BECK CARE HOME

Official classification

Type A

Official code

87623(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87623 In Dwelling Catheter (B) A catheter shall only be inserted and removed by an appropriately skilled professional under physician's orders. This requirement is not met as evidenced by: Based on record review and interview, ADM changed the Resident R1s catheter without a doctors order and did not follow hospice care plan dated 04/07/25 in which hospice services would change catheter every month which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

ADM stated will submit a written plan of action understanding the regulation and will follow hospice care plan for residents requiring services from hospice nurse by POC due date. Administrator agreed and understood.

Deadline recorded: Feb 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(C)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This was not met as evidenced by: Based on interviews, S1 stated they sometimes use the resident's room to go to the backyard because it has an exit door. Continue to next section.

Official plan of correction

Licensee states she will submit a plan of correction on how she will provide additional staff training on resident's personal rights to include residents privacy and not using a resident's room as a passageway. Licensee will submit POC to CCL by POC due date 12/11/2025. Continuation from previous section...S1 stated staff knows they should go around through the siding door of the living room or garage, which poses a potential health, safety and personal rights risk to residents.

Deadline recorded: Dec 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.50(3)

Regulation authority

HSC

What the official deficiency says

§1569.50 Denial, suspension or revocation of license;...(3) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California This was not met as evidenced by: On 9/25/2025 the Licensee verbally threatened to take LPAs state owned phones and break the phones, which is a conduct inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California

Official plan of correction

ADM stated that he/she will submit a written Plan of Correction (POC) to address the issue of conduct inimical with the Licensee. The POC will be submitted to CCL by POC due date 10/18/2025. (con't) which pose/poses an immediate health,safety and personal rights risk to persons in care.

Deadline recorded: Oct 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 Administrator Qualifications and Duties (d)(2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidence by: Based on the results of today's visit, the administrator did not submit the plans of correction by POC date. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will submit a letter of understanding regarding the regulation. ADM stated her letter will state her understanding regarding her duties and responsibilities as administrator, and the importance of completing plans of correction by POC date. ADM stated she will submit the plan of correction by POC date, October 10, 2025.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87625(b)

Regulation authority

CCR

What the official deficiency says

87625 Managed incontinence (b)(2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This is not met as evidenced by: Based on interview and document review, ADM stated she doesn't check the residents at night 10pm-6am. This poses an immediate health, safety, and personal rights risks to residents in care.

Official plan of correction

ADM stated she will develop an incontinence plan for all her residence who are incontinent. ADM stated this plan will ensure that all incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. ADM stated she will also send a letter of understanding regarding the regulation. ADM stated she will submit the plan of correction by POC due date, October 10, 2025.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(g)(3)(B)(2)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (g)(3)(B)(2) A separate charge for an item or service may be assessed only if that charge is included in and authorized by the admission agreement. This requirement was not met as evidenced by; Based on interview and records reviewed, the facility charged resident for care being provided from 10pm-6am. ADM stated the night charges are not reflected on the admission agreement. This poses an immediate health, safety, and personal rights risks to residents in care.

Official plan of correction

ADM stated she will send a letter of understanding regarding the regulation. ADM stated she will submit the plan of correction by POC due date, October 16, 2025

Deadline recorded: Oct 16, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This is not met as evidenced by: Based on interviews and documentation reviewed, the licensee did not comply with the section cited above. ADM stated a staff used a residents shoes, and S2 was given a written warning by ADM. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

ADM will submit a statement of understanding regarding the regulation cited. ADM will conduct an in-service training for staff regarding resident's personal rights. ADM will submit documentation of in-service training to CCL by POC due date 10/3/2025.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

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,... fire department... and obtain an appropriate fire clearance approved by the city, county, or city and county fire department ... This is not met as evidenced by: Based on investigation, LPAs observed a shed in the backyard being used as a staff sleeping area. Fire Clearance/Facility Sketch does not note the shed as a staff room/sleeping area. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

ADM will send photo documentation showing the storage area is no longer being used as a sleeping area. ADM stated she will also send a letter of understanding stating no staff or any individual is allowed to sleep in the following areas without building permit and fire clearance such as but not limited to; the sheds, living room, and garage.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87755(a)

Regulation authority

CCR

What the official deficiency says

87755 Inspection Authority of the Licensing Agency (a) Any duly authorized officer, employee ...of the licensing agency may …and inspect the entire premise ...without advance notice. This requirement was not met as evidence by: Based on interviews, ADM2 stated the LPA’s do not have the authority to inspect the shed, & stated he would have taken the phones and broken them, if he was present when the photos were taken. This poses an immediate health, safety, personal rights risks to residents in care.

Official plan of correction

Licensees/ ADMs stated they will send a letter of understanding regarding the regulation. Licensees/ADM’s stated they will submit a written plan to ensure licensing agency/staff have access to enter and conduct inspection of all areas of the facility, including the shed. Licensees/ ADMs stated they will submit the written Plan of Correction by POC due date October 3, 2025.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed the side gate had a lock, obstructing the side exit. (Photograph of the lock gate was taken.) ADM stated the gate is locked because resident R1 has wandering behaviors. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction ADM removed the lock during the visit. ADM stated she will send a letter of understanding regarding the regulation and the importance of keeping passageways cleared. ADM stated she will submit the plan of correction by POC date, September 26, 2025.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. On September 16, 2025, resident R1 eloped from the facility and staff were unaware that R1 had left the home unassisted. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction ADM stated she will submit a written plan of action on how she will ensure the facility staff are meeting the supervision needs of R1. ADM stated she will submit the plan of correction by POC date, September 26, 2025.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on Record review and interview , the licensee did not comply with the section cited above. Based on a review, resident R1's needs and services plan has not been updated, and does not address R1's wandering behavior. ADM stated she has not yet updated R1's care plan. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2025 Plan of Correction ADM stated she will send an updated care plan for R1. ADM stated she will send a letter of understanding regarding the regulation. Based on a review, resident R1's needs and services plan has not been updated, and does not address R1's wandering behavior. ADM stated she will submit the plan of correction by POC date, October 2, 2025.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above. LPA's observed resident R2 seated in a wheel chair in front of the dinning room. LPA's then noted resident's wheel chair was tied to the dinning table. Staff S2 and S3 stated they have been tying R2 for over a month. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction ADM stated she will conduct a personal rights training to her staff regarding restraints. ADM stated she will send documentation showing this training has taken place, including names of those who attended, the length of the training and the trainer. ADM stated she will also send a letter of understanding regarding the regulation. ADM stated she will submit the plan of correction by POC date, September 26, 2025.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a)(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above. ADM confirmed the cameras inside the facility do record with audio. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction ADM stated she will submit a letter of understanding regarding the regulation, and the importance of ensuring the inside of the facility does not have any audio recording. ADM stated she will submit the plan of correction by POC date, September 26, 2025.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA's observed in the kitchen, a drawer with two knives, acessible to residents in care. ADM stored the knives in a locked cabinet during LPA's visit. LPA observed the medication cabinet and the cabinet below the sink did not have their lock engaged, LPA asked Staff S1 to lock both of them. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2024 Plan of Correction ADM secured the knives during visit. ADM stated she will send a letter of understanding regarding the regulation. ADM stated she will send to LPA by POC date, October 30, 2024.