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Inspection visit

Routine inspection (multi-day)

BEATRICE HOME CARELicense 34270128616 citations on this visit
16 citations recorded

Inspector’s narrative

What the inspector wrote

On 7/24/2025, Licensing Program Analysts Kimberly Viarella and Arvin Villanueva (LPAs) conducted an unannounced Case Management annual continuation visit at the facility to continue with the Annual visit initiated on 7/16/2025. LPAs met with staff on duty, Etta Mae Shaw and stated the purpose of the visit. The Administrator Beatrice Clark was notified of the visit. During this visit, LPAs conducted facility observations. In bedroom #3 from the facility sketch, LPAs found medication labeled Albuterol Sulfate inside the closet. LPAs also observed hygiene supplies inside resident drawers. The fire door leading to resident bedrooms was observed to be propped open with a shoe/sandal. This was also observed during the initial visit on 7/16/25. In bedroom #1 from the facility sketch, LPAs observed resident bed to be blocking the resident drawer, making it difficult to access resident belonging stored inside the drawer. In bedroom #2 from the facility sketch, LPAs observed resident do not have a bed but is using a reclining chair. Per discussion with resident from the initial visit on 7/16/25, resident does not use a bed. Per discussion with Beatrice, it is a personal choice of the resident. Also, this room does not have a closet door. Per discussion with Beatrice, resident do not want to have a door for easy access to their belongings. LPA Villanueva confirmed this with the resident. In bedroom #4 from the facility sketch, LPAs observed the presence of ants on the floor near the resident dresser. The ants were also observed from the initial visit on 7/16/25. LPAs also observed a walker inside the closet. Per interview and record review, the resident residing in this bedroom is considered non-ambulatory as evidence by the presence of walker and resident is using wheelchair during the visit. {Con't to 809-C} In the master bedroom, two residents share this room. This room has a master bath. The exit door was difficult to unlock. The latch was broken. In the master bath, LPAs observed the shower not equipped with grab bars and did not have a shower curtain. Inside the master bath, there is a closet where it stores two Hoyer Lifts. The door to the garage was observed to be locked. Per review of the facility’s current Emergency and Disaster Plan, the door to the garage is not considered an exit anymore, and is currently inaccessible to residents. During the initial visit on 7/16/25, LPAs inspected the garage. Inside the garage, LPAs observed 2 beds and a dresser. LPAs observed the following, but not limited to, clothes, boxes, barrels, wheelchairs, chemicals, cleaning supplies, laundry detergents, and old furniture. The hallway bathroom was inspected. The light switch was observed to be in disrepair. The sink cabinet did not have handles. During the initial visit on 7/16/25, LPAs observed a pair of scissors in the sink cabinet. LPAs did not observe shower curtains. Inside the medicine cabinet, LPAs observed hygiene supplies belonging to staff. Inspection of the kitchen, LPAs observed food items in the pantry and refrigerator/freezer that were open but were not dated accordingly. One dining chair in the kitchen area was observed to be in disrepair. One of the leg was not secured. On 7/16/24, LPA Villanueva reviewed 4 of 5 resident medications. The review included a review of resident’s most current medication list and comparing it to what medication is available at the facility. Per medication review, 3 residents had some medications that were not available at the facility for review. Per medication review, 1 resident had an expired medication. Per medication review, 1 resident did not have discontinued medication order from their physician. Staff record review: LPAs reviewed 3 staff files. It was determined that all 3 staff obtained their First Aid/CPR certificate from an online only service called the National CPR Foundation and is not an approved trainer for the Department of Social Services since it does not meet the regulation requirements Interviews: LPAs spoke with 3 residents in care in their bedroom and one staff on duty. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were observed during this annual inspection. Note that additional deficiencies will be cited in a case management visit. Exit interview was conducted and a copy of the report and appeal rights were provided upon exit.

Citations

16 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.

  • 87203Type A

    Based on observation, the licensee did not comply with the section cited above. During physical observation on 7/16/25 and 7/24/25, LPAs observed the fire door to be propped open with a shoe/sandal; the two fire extinguishers during the 7/16/24 visit were observed to be expired and was last serviced on 4/15/24, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above. LPAs observed light switch in the hallway bathroom to be in disrepair; door of the laundry area was off; locking latch of the exit door of the Master bedrrom was hard to unlock; per staff, a resident broke it; exit door to the backyard had a hole; garage was observed to be in disarray. These poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(4)Type B

    Based on observation, the licensee did not comply with the section cited above. LPAs did not observe grab bars in the shower area which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above. Disenfectant spray was observed in the master bath; a pair of scissors were observed in the hallway bathroom sink cabinet; . These pose an immediate health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on interviews and record review, the licensee did not comply with the section cited above. Review of 3 of 3 staff files, staff obtained their training from an online only service called the National CPRFoundation and is not an approved trainer for the Department of Social Services since it does not meet the regulation requirements. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    Based on record review the licensee did not comply with the section cited above. 2 resident did not have updated medical assessment; 2 residents did not have medical assessments available for review during this visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on medication review of 4 of 5 residents, the licensee did not comply with the section cited above. Some medications for 3 residents were rnot available at the facility during the initial visit on 7/16/25; also, one resident had one medication that was observed to be expired on 4/10/25; some medications from one resident did not have discontinue orders from their physician. These poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(8)Type B

    Based on observation, the licensee did not comply with the section cited above. First Aid was incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(b)Type B

    Based on record review, the licensee did not comply with the section cited above. Review of resident, PRN Authorization Letter was not observed, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)Type B

    Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above. Insulin injections belonging to resident were observed inside the kitchen refrigerator that were unlocked and accessible to resident; during the visit on 7/24/25, medication in a resident closet; LPAs observed the medication cabinet to be unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on record review the licensee did not comply with the section cited above. Resident records were found to be incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(10)Type B

    Based on record review the licensee did not comply with the section cited above. 2 of 6 residents did not have physican's report avialable for review during this visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(a)(4)Type B

    Based on record review, the licensee did not comply with the section cited above. 1 of 2 hospice resident did not have hospice care plan on file available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)(1)Type A

    Based on observation and record review, the licensee did not comply with the section cited above. Non-ambulatory resident residing in a bedroom cleared for ambulatory use only (bedroom #4 in the facility sketch) which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(b)(6)(B)Type B

    Based on record review, the licensee did not comply with the section cited above. Evidence of hospice training from the hospice agency was not available for review during this annual, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 24, 2025 inspection of BEATRICE HOME CARE?

This was a other inspection of BEATRICE HOME CARE on July 24, 2025. 16 citations were issued: 5 Type A (serious) and 11 Type B.

Were any citations issued to BEATRICE HOME CARE on July 24, 2025?

Yes, 16 citations were issued (5 Type A, 11 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above. During physical observation on 7/16/25 a..."

What type of inspection was this?

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

SourceView on CCLDView original report

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