Inspection visit

Routine inspectionAugust 10, 2024

BEA LIVING HOME CARE LLCLicense 33188069614 citations on this visit

14 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/10/2024 at 11:45 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present. Licensee/Administrator Israel Cabreros was contacted and informed of the visit. Administrator Applicant Ishmael Siapco arrived during the visit. LPA Brown explained the purpose of the visit to Administrator Applicant Siapco. The facility is a seven (7) bedroom, four (4) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which five (5) can be Non-ambulatory and one (1) bedridden. The facility has six (6) Hospice Waiver. The current census is five (5) residents. LPA Brown was accompanied by Staff #2 (S2) to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor but obstruction to outdoor passageways was observed as evidenced of old mattress, wooden desk in disrepair and old electric fans in the outdoor passageways during the visit. The facility is maintained at a comfortable temperature of 78 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. However, LPA Brown observed one (1) resident bathroom sink, in disrepair. Deficiency will be issued. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 102 degrees Fahrenheit. Deficiency will be issued. The facility is equipped with operating smoke detectors and carbon monoxide alarms. ***Continuation in LIC809C *** Posters such as personal rights, the CCLD complaint poster, Ombudsman Poster, Labor Laws and the Emergency Disaster plan were posted in a common area. Furthermore, during the tour of the facility, LPA Brown observed the knives drawer not locked and accessible to residents in care. Deficiency will be issued. Also, LPA Brown observed one (1) sharp scissor and one (1) sharp peeler in the kitchen drawer, not locked with the knives in the knives drawer making it accessible to residents in care. Deficiency will be issued. There was a designated storage space for resident/staff files. There is a cabinet with the resident’s medications locked in the medication cabinet. Food Service : Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Care & Supervision : The facility has certified administrators. LPA Brown did not observe sufficient number of staff to provide care and supervision to the residents in care as LPA Brown noted that there's no staff scheduled to work at night shift as required for facility with dementia residents. Deficiency will be issued. Record Review : LPA Brown reviewed three (3) resident files for admission agreements, updated physician reports, and pre-placement appraisals. The files reviewed were complete. LPA Brown reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test results. LPA found that Staff #1 (S1) does not have Tuberculosis Test Result in S1 file. Deficiency will be issued. Furthermore, LPA Brown observed Staff #2 (S2) working at the facility without criminal background clearance. Deficiency and civil penalty of $500.00 will be issued during the facility visit today and will continue to be assessed of $100.00 per day until corrected. Also, per residents interview, no planned activities for the residents. Deficiency will be issued. Furthermore, LPA Brown observed no fire drill and earthquake drill conducted at the facility. Deficiency will be issued. During medication audit, LPA Brown observed two (2) of Resident#2 (R2) medications were not given to R2 since 08/01/2024 and no documents at the facility indicating the two (2) medications were discontinued, also LPA brown noted that one (1) medication of Resident #3 (R3) was not given since 08/09/2024 but no document at the facility indicating the medication was discontinued. Deficiency will be issued. Lastly, per staff interview, Staff #2 (S2) reported to LPA Brown that S2 performs glucose testing for Resident #5 (R5) and S2 is not appropriately skilled professional. Deficiency will be issued. An exit interview was conducted where this report LIC809, LIC809D, LIC9102TA, LIC9102TV, LIC421BG and Appeal Rights were discussed and provided to staff Leni Tayo..

Citations

14 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

1569.695(c)Type B
Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that the facility conducts fire and earthquake drill quarterly which poses a potential health, safety or personal rights risk to persons in care.
87219(a)(1)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that there are planned activities at the facility for the residents that include socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets which poses a potential health, safety or personal rights risk to persons in care.
87303(e)(2)Type B
Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that hot waters maintained used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C) which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(e)(6)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the bathroom sink is in operating condition which poses a potential health, safety or personal rights risk to persons in care.
87307(d)(5)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that night lights are maintained in hallways and passages to nonprivate bathrooms which poses a potential health, safety or personal rights risk to persons in care.
87307(d)(6)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the outdoor area is free of obstruction which poses a potential health, safety or personal rights risk to persons in care.
87309(a)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the one (1) sharp scissor and one (1) sharp peeler in the kitchen drawer, were locked with the knives in the knives drawer making it not accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
87309(a)(1)Type A
Based on observation, nterview and record review, the licensee did not comply with the section cited above by not ensuring that the knives drawer were locked which poses an immediate health, safety or personal rights risk to persons in care.
87355(d)(3)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 obtained criminal background clearance prior to employment which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(12)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff #1 (S1) completed the required Tuberculosis (TB) Test and maintain TB Test result in S1 filewhich poses an immediate health, safety or personal rights risk to persons in care.
87465(c)(2)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) and Resident #3 (R3) medications were giver per R2 and R3 physician's order as evidenced of two (2) of Resident#2 (R2) medications were not given to R2 since 08/01/2024 and no documents at the afcility indicating the two medications were discontinued and one (1) medication of R3 was not given since 08/09/2023 but no document at teh afcility indicating the medication was discontinued which poses an immediate health, safety and personal rights risks to resident in care.in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.
87608(a)(5)(A)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #3 (R3) and Resident #4 (R4) to have half bed rail without their physician order indicating the need for half bed rail for mobili which poses a potential health, safety or personal rights risk to persons in care.
87628(a)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the blood glucose testing for Resident #5 (R5) is being performed by an appropriate skilled professionalwhich poses an immediate health, safety or personal rights risk to persons in care.
87705(c)(4)(A)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that there's a staff scheduled at night to work for night supervision as required for facility with dementia residentswhich poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 10, 2024 inspection of BEA LIVING HOME CARE LLC?

This was a inspection inspection of BEA LIVING HOME CARE LLC on August 10, 2024. 14 citations were issued: 7 Type A (serious) and 7 Type B.

Were any citations issued to BEA LIVING HOME CARE LLC on August 10, 2024?

Yes, 14 citations were issued (7 Type A, 7 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·August 10, 2024