Beatitudes Care Home

Type of visit: Case Management - Legal/Non-compliance

A Non-Compliance Conference (NCC) was conducted on this day, 04/16/2026, by the Sacramento South Regional Office via Teams meeting. This Noncompliance Conference was called to discuss the following issues or deficiencies: Care and Supervision, Incidental Medical Care, Personal Rights, Maintenance and Operation, Managed Incontinence Present in the meeting was Regional Manager (RM), Stephenie Doub, Licensing Program Manager (LPM), Liza King, Licensing Program Analyst (LPA) Kesha Lewis, Licensing Program Analyst (LPA) Arielle Pascua, Ricky Nolasco Administrator, facility representative Ricky Nolasco and Kathryn Thomas ombudsmen. Items discussed during the Non-Compliance Conference were: · Medication Management. · Assessment Training. · Buildings and grounds- Host water, · Technical Support Program (TSP) · Unlicensed care being provided at Beatitudes Care Home I · Unlicensed care being provided at Beatitudes Care Home II Licensee agreed to do the following in order to bring the facility into compliance no later than the following date 04/24/2026. · Provide an Updated LIC 500. · The administrator to be enrolled in a Pre-assment training. · Provide weekly medication count log · Provide buildings and grounds weekly check list. · Provide an update on the new requested fire clearance for beatitudes care home. In addition, at this meeting the notified Licensee/Administrator was advised future non-compliance regarding the above and other regulatory components will result in additional citations, civil penalties, and further potential administrative action. Community Care Licensing Department (CCLD) will do the following: · Increase Monitoring to quarterly visits. · The facility will have TSP (Technical Support Program) give technical advice to the facility. Completing the Non-Compliance Conference does not deprive the Department of its authority to take appropriate formal legal action under the Health and Safety Code if such action is deemed necessary by the Regional Manager. Per California Code of Regulations (CCRs) - Title 22 no deficiencies are being cited during this visit. An exit interview was conducted with, Ricky Nolasco and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents. In addition, a copy of this report will be sent out certified mail.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 04/09/2026 by Licensing Program Analyst (LPA) Arielle Pascua. This LPA was met by the facility staff person Mona Liza Hallman. A brief interview was conducted with the facility staff person at this time. There was on staff member present but left during the course of this visit, Shannon McGurk. This LPA requested that she go ahead and contact the facility designated Administrator to inform them that CCL was present at this time. Current census was 6 residents. The purpose of this visit was to follow up an annual visit conducted on 02/23/2026 and Two Type A violations discussed during the visit. On 02/24/2026, LPA Pascua received an email from the licensee stating that medication retraining, as outlined in the plan of correction (POC), had been conducted. The licensee also indicated that copies of the February 2026 Medication Administration Record (MAR) were not available at the time of the LPA’s visit. Additionally, LPA Pascua did not receive documentation of the agreed-upon medication training at the time of the visit with Licensee Nolasco. LPA Pascua subsequently requested, via email, the POC documentation and proof that the training was conducted on 02/24/2026. In response, Licensee Nolasco provided documentation showing two staff members’ signatures and the training date. However, this did not fulfill the agreed-upon POC requirements. The POC specified that the training must be at least one hour in duration and include supporting materials such as training topics, instructional content, and certificates. These documents were not provided to LPA Pascua by the POC due date. In addition, during this visit, LPA Pascua received the MAR for March 2026 and April 2026, however records reveal that documentation has not been completed to its entirety. Furthermore, LPA Pascua received an LIC 200 form and a facility sketch from Licensee Nolasco indicating that the garage would remain a garage and not be used as a living space. The licensee also stated that staff were removed from the garage area on 02/24/2026. However, during the visit, LPA Pascua toured the facility and LPA Pascua observed personal belongings in the garage, including clothing, toys, and hygiene items, suggesting that staff may still be occupying and residing in the garage. Based on the observations made during this visit, The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. An exit interview was conducted, a copy of this report and appeals rights were provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, Apr 9, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(1) · Plan of correction due date: Apr 10, 2026

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (1) Nonambulatory persons. Based on observation, interview, and record review, the licensee did not comply with the section cited above by not ensuring that the facility accepted and retained ambulatory residents only. Based on observed, the licensee did not ensure that a fire clearance was requested to ensure that the garage space was a habitable living space for staff.the state’s words, verbatim · CDSS document, Apr 9, 2026

Plan of correction: Licensee shall provide LPA Pascua an updated LIC200 and facility sketch highlighting ambulatory,non-ambulatory rooms, and staff bedrooms by POC Date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(c)(3) · Plan of correction due date: Apr 10, 2026

(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Based on observation, interview and record review, the lceisnee did not comply with the section cited above by not ensuring that the facility maintained the Medication Administration Record (MAR) for 4 out 4 residents. This poses an immediate health, safety, and personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Apr 9, 2026

Plan of correction: The Licensee shall provide LPA Pascua an updated Medication Administration Record for all residents. Along with a statement of correction, medication training for all staff responsible in dispensing medication shall be conducted for no less than one (1) hour. Copies of training including topic, material, and certificates shall be provided to the LPA.

