Inspection Reports for
New Bethany

1441 BERKELEY DRIVE, LOS BANOS, CA, 93635

Back to Facility Profile

Citations (last 6 years)

Citations (over 6 years) 3.3 citations/year

Citations are regulatory findings recorded during state inspections.

18% better than California average
California average: 4 citations/year

Citations per year

12 9 6 3 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 50% occupied

Based on a March 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Feb 2021 Dec 2021 Jul 2022 Feb 2023 Sep 2024 Mar 2026

Inspection Report

Annual Inspection
Census: 38 Capacity: 76 Citations: 9 Date: Mar 25, 2026

Visit Reason
The inspection was an unannounced annual inspection visit to evaluate the facility's compliance with licensing requirements.

Findings
The facility was found to have several deficiencies including unsecured hazardous materials, incomplete medication logs, missing staff health and training documentation, and incomplete resident records. The facility environment was generally clean and in good repair, but some maintenance issues such as buildup on the ice machine and water dispenser were noted.

Citations (9)
CCR 87309(a) Storage Space and Access: Scissors, hand pruners, insect killer, cleaning/disinfectant, and laundry detergent were found in unlocked areas accessible to residents.
CCR 87465(a)(6) Incidental Medical and Dental Care Services: Medication log for Tamsulosin 0.4MG and Atorvastatin Calcium/40MG lacked a start date.
CCR 87303(a) Facility Maintenance: Ice machine and water dispenser had mildew and hard water buildup.
CCR 87411(f) Personnel Requirements: Five staff files lacked TB test results.
CCR 87412(c)(2)(D) Staff Training: Five staff files did not document the number of training hours per subject.
CCR 87506(b)(17)(A) Resident Records: Three of seven resident files lacked pre-admission appraisals.
CCR 87458(c)(1) Medical Assessment: Two of seven resident physician reports lacked diagnoses.
CCR 87463(h)(1) Reappraisals: Four of seven resident files lacked current physician reports.
HSC 1569.153(d) Licensing: Three of seven resident files lacked written personal property inventories.
Report Facts
Deficiencies cited: 9 Residents present: 38 Licensed capacity: 76 Staff files missing TB results: 5 Resident files missing pre-admission appraisals: 3 Resident files missing current physician reports: 4

Employees mentioned
NameTitleContext
Nicole Lowe CiuffoDSD NurseMet with Licensing Program Analyst during inspection and received report.
Basuny EldaouchAdministratorNamed in report as facility administrator with certification expiring November 20, 2026.
Brianna MirandaLicensing Program AnalystConducted the inspection and signed the report.
Alexandria WaltonLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection.

Inspection Report

Capacity: 76 Citations: 0 Date: Sep 9, 2025

Visit Reason
Licensing Program Analysts conducted an unannounced case management visit to review updates and outcomes for three separate incident reports submitted to licensing.

Findings
The residents named in the reviewed incident reports had outcomes that were within regulation and no deficiencies were cited during the visit.

Report Facts
Incident reports reviewed: 3

Employees mentioned
NameTitleContext
Basuny EldaouchAdministratorMet with Licensing Program Analysts during the visit
Daiquiri BoydLicensing Program AnalystConducted the unannounced visit and signed the report
Shawna DoucetteLicensing Program AnalystConducted the unannounced visit
Sergiy PidgirnyLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 38 Capacity: 76 Citations: 0 Date: Aug 9, 2025

Visit Reason
The visit was conducted to investigate a complaint alleging that staff were not allowing a resident to receive hospice care.

Complaint Details
The complaint alleged that staff were not allowing a resident to receive hospice care. The allegation was found to be unfounded, meaning it was false, could not have happened, or was without reasonable basis.
Findings
The investigation found that the facility followed its business plan and does not offer hospice care at the assisted living level. The allegation was determined to be unfounded and the complaint was dismissed.

Employees mentioned
NameTitleContext
Melinda MedinaLicensing EvaluatorConducted the complaint investigation visit.
Nicole LoweLVN/AdministratorMet with Licensing Evaluator during the investigation.
R. BruceLicensing Program AnalystConducted the initial complaint visit on 7/25/25.

Inspection Report

Annual Inspection
Census: 42 Capacity: 76 Citations: 0 Date: Feb 26, 2025

Visit Reason
The inspection was a required unannounced annual inspection visit to evaluate the facility's compliance with licensing regulations.

Findings
The facility was found to be clean, free from clutter and odors, with medications and hazardous supplies properly secured. Fire safety equipment was in good standing and fire drills met regulatory requirements. No deficiencies were issued during this inspection.

