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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701159
Report Date: 08/18/2026
Date Signed: 08/18/2026 03:22:23 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
06/11/2026 and conducted by Evaluator Melina Oropeza
COMPLAINT CONTROL NUMBER: 27-AS-20260611121820
FACILITY NAME:BEATRICE SENIOR CAREFACILITY NUMBER:
342701159
ADMINISTRATOR:CLARK, TIMOTHYFACILITY TYPE:
740
ADDRESS:8901 MELODIC CTTELEPHONE:
(916) 270-3961
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:6CENSUS: 4DATE:
08/18/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Beatrice ClarkTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not assist resident(s) with their required medical care.
Staff did not provide appropriate care and supervision to resident(s), resulting in repeated emergency calls.
INVESTIGATION FINDINGS:
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On 08/18/26, Licensing Program Analyst (LPA) Melina Oropeza made an unannounced visit to this facility to continue a complaint investigation for the above allegations. LPA identified themselves upon arrival, stated the purpose of their vist to staff. Administrator, Betrice Clark was called and joined 15 minutes later and LPA stated the purpose of the visit.

Staff did not assist resident(s) with their required medical care based on record review, R1’s required medical care needs were not consistently met, including medical appointments and follow-up care. Based on information obtained, the preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
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-20260611121820
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 SENIOR CARE
FACILITY NUMBER: 342701159
VISIT DATE: 08/18/2026
NARRATIVE
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Staff did not provide appropriate care and supervision to resident(s), resulting in repeated emergency calls based on record review, emergency response records from Cosumnes Fire Department documented approximately 19 calls to the facility from January through June 2026, including calls for medical illness, injury/trauma, lift assistance, and public health concerns.

Based on information obtained, the preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

Citations are being issued today per California Code of regulation Title 22 see 9099-D page.

An exit interview was held, and a copy of this report and appeal rights was provided to administrator, Beatrice Clark
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20260611121820
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 SENIOR CARE
FACILITY NUMBER: 342701159
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2026
Section Cited
CCR
87464(f)(1)
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87464(f)(1) – Basic Services
Basic services shall at a minimum include care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c).
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Licensee shall provide staff training on ensuring residents' medical care needs are met. Licensee to submit proof of training to LPA Oropeza @ Melina.Oropeza@dss.ca.gov by the POC due date, 09/01/26 by 5:00pm.
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Based on interviews and record review, the licensee did not ensure that resident(s) received care and supervision necessary to meet their identified needs. Emergency response records documented approximately 19 calls to the facility from January 2026 through June 2026, including repeated responses for medical illness, injury/trauma, lift assistance, and community public health concerns. This posed a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3