Heritage Pointe

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk staff after stating the purpose of the visit. Executive Director Erin Palposi was present on the premises and assisted with the visit. An initial investigation visit took place on January 17, 2025. During the visit, licensing staff requested and obtained the facility's resident census, staff roster as well as care assignments for staff for Friday January 17, 2025. Five (5) staff interviews and four (4) resident interviews were conducted during the present visit. Resident records requested for a total of seven (7) residents. Follow-up interviews conducted on March 18, 2025 during the investigation of a different complaint. Additional staff and resident interviews conducted during the annual visit on May 14, 2025. CONTINUED ON FORM LIC9099-C SubstantRead the full finding— CDSS inspection report, May 22, 2025 · control 22-AS-20250108143658

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk staff after stating the purpose of the visit. Executive Director Erin Palposi was present on the premises and assisted with the visit. The initial complaint investigation visit took place on March 18, 2025. During the visit, LPA requested and obtained the current facility census. LPA additionally requested resident records for five residents of the Sage unit as well as the log for pendant pushes recorded in the facility for the past 30 days. Three resident interviews along with one staff interview were also conducted during the visit. Additional staff and resident interviews conducted during the annual visit on May 14, 2025. During the follow-up to the investigation, LPA reviewed logged pendant pushes for 30 days ending in March 2025. CONTINUED ONRead the full finding— CDSS inspection report, May 22, 2025 · control 22-AS-20250312161858

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the two allegations listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Business Office Director Danielle Brahier was present to assist with the visit while Executive Director Erin Palposi was notified via phone and could not be present in person. An initial investigation visit took was conducted by licensing staff on February 7, 2025. During visit, LPA conducted interviews with residents and staff. LPA also reviewed and obtained copies of facility and resident records. Additional staff and resident interviews were conducted during the present visit. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, May 14, 2025 · control 22-AS-20250130132925

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met with Executive Director (ED) Erin Palposi. Regarding allegation Staff did not ensure medications were dispensed as prescribed, the following was revealed: During the course of the investigation, LPA reviewed Medication Administrator Records (MARs) for select residents and interviewed four staff. LPA observed discrepancies in six of nine resident records. A review of Resident 1’s (R1’s) prescribed medication indicated six routine medications were not administered on March 29th, 30th, and 31st of 2025, as they were still present in the prescribed bubble pack issued by the pharmacy. Upon review of MAR, it was observed it had not been signed by staff to indicate why it had not been administered or otherwise. A review of R2’s medication indicated one routine medication was not administered on March 29th, 2025, as it was stilRead the full finding— CDSS inspection report, April 9, 2025 · control 22-AS-20250402151546

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced complaint visit to continue the investigation into the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegations that staff are not allowing resident to leave the facility, staff are not allowing resident to take a shower, staff threaten resident in care and staff is forcing resident to obtain psychiatric treatment without cause, the investigation revealed the following: Per interview conducted with Resident 1 (R1), facility does allow resident to leave the facility. Physician report dated 03/18/2021 indicated resident is able to leave the facility unassisted. Resident denied being refused showers and facility charge form shows resident received stand by assistance 7 days a week for showering. Per interview with reRead the full finding— CDSS inspection report, January 31, 2025 · control 22-AS-20211008154417

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced complaint visit to continue to the investigation into the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as facility notes. Regarding the allegations that facility staff did not check on resident to turn regularly resulting in deep tissue wound on leg, the facility staff handled the resident in a rough manner, the facility failed to provide food for the resident in a timely manner, the resident was not given medications as prescribed, the resident was not receiving laundry services as agreed, the resident was found saturated in urine and feces on multiple occasions due to facility not providing incontinent care and the facility did not send the correct health agent's inRead the full finding— CDSS inspection report, January 31, 2025 · control 22-AS-20210302151348

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering the findings of the investigation into the allegation listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the reason for the visit. Administrator Erin Palposi was present and assisted with the visit after being informed of the allegation. The initial complaint investigation visit took place on March 28, 2024. During the visit, LPA requested and obtained records maintained at the facility for resident R1. An interview with facility staff regarding R1's current hospitalization was also conducted. R1 was stated to be undergoing psychiatric evaluation prior to organizing her readmission at the facility. An additional witness interview was conducted via telephone. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, July 1, 2024 · control 22-AS-20240327152419

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation into the allegation listed above. LPA was greeted and granted entry by facility administrator Georgianna Mendez after stating the purpose of the visit and listing the allegations. An initial complaint investigation visit was conducted on June 6, 2022. LPA reviewed records for four residents in care and conducted staff and resident interviews were also conducted. LPA additionally reviewed menus and requested a report of the call system activations. During the present follow-up visit, LPA requested and obtained the facility's resident census as well as the lists of residents on medication management, receiving incontinence supplies from the facility as well as the tray service records for the week leading to the present visit. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, November 28, 2023 · control 22-AS-20220531121519

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation into the allegation listed above. LPA was greeted and granted entry by facility administrator Georgianna Mendez after stating the purpose of the visit and listing the allegations. The initial complaint investigation visit was conducted on February 17, 2022. During the visit, LPA requested and obtained the resident care plan for resident R1, as well as the staff work schedules for the week of 01/24/2022 to 01/30/2022. The requested admission agreement for R1 could not be located at the time of the visit, resulting in a deficiency that was cited at the time. A follow-up visit was held on April 21, 2022 and one interview was conducted with the facility accountant at that time. CONTINUED ON FORM LIC9099-C UnfoundedRead the full finding— CDSS inspection report, November 28, 2023 · control 22-AS-20220211164547