Report Facts
Water temperature: 105.9 Water temperature: 105.2 Water temperature: 125.2 Fire extinguisher service date: Dec 23, 2024

Employees mentioned
NameTitleContext
Rachel A BruceLicensing Program AnalystConducted the annual inspection visit
Sister AcaciaAdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Capacity: 76 Citations: 0 Date: Oct 21, 2024

Visit Reason
The visit was an unannounced case management inspection regarding an incident involving resident R1 who had colon surgery after being hospitalized.

Findings
The Licensing Program Analyst reviewed R1's chart and found no discrepancies. No citations were issued as the resident did not return to the facility and was transferred to a skilled nursing facility.

Employees mentioned
NameTitleContext
Basuny EldaouchAdministratorMet during the inspection and provided information about resident R1.
Brianna MirandaLicensing Program AnalystConducted the case management visit and reviewed resident R1's chart.

Inspection Report

Census: 39 Capacity: 76 Citations: 1 Date: Sep 27, 2024

Visit Reason
The visit was an unannounced case management inspection regarding an incident report received about a resident's swollen ankle and a prior unreported fall.

Findings
The licensee failed to report an incident of a resident's fall that occurred on 8/7/2024 to the Department as required. A citation was issued for noncompliance with reporting requirements under Title 22, Division 6, Chapter 8.

Citations (1)
CCR 87211(a)(1) requires submission of a written report within seven days of certain events. The licensee did not submit required incident reports to the Department as evidenced by internal reports not provided to the Department.
Report Facts
Plan of Correction Due Date: Oct 4, 2024

Employees mentioned
NameTitleContext
Basuny EldaouchAdministratorSpoke with Licensing Program Analyst and was informed of reporting requirements
Brianna MirandaLicensing Program AnalystConducted the inspection and issued citation
Brenda ChanSupervisorSupervisor overseeing the inspection
Sister Astrida D. CruzMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 38 Capacity: 76 Citations: 1 Date: Feb 23, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that caregivers were injecting residents with insulin.

Complaint Details
The complaint alleging caregivers were injecting residents with insulin was substantiated based on observations, interviews, and record reviews.
Findings
The investigation substantiated the allegation that unlicensed staff administered injections to a resident who was unable to self-inject. The facility lacked licensed professionals after 2:00 p.m. to provide injections, posing an immediate health and safety risk.

Citations (1)
CCR 80075(b)(2) requires that only licensed professionals administer injections, but the facility allowed unlicensed caregivers to give injections to a resident unable to self-administer. This poses an immediate health and safety risk to residents.
Report Facts
Facility Capacity: 76 Resident Census: 38

Employees mentioned
NameTitleContext
Brianna MirandaLicensing Program AnalystConducted the complaint investigation and delivered findings
Brenda ChanSupervisorSupervisor overseeing the investigation
Julia FonsecaAdministratorFacility administrator contacted during investigation

Inspection Report

Annual Inspection
Census: 38 Capacity: 76 Citations: 3 Date: Feb 23, 2024

Visit Reason
The inspection was a required unannounced annual inspection visit to evaluate compliance with licensing regulations.

Findings
The facility was generally clean and well-maintained, but deficiencies were noted including water temperature exceeding allowed limits, unlocked storage of hazardous items, and medication administration record discrepancies.

Citations (3)
CCR 87303(e)(2): Water temperature in the common bathroom in the D wing was 125.2 degrees Fahrenheit, exceeding the maximum allowed temperature of 120 degrees Fahrenheit.
CCR 87309(a): The kitchen in the activity room was unlocked and contained knives and chemicals accessible to residents, posing a safety risk.
CCR 87465(a)(6): Medication count for resident R1 was marked as given in the medication administration record but was still in the bubble pack.
Report Facts
Water temperature: 125.2 Deficiencies cited: 3

Employees mentioned
NameTitleContext
Julia FonsecaAdministratorFacility administrator present during inspection
Brianna MirandaLicensing Program AnalystConducted the inspection
Brenda ChanSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 37 Capacity: 76 Citations: 0 Date: Jan 19, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not meeting residents' showering needs, residents' needs in general, and timely administration of residents' medicine.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' showering needs, general needs, and timely medication administration. Interviews and observations did not confirm these allegations.
Findings
The investigation found no substantiated evidence supporting the allegations. Interviews with multiple staff and residents indicated that residents' showering needs, general needs, and medication administration were being met appropriately.

Report Facts
Capacity: 76 Census: 37

Employees mentioned
NameTitleContext
Julia FonsecaAdministratorFacility administrator named in the report
Brenda ChanSupervisorSupervisor named in relation to the investigation
Brianna MirandaLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Capacity: 76 Citations: 0 Date: Mar 1, 2023

Visit Reason
The visit was an unannounced case management visit to obtain the administrator's signature on the annual inspection report form (LIC809) which was missed during the prior annual inspection on 2023-02-21.

