based on record reviewed and interviews it was determined that staff schedules and timesheets match the requirement of the facility stipulation at this time therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Facility gate is in disrepair Based on record reviewed and interviews the department found that the alarm on the gate was not working, however the gate was working. The alarm broke 11/28/23, parts arrived 12/8/23, alarm was fixed 12/9/23. The gate was not observed to be in disrepair on 2/14/24/ or 6/13/24; therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not ensure resident's room is kept free of mold Based on record reviewed and interviews it was determined that the facility used to have mold in a bedroom, but that bedroom was not used by any resident. The bedroom was not a staff or resident room. The facility is an older facility and when there is more rain fall the rain sometimes enters inside that room. At the time of department walk thru on 2/14/24 and 6/13/24 there was no mold noticed in the bedroom or in the facility, therefore the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 3, 2024 · control 59-AS-20240208085807

Allegation investigated: The facility refused to produce records.

On 7/1/24 Licensing Program Analyst (LPA) Lavinia Muscan conducted an unannounced complaint visit and met with Administrator Jennifer Scarberry. It was alleged that the Licensee did not provide records to the resident or resident’s responsible party/representative. The Licensee was informed that all information and records obtained from or regarding residents shall be confidential and shall be made available upon the resident’s written consent or that of their designated representative. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. Substantiatedthe state’s words, verbatim · CDSS document, Jul 1, 2024 · control 59-AS-20240619152815

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c)(1) · Plan of correction due date: Jul 5, 2024

(c)All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement was not met as evidenced by: Based on record reviewed it was determined that the Licensee did not produce records for R1 to R1’s representative. This poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 1, 2024

Plan of correction: The Licensee agrees to provide records immediately to resident’s representative and send proof to Community Care Licensing by POC due date 7/5/2024.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 6/13/2024 to conduct a health and safety check in response to facility being on probation. Today, LPA checked the food supply, did a brief walk through with the facility with administrator. No concerns noted. No citations were cited during today's visit. Exit interview conducted. Copy of report left at facility.the state’s words, verbatim · CDSS document, Jun 13, 2024

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 4/26/2024 to conduct a health and safety check in response to facility being on probation. Today, LPA checked the food supply, did a brief walk through with the facility with administrator. No concerns noted. No citations were cited during today's visit. Exit interview conducted. Copy of report left at facility.the state’s words, verbatim · CDSS document, Apr 26, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPAs) Lavinia Muscan and Talwinder Bains arrived on 4/9/24 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs reviewed resident (5) and staff (5) files. All staff files contained the required paperwork and training. Medication review was conducted for (5) residents. Facility is using centrally stored log and MAR record for medication administration, per residents physicians order, without any errors. LPA and staff toured the facility together to ensure the health and safety of residents in care. The areas toured included, kitchen, hallways, resident apartments, resident dining room/kitchen, and resident common areas. Food is within compliance. Fire drills reviewed. In the areas toured, there were no health or safety violations observed. Fire extinguisher is ready for use. LPAs requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. No deficiencies cited. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Apr 9, 2024