Beatrice Home Care

(c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another... by providing the following documents to the Department:The Licensee did not ensure this requirement was met as evidenced by: Based on interview and observation, S1 was not associated to this facility. This posed an immediate threat to the health, safety and personal rights of resdients in care.

87411Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and... shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations..This requirement was not met as evidenced by: Based on observations, interview, and record review, the licensee did not ensure staff obtained a fingerprint clearance prior to working in the facility, which poses an immediate health and safety risk to residents in care.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

87468.2... (a)... residents...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 evidenced by: Based on observation, records review, and interviews, the licensee did not ensure to provide care and supervision to R1 to ensure R1 did not engage in potential harmful behaviors.

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training.... This requirement was not met as evidenced by: Based on observations, the licensee did not ensure Staff 3 had required training prior to working with residents in care, which poses a potential health, safety, and personal rights risk to residents in care.

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance... This requirement was not met as evidenced by: Based on observations, records review, and interviews, the licensee did not ensure 1 out of 2 staff present in the facility were fingerprinted and cleared. This poses an immediate health, safety, and personal rights risk to residents.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times… This requirement was not met as evidenced by: Based on observations and interviews, the licensee did not ensure to keep the 1 out of 5 bedrooms in good repair at all times. This poses a potential health, safety, and personal rights risk to residents in care.

(6) Locked exterior doors or perimeter fences with locked gates shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents. Based on observation, the licensee did not comply with the regulation cited above. LPA observed the gate latch to be locked as evidenced by being tied with a string.

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Based on observation, the licensee did not comply with the regulation cited above. Hot water in 2 bathrooms and kitchen sink were measured betwween 123*F and 125*F. This poses an immediate health, safety, and personal rights risk to residents in care.

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(1) Knives,...tools and other items that could constitute a danger to the resident(s).(2)... cleaning supplies and disinfectants. This requirement was not met as evidenced by: Based on observations, the licensee did not comply with the regulation cited above. LPA Villanueva observed cleaning supplies under the kitchen sink and under the bathroom sink area accessible to the residents in care. This poses an immediate health, safety, and personal rights risk to residents in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidenced by: Based on interviews and observations, the licensee did not ensure 1 out of 2 showers were maintained in good condition, which poses a potential health, safety, and personal rights risk to residents in care.

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility ... This requirement was not met as evidenced by: Based on interviews and observations, the licensee did not ensure to maintain a complete record for all residents and staff, which poses a potential health, safety, and personal rights risk to resident in care.

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidenced by: Based on observations and records review, The licensee did not ensure the firedoor was free from obstructions by having door thresholds on each side of the door. This poses a potential health, safety, and personal rights risk to resident in care

87219 Planned Activities (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include:...This requirement was not met as evidenced by: Based on LPA observation, the facilty did not conduct activities with residents during 4 out of 4 visits, which poses a potential health, safety, or personal rights risk to residents in care.

87303 Maintenance and Operation(b) A comfortable temperature for residents shall be maintained at all times.(2).., between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met as evidenced by: Based on records review and interviews, the licensee did not ensure the facility temperature was comfortable for residents, which poses an immediate health, safety. and personal rights risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6)... to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by: Licensee did not ensure facility staff did not install a locking mechanism on the resident bathroom and bedroom. This poses an immediate health, safety, and personal rights risk to residents in care.

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(1) Knives,...tools and other items that could constitute a danger to the resident(s).(2)... cleaning supplies and disinfectants. This requirement was not met as evidenced by: Based on observations, LPA Valerio observed, cleaning supplies, a knife, and a tool out on the kitchen area accessible to the residents in care. This poses an immediate health, safety, and personal rights risk to residents in care.

87307 Personal Accommodations and Services (a)...(3)... supplies.. shall be readily available to each resident.... (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads... this requirement was not met as evidenced by: Based on observations and interviews, the licensee did not ensure 3 out of 5 bedrooms to have clean linen available for the residents to use at all times. This poses a potential health, safety, and personal rights risk to residents in care.