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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502700581
Report Date: 03/19/2025
Date Signed: 03/19/2025 01:30:24 PM

Unsubstantiated


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
12/13/2024 and conducted by Evaluator Arielle Pascua
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20241213101754
FACILITY NAME:GATE OF BEAUTIFUL II, THEFACILITY NUMBER:
502700581
ADMINISTRATOR:NICOLE ELLFACILITY TYPE:
740
ADDRESS:3300 SHARON AVETELEPHONE:
(209) 526-2425
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:6CENSUS: 3DATE:
03/19/2025
UNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Nicole Ell TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff do not ensure residents are administered prescribed medications.
Staff are not properly trained to care and supervise residents.
Staff do not ensure facility has adequate food supply.
Staff do not ensure facility is cleaned.
INVESTIGATION FINDINGS:
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On 03/19/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Nicole Ell. and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above.
Current census was 3. A brief interview with FDA Ell was conducted.
Allegation: Staff do not ensure residents medications are administered prescribed medications.
It was alleged that staff do not ensure residents medications are administered as prescribed. During the course of this investigation, interviews were conducted and a review of facility records were conducted. Based on interviews conducted 3 out 3 staff members deny that medications are not being provided as prescribed. It was stated by most residents obtain medication through a bubble pack system and are changed according to the doctor’s orders. An interview with 2 residents were attempted however, due to medication conditions, 2 out 2 residents did not know what medications were taken throughout the day. A review of the Medication Administrator Record and compared to current mendication. There was nothing to indicate that staff was not providing medication as prescribed. Based on the information gathered, it is unclear if the staff did not ensure residents are administered prescribed medications.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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 2
Control Number 27-AS-20241213101754
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: GATE OF BEAUTIFUL II, THE
FACILITY NUMBER: 502700581
VISIT DATE: 03/19/2025
NARRATIVE
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A review of the Medication Administrator Record and compared to current medication. There was nothing to indicate that staff was not providing medication as prescribed. Based on the information gathered, it is unclear if the staff did not ensure residents are administered prescribed medications.
Allegation: Staff are not properly trained to care and supervise residents.

It was alleged that staff are not properly trained to care and supervise residents. During the course of this investigation, interviews were conducted and a review of facility records were conducted. Based on interviews conducted, 3 out 3 staff members state that they went through a series of training during orientation as well as shadowing another caregiver prior to being on their own. In addition, 3 out 3 staff members state that they are provided additional training throughout the year. A review of the facilities training records were conducted which confirmed that staff were provided orientation training required through Title 22 regulations as well as annual training. Based on the information gathered, it is unclear if staff are not properly trained to care and supervise residents.

Allegation: Staff do not ensure facility has adequate food supply

It was alleged that staff do not ensure facility has adequate food supply. During the course of this investigation, interviews were conducted and a review of facility records were conducted. Based on interviews conducted, 3 out 3 staff members deny that they do not have food supply. 3 out 3 staff members state that food is bought on a weekly basis or as needed. 2 out 2 residents state that they enjoy the food that they eat and have options when picking what to eat for the day. In addition, a review of the facilities credit card statements show that the facility conducted shopping trips every 1-2 weeks in the amounts between $360-$500. Based on the information gathered, it is unclear if the staff do not ensure facility has adequate food supply.

Allegation: Staff do not ensure facility is clean.

It was alleged that staff do not ensure facility is clean. During the course of this investigation, interviews were conducted and a tour of the facility was conducted. Based on interviews conducted, 3 out 3 staff members deny that the facility is not cleaned. 3 out 3 staff members state that cleaning is primarily done at night time however, cleaning should be done on a continuous basis. 2 out 2 residents state that they have no issues with the facility being dirty and witness staff cleaning throughout the day. A tour of the facility was conducted on 12/20/2024 and there were no observations made that indicate that the facility was not kept clean Based on the information gathered, it is unclear if the staff do not ensure that the facility is clean.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC9099 (FAS) - (06/04)
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