Findings
No inspection tour or new findings were conducted during this visit. The Licensing Program Analyst explained the situation to the administrator and obtained the required signatures for the annual inspection report.

Inspection Report

Annual Inspection
Census: 40 Capacity: 76 Citations: 0 Date: Feb 21, 2023

Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.

Findings
The facility was found to be in good standing with no deficiencies cited. Observations included clear exits, clean bathrooms, locked medications and chemicals, and a reviewed Covid-19 mitigation plan.

Inspection Report

Complaint Investigation
Capacity: 76 Citations: 2 Date: Jan 18, 2023

Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint received on 2022-10-25 alleging that a resident suffered falls and injuries while in care.

Complaint Details
The complaint investigation was substantiated. The resident suffered multiple falls and injuries, including a closed C2 fracture and vertebral artery dissection. Facility staff failed to provide adequate supervision, timely notification, and medical care.
Findings
The investigation substantiated that a resident (R1) fell over nine times between 2022-07-24 and 2022-10-06, sustaining serious injuries including a closed C2 fracture and a right vertebral artery dissection. Facility staff failed to provide proper medical care, did not notify the administrator or family timely, and did not implement a fall prevention plan.

Citations (2)
CCR 87465(a)(1) requires a plan for incidental medical and dental care. Licensee failed to arrange for medical care appropriate to resident needs, resulting in serious injury to resident R1.
CCR 87466 requires regular observation of residents and notification of changes to physicians. Licensee failed to document and notify the physician of changes in resident R1’s condition, resulting in lack of needed medical care.
Report Facts
Number of falls: 9 Facility capacity: 76

Employees mentioned
NameTitleContext
Lucinda FonsecaAdministratorMet during inspection and named in findings regarding failure to notify and supervise.
Brianna MirandaLicensing Program AnalystConducted the complaint investigation.
Brenda ChanSupervisorSupervisor overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 41 Capacity: 76 Citations: 0 Date: Aug 3, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not have hot water for the residents.

Complaint Details
The complaint alleging lack of hot water was investigated and determined to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
The complaint was found to be unfounded after inspection. Water temperatures in all tested wings were within acceptable ranges, and no deficiencies were cited.

Report Facts
Water temperature: 114 Water temperature: 113 Water temperature: 112 Water temperature: 110

Employees mentioned
NameTitleContext
Lisa SalazarLicensing EvaluatorConducted the complaint investigation
Lucinda FonsecaAdministratorFacility administrator present during inspection

Inspection Report

Complaint Investigation
Census: 42 Capacity: 76 Citations: 1 Date: Jul 13, 2022

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations including staff not answering residents' alerts timely, staff stealing from residents, making duplicate keys, and failure to provide appropriate care and supervision.

Complaint Details
The complaint investigation was substantiated for the allegation that staff did not answer residents' alerts timely. Other allegations about staff stealing and making duplicate keys were unsubstantiated.
Findings
The allegation that staff did not answer residents' alerts timely was substantiated based on observations and interviews. Other allegations regarding staff stealing from residents and making duplicate keys were found unsubstantiated due to insufficient evidence.

Citations (1)
CCR 87411(d)(3) Personnel Requirements – General training was not met. Staff failed to respond to residents' call buttons in a timely manner, posing potential health, safety, and personal rights risks.
Report Facts
Capacity: 76 Census: 42

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted complaint investigation and delivered findings
Lucinda FonsecaAdministratorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 43 Capacity: 76 Citations: 1 Date: Jul 6, 2022

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff did not distribute medication to residents.

Complaint Details
The complaint was substantiated based on interviews, record reviews, and observations. The allegation that staff did not distribute medication to residents was confirmed.
Findings
The investigation found that staff failed to distribute medication to residents, substantiating the complaint. This failure posed an immediate health and safety risk to the residents.

Citations (1)
CCR 87465(a)(4) requires the licensee to assist residents with self-administered medications. Staff failed to distribute medication to residents, posing an immediate health and safety risk.
Report Facts
Capacity: 76 Census: 43

Employees mentioned
NameTitleContext
Kamaldeep KaurLicensing Program AnalystConducted the complaint investigation and authored the report
Lucinda FonsecaLicensee DesigneeFacility representative interviewed during the investigation

Inspection Report

Complaint Investigation
Census: 45 Capacity: 76 Citations: 0 Date: Apr 18, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility food was spoiled.

Complaint Details
The complaint alleging spoiled food was unsubstantiated after inspection and interviews.
Findings
The investigation found no spoiled food being served to residents. One spoiled cabbage was discovered and immediately removed. No deficiencies were cited during the inspection.

