The New Light Residential Care Home

Type of visit: Required - 1 Year

On 4/15/26 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Eusebia Chua, LPA was granted entry. 6 residents were present during inspection. Administrator (A1) Carlo Santos arrived shortly after LPA’s arrival. LPA toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were checked and observed locked in kitchen cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a service date of: 9/23/25. Fire drill completed on 1/15/26. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in kitchen cabinet. Resident’s bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 113.5 to 115.3 degrees in 3 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Client’s files and samples of staff files reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 4/29/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report with 9102 was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 15, 2026

Type of visit: Required - 1 Year

On 4/23/25 Licensing Program Analyst’s (LPA’s) J. Leffall and J. Duarte arrived unannounced to conduct an Annual Inspection. LPA's introduced selves, stated the purpose of the visit, and was greeted by Staff (S1) Eusebia Chua, LPA's was granted entry. 6 residents were present during inspection. Administrator (A1) Carlo Santos arrived shortly after LPA’s arrival. LPA’s toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were observed unlocked in kitchen cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a service date of: 9/11/24. Fire drill completed on 4/10/25. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in cabinet. Residents bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 117.3 to 119.4 degrees in 3 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 38 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. All clients’ files and staff’s files reviewed to have all the required documents. The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 5/7/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance-RCFE, Emergency and Disaster Plan (LIC 610E -RCFE), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A-RCFE) A copy of this report with 9102 and appeal rights was provided to A1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 23, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 6/3/24 Licensing Program Analyst (LPA) M. Garza and Licensing Program Manager (LPM) , S. Moua arrived unannounced for an annual inspection visit. LPA was met by Direct Care Staff, Joseph and Bae Chua. LPA and LPM introduced selves, explained reason for visit and were permitted entry into the facility. Designee, Carlo Santos was contacted and arrived some time later. A health and safety check on residents in care was completed. 4 of 5 residents present at time of visit. Residents observed in common areas and in rooms. Facility was toured inside and out. 2 of 6 residents currently receiving hospice services. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 9/6/23. Last fire drill on 2/21/24. Water temperature measured 114.8 degrees F. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps and medications were located in locked cabinet/closet. LPA observed seating under covered patio areas. The following issues were observed during the visit: kitchen cabinets/drawers off track/broken and in need of repair, back sliding door not properly opening/closing, R5 was observed with hospital bed without a prescription, chemicals observed in R1's bathroom unlocked and accessible to residents in care. LPA requested the following documents to be submitted to CCL by 6/10/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Deficiencies cited per Title 22. Exit interview completed with Designee, Carlo Santos. A copy of this report, deficiencies, TV's and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 3, 2024

Allegation investigated: Staff do not respond to residents call at night Staff are sleeping during their shift

On 10/6/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Direct Care Staff, Bea Choua, explained reason for visit and was permitted entry into the facility. Administrator, Carlo Santos was contacted and arrived a short time later. A health and safety was completed for residents in care. During investigation LPA completed interviews with staff and resident(s) and reviewed documentation (physicians reports, needs and assessments). Records reviewed indicated that 4 of 6 residents have been diagnosed with dementia. Interviews conducted with staff indicated that 1 of 6 residents have wandering tendencies. Interviews with staff and resident(s) showed there are 2 live-in staff that work at the facility. Both staff are awake staff during the day and sleep during the nights. Resident(s) interviewed stated when they pushing the call light for assistance, staff do not always answer. R1 stated they have had to go to staffs room to "bang" on the door for assistance. The allegations above meet the preponderance of evidence standard per Title 22. The allegations are SUBSTANTIATED.the state’s words, verbatim · CDSS document, Oct 6, 2023 · control 24-AS-20230501092207

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(c)(4)(A) · Plan of correction due date: Oct 9, 2023

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not met as evidence by: interviews completed with staff and resident(s) support the allegation of staff sleeping during their shifts. This poses a immediate health, safety and/or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 6, 2023

Plan of correction: Administrator to provide POC in writing by POC date. Training will be given as needed to staff. In-service sign in sheet to be provided to CCL.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Oct 13, 2023

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidence by LPA interviews with staff and residents. Call buttons are not being answered when residents are calling for assistance. This poses a potential health, safety and/or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 6, 2023

Plan of correction: Administrator will assess practices and test equipment 1x month and keep log. Changing batteries as needed. In service training will be completed with staff to institute best practices. In-service training sign in sheet will be provided to CCL by POC date.

Allegation investigated: Staff lock residents in their rooms

On 10/6/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Direct Care Staff, Bea Choua, explained reason for visit and was permitted entry into the facility. Administrator, Carlo Santos was contacted and arrived a short time later. A health and safety was completed for residents in care. During investigation LPA completed interviews with staff and resident(s). Records reviewed indicated that 4 of 6 residents have been diagnosed with dementia and were unable to be interviewed. Interviews conducted with staff and resident(s) do not support the allegation. Although the allegation may or may not have occurred, the allegation above does not meet the preponderance of evidence standard per Title 22. The allegation is UNSUBSTANTIATED. Nothe state’s words, verbatim · CDSS document, Oct 6, 2023 · control 24-AS-20230501092207

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.