Type of visit: Required - 1 Year

On 02/23/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was greeted by Staff Member (SM), Vivaleene Hernandez and explained the purpose of the visit. LPA Pascua also identified a second Staff Member (SM), Shannon McGurk. LPA Pascua asked SM McGurk and Hernandez to call Facility Designated Administrator (FDA), Ricky Nolasco to inform him that CCL was present at this time. Shortly after, LPA Pascua was greeted by FDA Nolasco. This facility is licensed to serve and retain 6 elderly residents of which all may be ambulatory. This facility also holds a dementia plan on file and a hospice waiver for 3 residents. There are currently 2 residents in care obtaining hospice services. Current census was 6. A brief interview with FDA Nolasco was conducted. LPA Pascua reviewed 6 resident files. Upon review, LPA Pascua observed that the facility currently has 5 non-ambulatory residents per physicians reports on file. 6 out 6 resident files did not have a complete needs and services plan. 1 out 6 residents did not have a current LIC602 upon admission on 11/11/2025 with a current TB test. LPA Pascua reviewed 3 staff files. All staff files were complete and up to date. All staff have a current CPR/FIrst Aid certificate on file. The facility administrator has a current administrator certificate #7023411740 and expires on 09/28/2026. A tour of the facility was conducted. LPA Pascua reviewed the facility sketch and identified 4 resident bedrooms. LPA Pascua also identified the garage which has been converted into a living space for a staff member. LPA Pascua reviewed the current facility sketch with FDA Nolasco and asked for an updated facility sketch to properly identify the changes in the facility. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units were observed to be present and functional at this time. Laundry room, located prior to the entrance for the garage, was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the facility kitchen cabinets, was observed to be locked and made inaccessible to the residents at this time. Along with the facility administrator, LPA compared medication to medication dispensing logs. LPA Pascua was unable to obtain medication dispensing logs for all residents. It was observed that centrally stored medication was also not completed. LPA Pascua advised FDA Nolasco of best practices and importance of keeping record of resident medication logs. First aid kit, located in the laundry room, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher that was located in the kitchen area was observed to have been annually purchased from the local Costco Company on 01/06/2026 and found to be in compliance at this time. Smoke detectors and carbon monoxide were tested and were in working condition. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non-skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308, LIC 400, LIC 500, LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated representative at this time. An exit interview was conducted and a copy of this report was provided to the administrator at the end of this visit.the state’s words, verbatim · CDSS document, Feb 23, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 06/04/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Ricky Nolasco, who was briefly interviewed at this time. Current census was 6 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 02/03/2025. This visit was to follow up on the Plans of Correction that were due. The following deficiencies were observed and cited on 02/03/2025: The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (4) Ensure that the facility is clean, safe, sanitary, and in good repair at all times. This facility did complete the Plans of Correction and provided all of the required forms and documents at this time. Plan of Correction clearance letters were printed and copies were provided to the facility designated Administrator at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 02/03/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Ricky Nolasco, who was briefly interviewed at this time. Current census was 4 residents. It was learned that there weren't any residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (3) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there was (1) resident diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units were observed to be present and functional at this time. Laundry room, located prior to the entrance for the garage, was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 6057310740, for Ricky Nolasco was observed to have an expiration date of 09/08/2024 and in compliance at this time. Forms and documents have been completed in order to renew this Administrator certificate at this time. Medication cabinet, located in the facility kitchen cabinets, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the laundry room, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher that was located in the kitchen area was observed to have been annually purchased from the local Costco Company on 03/01/2024 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (5) facility personnel records was conducted on the LIC 859. A review of (4) facility resident records was conducted on the LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) arrived unannounced to conduct annual/required visit. LPA Lund met with Care giver Shannon Mcgurk and explained the reason for the visit. LPA Lund spoke with Administrator Ricky Nolasco who cod not make it today visit. Administrator Ricky Nolasco stated that staff could sign required paperwork. Census: 5 LPA Lund & Care giver Shannon Mcgurk toured/inspected the facility kitchen area was toured. Drawers and cabinets were reviewed. Cook ware, dinnerware, and utensils were observed to be sufficient and able to meet the needs of the residents at this time. Food supply was reviewed for 2-day perishable and 7-day nonperishable food quantities. Medication cabinet, located in kitchen area, was reviewed. A sample of the resident medications was compared with the facility Medication Administration Record and dispensing log initialed by the facility staff. First aid kit was reviewed for required components and observed to contain all necessary components at this time. Fire extinguisher, located under the kitchen sink, was observed to have been annually purchased and observed to be in compliance at this time. Dining area, living area, and all other areas intended for resident use were toured and observed to be furnished and maintained in good repair at this time. Facility resident rooms was conducted. Resident bedroom furniture and furnishings were observed to be sufficient. Facility resident restrooms was conducted. Hot water temperatures was taken and measured within the allowed range of 105-120 degrees. Grab bars were observed to be present and functional at this time. Laundry area was toured. Detergents, bleach, and other cleaning agents were observed to be stored and maintained in a separate closet which was locked. Linen closet was observed to contain a sufficient amount of linens and towels. Garage area was toured. A tour of the exterior grounds was conducted. Two Staff & Two Residents files were reviewed and in compliance. No deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 29, 2024