Beatitudes Care Home I

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 07/20/2026 by Licensing Program Analysts (LPAs) Charlie Yang and Kimberly Kulich who were met by the facility staff person, Michelle Jarin, who was briefly interviewed at this time. These LPAs requested that she go ahead and contact the facility designated Administrator to inform him that CCL was present at this time. The facility designated Administrator, Ricky Nolasco, arrived later to this facility while the LPAs were conducting this annual visit. Current census was 4 residents. It was learned that there was (1) resident under the care of hospice at this time. It was learned that this facility does have an approved hospice waiver to be able to accept and retain up to 2 hospice residents at any given time. It was learned that there weren't any residents deemed to have the diagnosis of dementia at this time. It was learned that this facility does have a dementia program on file at this time. It was learned that there was (1) resident receiving services through home health at this time. It was learned that there weren't any residents deemed to be bedridden at this time. This facility does have an approved bedridden fire clearance to be able to accept and retain up to (2) residents at this time. Tour of the facility was conducted. A tour of the living area, dining area, and all other areas intended for resident use was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Kitchen area was toured. Cabinets and drawers were reviewed at this time. Drawers storing knives and sharps were reviewed to make sure that they were locked and made inaccessible to the residents at all times. Cabinets storing detergent and all cleaning supplies were reviewed to make sure that they were locked and made inaccessible to the residents at all times. Facility restrooms were toured. Grab bars and non skid mats were observed to be present and in good working order at this time. Hot water temperatures were taken to make sure that the hot water being dispensed was within the allowed range of 105-120 degrees at all times. A review of the facility medications for the residents was conducted. It was learned that all of the resident medications were centrally stored. First aid kit, located in the facility medication locker located in the kitchen area, was reviewed. It was observed that it did contain all of the required components and was in compliance at this time. A review of the facility food supply was conducted. A tour of the facility pantry was conducted to make sure that there was a sufficient supply of 2-day perishables and 7-day non perishable food quantities on hand at all times. It was learned that there was an additional refrigerator being used in the garage area. Tour of the garage area was conducted. It was observed that this space was being used to store household items and personal items for the residents in care at this time. Laundry area was toured. It was observed that the door leading into the laundry area did have the ability to be locked at this time. It was observed that the door was locked to be able to store detergents and bleach so that they were inaccessible to the residents at all times. A tour of the facility resident bedrooms was conducted. Furniture and furnishings were observed to be present and able to meet the needs of the residents at this time. Linen closet, located in the facility hallway, was reviewed. Administrator certificate for Ricky Nolasco was observed to be present with certification #7023411740 set to expire on 09/28/2026. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gate, and all other exits was conducted. A review of (4) facility resident files was conducted and noted on the following LIC 858. A review of (3) facility staff files was conducted and noted on the following LIC 859. The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. The following civil penalties were assessed in the amount of $500 on the following LIC 421. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 20, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 06/04/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Ivania "Iva" Lopez, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Ricky Nolasco, to inform him that CCL was present at this time for an annual visit. The facility designated Administrator Ricky Nolasco arrived shortly thereafter to this facility while this LPA was conducting the annual visit. Current census was 5 residents. It was learned that there was (1) resident under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (2) 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, 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 located in the kitchen area were observed to be present and functional at this time. Laundry room was toured at this time. 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 09/28/2024 and was in need of being renewed at this time. Forms and documents were being updated in order to renew this Administrator certificate at a 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 medication cabinet area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher was under the kitchen sink and observed to have been purchased from the local Costco on 06/26/2024 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 (4) facility personnel records was conducted and noted on the following LIC 859. A review of (5) facility resident records was conducted and noted on the following 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. Civil penalties were assessed on the following LIC 421FCs in the amount of $750 at this time. 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, Jun 4, 2025

Type of visit: Required - 1 Year

Unannounced annual visit made out to this facility on 06/12/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff persons, Rosalinda Wright and Ivania Lopez, who were briefly interviewed. This LPA requested that the facility staff go ahead and contact the facility designated Administrator, Ricky Nolasco, to inform him that CCL was present at this time. Current census was 5 residents. It was learned that there were not any residents under the care of hospice at this time. It was learned that there were not any residents receiving services through home health at this time. It was learned that there weren't any residents diagnosed with dementia at this time. The facility designated Administrator, Ricky Nolasco, arrived later to this facility while this LPA was conducting this annual visit. Facility staff files were supplied by the facility designated Administrator. This LPA requested for all (3) facility staff files 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, 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. Additional food storage units were observed to be present and functional at this time. Laundry area 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 09/28/2024 and in compliance 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 a kitchen drawer, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher, located under the kitchen sink, was observed to have been annually inspected by the local fire extinguisher company and purchased on 09/01/2023 and 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 resident files was conducted and noted on the following LIC 858. A review of (3) facility staff files was conducted and noted on the following LIC 859. The following forms and documents were requested to be updated and submitted into CCL: 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 Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Jun 12, 2024

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 01/05/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Ricky Nolasco. A brief interview was conducted with the facility designated Administrator at this time. Current census was 4 residents. The purpose of this visit was to review and make sure that the following deficiencies that were previously cited on 12/13/2023 were corrected according to the plan of correction: Water supplies and plumbing fixtures shall be maintained as follows: (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 degrees C) and not more than 120 degree F (49 degrees C). 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 clearance letter was printed and a copy was given to the facility designated Administrator at this time. There were no further deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Jan 5, 2024

Type of visit: Post Licensing

Unannounced Post Licensing visit made out to this facility on 12/13/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Ricky Nolasco. A brief interview was conducted with the facility designated Administrator 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 a hospice waiver to be able to accept and retain up to (2) hospice residents at any given time. It was learned that there weren't any residents receiving any care from a home health care agency at this time. It was learned that there weren't any residents diagnosed with dementia at this time. A tour of this facility was conducted. Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Ricky Nolasco. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date of 09/28/2024 with certificate # 6057310740. Kitchen area was toured. Cabinets and drawers were reviewed. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication cabinet, located in a separate room, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated Administrator at this time. This medication cabinet was observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time. Fire extinguishers, located throughout this facility, were observed to have been annually purchased on 09/01/2023 from the local hardware store and in compliance at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gate, and exits was conducted. A review of (4) facility resident records was conducted and noted on the following LIC 858 form. A review of (2) facility staff records was conducted and noted on the following LIC 859 form. The following forms and documents were requested to be updated and submitted into CCL: 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 Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Dec 13, 2023