<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701286
Report Date: 07/23/2024
Date Signed: 07/23/2024 02:42:16 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/20/2024 and conducted by Evaluator Christina Valerio
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20240720162624
FACILITY NAME:BEATRICE HOME CAREFACILITY NUMBER:
342701286
ADMINISTRATOR:CLARK, BEATRICEFACILITY TYPE:
740
ADDRESS:1014 FERNANDO WYTELEPHONE:
(916) 270-3961
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:6CENSUS: 5DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Facility staffTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility HVAC system is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a 10-Day Visit/Complaint Investigation. LPA Valerio was met by facility staff, and explained the purpose of the visit. Administrator Beatrice stated staff can sign on her behalf.

The Regional Office received notification from the Reporting Party (RP) regarding the temperature at the facility being between 96-97 degrees Fahrenheit on 07/18/2024. The RP stated the facility thermostat was blank and used a Thermal Imaging Camera to capture the temperature of the room. It was reported that staff called emergency services due to Resident 1 (R1) having a fever. R1 was transferred to the hospital. The RP heard Administrator Beatrice tell staff to ensure that no other residents were spoken to by the RP.

LPA Valerio obtained copies of the pictures obtained from the RP. Pictures revealed the readings of the room temperature and the thermostat to be inoperable.
Continues on LIC 9099 - C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 27-AS-20240720162624
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BEATRICE HOME CARE
FACILITY NUMBER: 342701286
VISIT DATE: 07/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued from LIC 9099

On 07/22/2024, LPA Valerio received a telephone call from Administrator Beatrice regarding inquires on placing a plastic lock box on the facility thermostat. Per Administrator Beatrice, the residents messed with the thermostat and turned the heat to 85 degrees. Administrator Beatrice stated it was never broken and she always would like to keep the temperature at 72-73.

On 07/23/2024, Administrator Beatrice stated that the thermostat was not 96 degrees and the facility was 86 degrees.

On 07/23/2024, LPA Valerio observed the facility thermostat. The temperature inside the facility was degrees 80 degree Fahrenheit; however, the temperature was set to 68 degrees. LPA took a picture for reference. On 07/23/2024, the temperature outside was 102 - 107 degrees, which means the temperature inside the facility should be between 72 - 77 degrees.

According to an interview with Staff 1 (S1), S1 stated that S1 was not working when the incident happen but heard the air conditioning was broken for only three hours. S1 stated they are told set the thermostat to 68 degrees. S1 says the plastic box was put on and it is programmed so it cannot go higher or lower.

Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached LIC 9099-D page. An exit interview was held, and a copy of the report was provided. Appeal rights were provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20240720162624
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BEATRICE HOME CARE
FACILITY NUMBER: 342701286
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2024
Section Cited
CCR
87303(b)(2)
1
2
3
4
5
6
7
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.
1
2
3
4
5
6
7
Licensee stated a new thermostat batteries was purchased and installed. Licensee to send LPA pictures of thermostat reading every afternoon from 07/24/2024 - 08/16/2024.
8
9
10
11
12
13
14
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.
8
9
10
11
12
13
14
Plan of Corrections was discussed with Administrator Beatrice via cell phone.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3