Employees mentioned
NameTitleContext
David AyersLicensing Program AnalystConducted the complaint investigation and delivered findings.
Lucinda FonsecaAdministratorMet with the Licensing Program Analyst during the investigation.

Inspection Report

Annual Inspection
Census: 45 Capacity: 76 Citations: 0 Date: Feb 10, 2022

Visit Reason
Licensing Program Analyst conducted an unannounced required annual inspection of the facility.

Findings
The facility was found to be in compliance with all regulations. No deficiencies were cited during the inspection. The facility was adequately furnished, safe, and infection control protocols were reviewed and found satisfactory.

Employees mentioned
NameTitleContext
Lucinda FonsecaDirectorMet with Licensing Program Analyst during inspection.

Inspection Report

Complaint Investigation
Census: 44 Capacity: 76 Citations: 0 Date: Dec 22, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2021-11-12 regarding insufficient staffing affecting residents' call button response times, shower timeliness, and dining room access.

Complaint Details
The complaint was unsubstantiated after investigation. Allegations included untimely response to call buttons, delayed showers, and inability to eat in the dining room due to insufficient staffing.
Findings
The investigation found that the allegations were unsubstantiated. The facility had recently experienced staff turnover but was actively hiring. Call buttons were responded to timely, showers were provided timely with some residents declining, and residents had options to eat in their rooms or the dining room.

Report Facts
Capacity: 76 Census: 44

Employees mentioned
NameTitleContext
Lucinda FonsecaDirectorFacility Director interviewed during complaint investigation
David AyersLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 48 Capacity: 76 Citations: 0 Date: Apr 14, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not provide a resident's designated representative a copy of the resident's records.

Complaint Details
The complaint alleged the facility did not provide a resident's designated representative a copy of the resident's records. The allegation was found to be unfounded after investigation.
Findings
The investigation found that the requested records were sent to the designated representative on 03/16/2021 and confirmed received. The allegation was determined to be unfounded with no deficiencies cited.

Employees mentioned
NameTitleContext
Julia FonsecaAdministratorMet with during investigation and named in report findings.
David AyersLicensing Program AnalystConducted the complaint investigation and delivered findings.

Inspection Report

Complaint Investigation
Census: 51 Capacity: 76 Citations: 1 Date: Mar 30, 2021

Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint received on 2020-12-02 regarding a resident sustaining multiple falls resulting in injury.

Complaint Details
The complaint was substantiated. The resident sustained multiple falls while in care resulting in injury. The investigation included interviews and record reviews confirming the failure to provide adequate supervision.
Findings
The investigation substantiated the allegation that the facility failed to provide adequate supervision to prevent a resident from falling on 2020-11-25, resulting in injury and hospitalization. The licensee agreed to develop a plan to provide adequate supervision for residents who are fall risks.

Citations (1)
CCR 87464(f)(1) Basic Services: The facility failed to provide adequate supervision to prevent a resident from sustaining a fall on 11/25/2020. This requirement was not met as evidenced by the resident's injury.
Report Facts
Capacity: 76 Census: 51

Employees mentioned
NameTitleContext
Julia FonsecaAdministratorFacility administrator involved in investigation and interview
David AyersLicensing Program AnalystEvaluator who conducted the complaint investigation
Andy XiongSupervisorSupervisor overseeing the investigation

Inspection Report

Follow-Up
Census: 46 Capacity: 76 Citations: 1 Date: Feb 11, 2021

Visit Reason
The visit was a Case Management follow-up conducted via telephone to address a deficiency discovered during a prior complaint investigation regarding resident retention beyond the facility's level of care.

Complaint Details
The visit was triggered by a complaint investigation that found the facility retained a resident with prohibited health conditions needing 24-hour skilled nursing care, beyond the facility's licensed level of care.
Findings
The facility retained a resident requiring 24-hour skilled nursing care, which is beyond the licensed level of care. A deficiency was cited under CCR 87455(c)(2) for acceptance and retention limitations.

Citations (1)
CCR 87455(c)(2) Acceptance and Retention Limitations: The facility retained a resident requiring 24-hour skilled nursing care, which is beyond the facility's licensed level of care. Resident 1 was admitted to the hospital with multiple stage 3 and 4 pressure injuries and severe malnutrition, indicating a higher level of care was needed.
Report Facts
Deficiency due date: Feb 25, 2021

Employees mentioned
NameTitleContext
David AyersLicensing Program AnalystConducted the Case Management visit and authored the report
Julia FonsecaAdministratorFacility administrator involved in the visit
Lucinda FonsecaDirectorFacility director involved in the visit

Viewing

Loading inspection reports...