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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502700581
Report Date: 12/19/2024
Date Signed: 12/20/2024 12:18:14 PM

Document Has Been Signed on 12/20/2024 12:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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, THEFACILITY NUMBER:
502700581
ADMINISTRATOR/
DIRECTOR:		NICOLE ELLFACILITY TYPE:
740
ADDRESS:3300 SHARON AVETELEPHONE:
(209) 526-2425
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
12/19/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Nicole Ell TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 12/19/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a case management visit. LPA was greeted by Facility Staff, Sherri Morenobinda and explained the purpose of this visit. Shortly after, LPA Pascua met with Administrator, Nicole Ell and explained the purpose of the visit.

The purpose of this visit was in response to a complaint visit conducted on 12/19/2024. During the course of this visit it was learned that S1 did not have a criminal background clearance and was currently in progress in obtaining one. It was stated by S1 that they have worked at the facility since 11/01/2024.
LPA reviewed the facility documents that show that the facility submitted S1's live scan on 12/12/2024. In addition, this LPA reviewed the Guardian facility roster and confirmed that S1's criminal record clearance was currently in progress as of 12/12/2024.

An immediate civil penalty of $500 was for violation of 87355(e) for criminal record clearance.

Based on the observations made during today's visit, the following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. An exit interview was conducted, and a copy of the report was given end the of this visit.
Lisa RiosTELEPHONE: (916) 969-9685
Arielle PascuaTELEPHONE: (916) 862-5907
DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 12/20/2024 12:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:
Based on record review and observation, the licensee did not comply with the section cited above by not ensuring that S1 had a current criminal background clearance.
Deficient Practice Statement
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POC Due Date: 12/20/2024
Plan of Correction
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Licensee escorted facility staff out of the facility at the time of this visit.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Lisa RiosTELEPHONE: (916) 969-9685
Arielle PascuaTELEPHONE: (916) 862-5907

DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024

LIC809 (FAS) - (06/04)
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