BEATITUDES CARE HOME

Official classification

Type A

Official code

87202(1)

Regulation authority

CCR

What the official deficiency says

(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.

Official 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.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(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.

Official 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.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(1)

Regulation authority

CCR

What the official deficiency says

(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. This requirement is not met as evidenced by: Deficient Practice Statement 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 records reviewed by LPA Pascua 5 out 6 residents were non-ambulatory. This poses an potential health, safety, and personal rights risks to persons in care.

Official plan of correction

POC Due Date: 02/24/2026 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.

Official classification

Type A

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 02/24/2026 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.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that [4] out of [5] facility staff files did not current certified First Aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2025 Plan of Correction The facility designated Administrator stated that all facility staff providing care and supervision to the residents in care will be updated for training and be current in First Aid certification at all times. A statement of correction, along with copies of the updated First Aid certificates, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

1569.618(c)(4)

Regulation authority

HSC

What the official deficiency says

(c)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 requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that there was old and unused furniture items left out in the side yard which needed to be removed since it poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/10/2025 Plan of Correction The facility designated Administrator stated that the side yard will be cleaned and cleared of all unused furniture items. A statement of correction, along with photos of the cleared side yard, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above in that the exterior side gate was locked with a pad lock to not allow access in/out of this facility in case of any emergency since this was the sole exterior side exit which posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2023 Plan of Correction The facility designated Administrator stated that the side exterior gate will be unlocked, and maintained as such, at all times. A statement of correction, along with photos of the side gate that is unlocked, will be completed and submitted into CCL by the due date of 03/03/2023. Additional photos of the updated fire extinguisher. located under the kitchen sink, will be submitted to show the most recent date of purchase.