Beyond Care

Type of visit: Required - 1 Year

On 7/30/26 at 10:50am Licensing Program Analyst (LPA) Kevin Gould arrived at Beyond Care (RCFE) for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Allan Fernando and together conducted a tour of the home. This facility is vendorized by Alta Regional Center. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 106 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA observed the facility is not current with annual training. all staff have completed DSP training and have valid administrator certificates. LPA provided advisory not to include annual training of 20 hours with 8 hours dedicated to dementia care. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 31, 2026

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff did not address resident's change in condition

On 2/5/2026, Licensing Program Analyst, Cynthia Tamayo (LPA), arrived unannounced at this facility to close and deliver findings for the complaint investigation regarding the allegation noted above. LPA initially met with staff on duty, Exequiel Allan Fernando (S2). The administrator, Antoniette "Toni" Tin (S1) arived around 3:35PM. Allegation: Staff did not address resident's change in condition It was alleged that staff did not address resident's change in condition. This investigation consisted of interviews of facility staff, residents, witnesses interviews, record reviews. On 1/9/26, LPA conducted a visit to the facility. LPA spoke with 2 facility staff who stated they ensure to call 911 if any resident is in need of medical attention. R1 has seizures and they are not sent out to Day Program if they notice they showing signs of being off baseline; in which R1 eats less breakfast, is less talkative, he does not respond to topics he is interested in. Continued on 809-C Unsubstantiated Interview with 3 out of 3 residents stated that they have no concerns about the facility nor staff. 2 out of 3 residents were not able to answer questions with full responses. R1 stated they have seizures and do not like going to the hospital. R1 stated their needs and being met and feel safe at the facility. R1 recalls they felt fine before going to day program on 1/2/26 the day in which he was off baseline when he arrived at day program and was sent to the hospital from Day Program. S1, S2, person 1 (P1), Person 2 (P2), and Person 3 (P3), all stated they notice R1 becomes less talkative and unresponsive when he has “episodes” or seizures and sometimes becomes confused or disoriented. P3 reported they noticed R1 is less talkative since moving to this facility and have some concerns over the staff’s ability to address resident's change in condition. P4 does think R1 was already off baseline the morning of 1/2/26. S2 stated they notice lack of sleep impacts R1’s seizure activity. It was reported R1 wanted to stay up late for new years eve in which they stayed up until 11:00 PM of which they were monitoring R1 closely for seizure warning signs the following days. S1 stated care staff is also trained on what seizure warning signs to look for. S1 stated IPP and IPP quarterlies are completed on a quarterly basis and will ensure to complete a re-appraisal if there is every a change in condition in between the quarterly care plan development with Alta Regional Center. LPA provided S1 and S2 with guidance on documenting, reporting requirements, immediate emergency treatment in emergency situations, and personal rights per Title 22. Record review shows the facility is maintaining daily notes to document changes in condition for residents. R1 was sent out to the hospital on 10/12/25,11/3/25, 11/26/25, 12/5/25, and 1/2/25 all due to R1 being off baseline. Based on interviews and observations, there was insufficient evidence to corroborate the allegation, therefore the allegation is unsubstantiated. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility administrator. Appeal Rights were issued, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 5, 2026 · control 27-AS-20260106112546

Type of visit: Prelicensing

On 5/30/25 at 1:00pm Licensing Program Analyst (LPA) Kevin Gould conducted a Component III Orientation to complete the pre-licensing process. LPA met with applicant and appointed administrator. LPA and applicants discussed all aspects of the orientation including: •Article 4 – Operating Requirements •Article 5 – Physical Environment •Article 7 – Personnel •Article 8 – Resident Records •Article 11 – Health Related Services & Conditions •Article 12 – Dementia At the time of this report the applicant has met all requirements to be licensed. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 30, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 4 Interview Method: Telephone interview On 5/23/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 23, 2025

Type of visit: Prelicensing

On 4/9/25 Licensing Program Analysts (LPAs) Cynthia Tamayo and Kevin Gould arrived at Beyond Care for the purpose of conducting a change of license pe pre-licensing inspection. LPAs met with Administrator Antoniette Tin and Licensee Gloria Alejo and together conducted a tour of the home. There are no resident in care. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 115.5 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. Report continued on LIC 809-C Per California Code of Regulations, Title 22 there were no deficiencies observed or cited during today's inspection. Although the applicant has met all physical requirements to be licensed, the department requires clarification of the application as the location the facility being moved from, The Park at the Pocket, had the lease terminated in December 2024 and have not had access to that facility since December 2024. No notification of the lease termination was submitted to the department. The Centralized Application Bureau (CAB) will be reviewing the application to ensure there are no changes or additional documents required to ensure the application process is complete that the department requests and obtains all required documentation that me be required to complete the application process.the state’s words, verbatim · CDSS document, Apr 9, 2025