Beatrice Senior Care

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to follow up on this complaint investigation. LPA Moleski spoke with facility administrator Beatrice Clark over the phone and explained the purpose of the visit. During this visit, LPA Moleski inspected food storage areas. LPA Moleski observed several opened containers of food in these storage areas, including perishable foods. LPA Moleski observed an unsealed package of pancake mix, a bag of snack crackers without a twist tie or clip, an open bag of corn meal inside of an open box, an open bag of corn flour without a twist tie or clip, an unsealed bag of sweetener, an open bag of cereal inside of an open box, a bag of oatmeal without a twist tie or clip, and an unsealed plastic zip-lock bag of leftover halved onions and bell peppers. LPA Moleski also observed one half of a green bell pepper lying cut-side down in a vegetable drawer. The bell pepper was not stored in any sort of container. [continued on 9099-C] SubstanRead the full finding— CDSS inspection report, October 27, 2025 · control 27-AS-20251014094455

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to deliver findings on this complaint investigation. LPA Moleski met with facility administrator Beatrice Clark and explained the purpose of the visit. This investigation consisted of interviews, observation, and record review. LPA Moleski reviewed six residents’ files (R1-R2 and R4-R7). LPA Moleski interviewed two staff members (Clark and S3), six residents (R1-R2 and R4-R7), and four residents’ responsible parties (R1’s RP, R4’s RP, R5’s RP, and R7’s RP). During a visit to this facility on 10/2/24 Community Care Licensing Division (CCLD) staff observed food that was undated, leftover food covered with plates, leftover food which was uncovered, and open smoothie container. [continued on 9099-C] SubstantiatedRead the full finding— CDSS inspection report, June 3, 2025 · control 27-AS-20240927111732

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to follow up on this complaint investigation. LPA Moleski met with licensee Beatrice Clark and explained the purpose of the visit. This investigation consisted of observation, record review and interviews. Interviews were conducted with six residents (R1-R6), two staff members (Clark and S1), a resident's attorney-in-fact (R1's POA), and a resident's friend. LPA Moleski reviewed a medication list for R1 from November 2024. R1 did not have a prescription for insulin or any other injections. In an interview, R1's POA said that R1 is not currently taking injections, and has not since the time of their admission to this facility. R1 was admitted in March 2024, according to their admission agreement. In an interview, R1 said they do not receive injections at this facility. In an interview, R1's friend said they had not seen R1 being given injections. [continued on 9099-C] UnsubstantiatedRead the full finding— CDSS inspection report, May 5, 2025 · control 27-AS-20241011104737

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to follow up on this complaint investigation. LPA Moleski met with licensee Beatrice Clark and explained the purpose of the visit. This investigation consisted of observation and interviews. During an annual inspection on this same date, LPA Moleski observed medications stored alongside food items in the facility refrigerator. The medications were not maintained in locked storage, as required by Title 22 of the California Code of Regulations. Additionally, during that same annual inspection, LPA Moleski asked Clark for centrally stored medication records. Clark said that she did not have any current centrally stored medication records, as required by Title 22 of the California Code of Regulations. Citations for these observed deficiencies were issued during the annual inspection. Therefore, additional citations will not be issued presently. [continued on 9099-C] SubstantiatedRead the full finding— CDSS inspection report, May 5, 2025 · control 27-AS-20240927111732

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 12/19/24 at 12:30pm to conduct an investigation of the above mentioned allegation. Upon arrival LPA met with Administrator Beatrice Clark and stated the purpose of the visit. LPA requested to review staff #1 (S1) file during this visit. LPA provided a copy of the LIS printout for staff clearances. LPA observed that S1 is finger print cleared and associated to the home. Upon a file review LPA observed that S1 has a CPR/First Aid certificate dated 4/5/24 which is valid for 2 years. LPA also observed other documented trainings that S1 has completed and a Nursing Assistant certificate valid until 8/19/25 for Washington State Department of Health. Based on interview, documentation, and that there was no incident that occurred which warranted S1 to provide CPR/First aid, the allegation is deemed Unfounded. "The allegation is UNFOUNDED, meaning that the allegation was false, could not have happened and/or was without a reasRead the full finding— CDSS inspection report, December 19, 2024 · control 27-AS-20241218125105

On 4-18-23 at 9:50am Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to continue investigation for the complaint allegation noted above. LPA was greeted by caregiver on duty. Administrator was not present initially and arrived at approximately 11:15am. During this investigation, LPA interviewed 6 residents and 2 staff members. LPA also reviewed facility file documentation including physician’s reports, staffing schedule, and facility’s plan of operation. Additionally, LPA conducted facility observations on 3-23-23 and 4-18-23. Based on record reviews and interviews, it was revealed that 4 of 6 residents required care and supervision for incontinence needs, 1 of 6 residents required a 2-person assist, and 1 of 6 residents required care and supervision related to dementia care on 3-23-23. Based on records reviewed, it was revealed that facility schedule lists 2 staff on duty between 6am and 6pm and 1 staff on duty during the night shift hours of 6pm to 6am. Based on faRead the full finding— CDSS inspection report, April 18, 2023 · control 27-AS-20230307080147

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to finish tne complaint allegation Listed above. LPA was meet by Staff and administrator. LPA explained the purpose of today's visit. The investigation was conducted by LPA Lewis and consisted of reviews of the facility records and interviews with facility management and staff. Other witnesses were contacted and interviewed. The complaint allegations listed above were investigated. The facility staff, management and other witnesses were interviewed by LPA Lewis. Other witnesses interviewed provided conflicting information on the allegations. LPA Lewis observed during file review that the MAR'S (Medication administration records) were marked as complete but during a physical count of the medication there was more medication present then days left of bottle. Neither staff or administrator could say definitively why the medication count was incorrect. The investigation concluded, based on interviews, inspections, and file revRead the full finding— CDSS inspection report, January 3, 2023 · control 27-AS-20221024150556

LPA Kesha Lewis conducted a complaint visit to this facility today to conclude a complaint for the allegations listed above. LPA met with Staff and Licensee and explained the purpose for todays. Allegation: Staff threatened to illegally evict resident: LPA interviewed licensee and Reporting party. Per licensee, this facility has not issued an eviction notice in the past year. The Licensee never gave a verbal and written notification. The resident is still residing at the facility. Based on LPAs interviews and review of documentation, the preponderance of evidence standards has not been met, therefore, the above allegation(s) is found to be UNSUBSTANTIATED. The investigation is concluded, based on interviews and file reviews that the allegations were unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred Based on LPA’s observaRead the full finding— CDSS inspection report, January 3, 2023 · control 27-AS-20221122143911

LPA Kesha Lewis conducted a complaint visit to this facility today to conclude a complaint for the allegations listed above. LPA met with Staff and Licensee and explained the purpose for today's visit. Interviews with staff, interviews with outside care takers and documentation were reviewed that included chart notes and medical files. According to medical file reviews, chart note reviews and physician order reports, as well as staff interviews, Resident 1 (R1) sustained a unhealing wound while in care. Based on interviews with 1 staff members and one outside caretaker, R1 did sustain a pressure injury while in care of the facility. During review of medical files. LPA did discover R1 had sustained an unhealing wound. Therefore, the allegation: Resident sustained pressure injury while in care is Substantiated. Based on LPAs observations and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. CaRead the full finding— CDSS inspection report, January 3, 2023 · control 27-AS-20221122143911