Caring Heart-Everglade

Type of visit: Required - 1 Year

On 05/04/2026, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with Administrator. Administrator (AD) Cleo Ramirez was notified and able to attend visit. The facility was observed to be at a comfortable temperature, of 73 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area after lunch watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 02/03/2026. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested bathroom 1 106.3 degrees F. Medications observed to be locked in a cabinet in the kitchen area. LPA reviewed medication records to be administered properly at time of inspection. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care. Continuation on LIC 809C Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate and up to date information for your facility. In an effort to maintain your facility file, please submit the most current and complete forms and/or information as identified below: Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 05/18/2026 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the Administrator (AD) Cleo Ramirez. A copy of this report was given to AD whose signature on this form confirms receipt of these reports.the state’s words, verbatim · CDSS document, May 4, 2026

Allegation investigated: Questionable death. Staff are not following general food service requirements

Licensing Program Analyst (LPA) Sarah Hurt and Martin Vega arrived at the facility unannounced on May 14, 2025 to deliver findings the above allegations. LPA met with Administrator Cleopatra Ramirez, and explained the purpose for today’s visit. Regarding the allegation Questionable death. Resident 1 was admitted to Medical Center on 01/23/2025 after experiencing a syncopal episode. Despite medical intervention, Resident 1 was placed on comfort care and passed away, and a urinary tract infection (UTI) listed as the cause of death. Resident 1’s Physician believed the facility staff were not neglectful. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Continued... Unsubstantiated Regarding the allegation Staff are not following general food service requirements. Based on observation, and interviews this facility is following general food service requirements. LPA's observed fresh fruit in the fridge and on the counter tops. LPA's interviewed two facility residents who both stated they are happy with the quality of food being served at the facility.Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Administrator Cleopatra Ramirez, and a copy of this report along with appeals rights provided.the state’s words, verbatim · CDSS document, May 14, 2025 · control 24-AS-20250211173533

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a)(5)(A) · Plan of correction due date: May 28, 2025

87303Maintenance and Operation(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.(5)Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors.(A)All slip-resistant mats, strips, or flooring shall be in good repair and maintain slip-resistant properties. The following requirement has not been met as evidenced by: LPA's observed the bathroom in the hallway near the washer, and dryer room does appear to have mold, which poses a potential, healthy, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 14, 2025

Plan of correction: Administrator stated she will throw away the moldy facility mad and purchase new, and send proof to LPA by POC date of 05/28/2025.

Type of visit: Required - 1 Year

On 05/07/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with Staff 1 (S1). Administrator (AD) Cleo Ramirez was notified of Licensing visit over the phone but was unable to attend. Mark Townsend Licensee was contacted and able to attend visit. The facility was observed to be at a comfortable temperature, of 73 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area after lunch watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 02/12/2024. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested bathroom 1 105.0 degrees F and bathroom 2 111.0 degrees F. Medications observed to be locked in a cabinet in the kitchen area. LPA reviewed medication records to be administered properly at time of inspection. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care. LPA reviewed staff and residents’ files. No deficiencies were observed and cited. Exit interview conducted. A report was signed, and a copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, May 7, 2025

Type of visit: Required - 1 Year

On 04/26/2024, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with assistant administrator Cleo Ramirez. Mark Townsend, Administrator (AD) was notified of Licensing visit over the phone. The facility was observed to be at a comfortable temperature, of 73 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area after breakfast watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 02/12/2024. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading with in the regulations. Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care. LPA reviewed staff and residents’ files. No deficiencies were observed and cited. Exit interview conducted. A report was signed, and a copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, Apr 26, 2024