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the five allegations listed above. LPA was greeted and granted entry by facility staff after explaining the reason for the visit. LPA requested and obtained the facility full resident census as well as the list of residents currently on Medication Management and the list of residents being billed for incontinence supplies for the months of September and October 2023. Medication Administration Records for Memory Care unit residents R1, R2, R3 and R4 were requested and obtained for the months of September and October 2023. Daily Care Staff assignments for September and October 2023 were also provided. Printouts of email exchanges with the families providing incontinence supplies directly were added to the investigation file. CONTINUED ON FORM LIC9099-C UnfoundedRead the full finding— CDSS inspection report, November 2, 2023 · control 22-AS-20230911152506

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced Complaint investigation follow up to conduct additional file review of documents to address the allegations listed above. LPA Quiroz was greeted and granted entry by front desk receptionist and met with Executive Director (ED) Georgianna Mendez and Tami Olsen Executive Director Assistant, and discussed purpose of today's visit. The initial 10-day visit was conducted by LPA Quiroz on 12/28/2020 and an additional complaint follow up inspection visit was conducted on 3/16/2022. During the course of this investigation, LPA Quiroz conducted interviews with interviewees consisting of staff and residents, reviewed documents for four of four residents including but not limited to Resident Personal Property and Valuables Lists, Physician Reports, Individual Service Plans , Admission Agreements and Identification forms. Regarding the allegation, "Resident was charged for services not rendered," the investigatiRead the full finding— CDSS inspection report, October 25, 2023 · control 22-AS-20201218083108

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose to conduct additional interviews and file review of pertinent documents for complaint allegation listed above. LPA Quiroz was greeted by front desk receptionist and met with Executive Director (ED) Georgianna Mendez and Tami Olsen Executive Director Assistant, and discussed purpose of today's visit. The 10 day visit was conducted by LPA Ruth Martinez on 7/07/2021 and a complaint follow up visit was conducted by LPA Quiroz on 5/12/2022. During the course of the investigation, LPA Quiroz conducted interviews with interviewees consisting of staff and residents. LPA Quiroz also conducted documentation review but not limited to resident roster, staff roster, Financial Aid policy and the following for four of four residents: Admission agreement, Individual Service Plan, Identification form, Fee Schedule and Invoice. Regarding the allegation "Facility is over charging a resident whileRead the full finding— CDSS inspection report, October 25, 2023 · control 22-AS-20210630143904

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above. LPA was greeted and granted entry by front desk staff before meeting Chief Executive Officer Georgianna Mendez. An initial complaint investigation was conducted on September 14, 2023. LPA requested and obtained resident records for residents R1 and R2. Interviews were conducted with both residents during the facility visit. Additional information such as a police report reference number were also obtained during the visit. Two staff members were also interviewed during the visit. Additional staff interviews were conducted during the present visit before delivering findings to a facility representative. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, October 19, 2023 · control 22-AS-20230911091528

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Executive Director (ED) Georgianna Mendez . LPA explained the reason for the visit. On today’s visit LPA Ramirez conducted file reviews and interviews and obtained copies of pertinent documents. Regarding the allegation, the following was revealed: Six of Eleven individuals interviewed reported that the hot water was shut down on 06/28/23 for a bit and/or for a few hours. Four of Eleven individuals interviewed denied the allegation. The remamining individual refused to speak to LPA Ramirez. At 9:32 AM LPA tour the facility and tested the hot water temperature in six residents bedrooms. The hot water temperatures range from 105.4 degrees Fahrenheit to 111.3 degrees Fahrenheit. During the interviews with residentsRead the full finding— CDSS inspection report, June 29, 2023 · control 22-AS-20230622153237

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation into the four allegations listed above. LPA was greeted and granted entry by Administrator Georgianna Mendez after explaining the purpose of the visit. An initial complaint investigation visit was conducted at the facility on March 28, 2023. LPA accompanied by administrator conducted a tour of the Memory Care unit. Records of training for three Med Tech staff assigned to the unit were reviewed at that time. During today's visit, LPA conducted additional observation of the Memory Care unit along with staff interviews with Memory Care unit Med Tech and staff in charge of scheduling shifts in the facility. CONTINUED ON FORM LIC9099-C SubstantiatedRead the full finding— CDSS inspection report, June 2, 2023 · control 22-AS-20230323104336

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility for the purpose of delivering findings into the allegations listed above. LPA was greeted and granted entry by Georgianna Mendez, Executive Director after explaining the purpose of the visit and listing the allegations. On February 18, 2022, LPA conducted the initial investigation visit. Executive Director Michael Silverman and Health Care Director Tracii Brown were interviewed. Resident records for resident R1 were also reviewed. A follow-up visit was conducted on April 12, 2022. The Director of Hospitality along with one resident were interviewed. CONTINUED ON LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, April 26, 2023 · control 22-AS-20220218155229

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above and deliver findings to the licensee. LPA was greeted and granted entry by Georgianna Mendez, Administrator, after explaining the purpose of the visit and stating the allegation. On January 27, 2023, LPA conducted an initial complaint investigation visit at the facility. Resident records for resident R1 were requested and reviewed. Interviews were conducted with resident R1 and administrator. During the March 14, 2023 follow up visit, LPA conducted interviews with multiple members of staff as well as with administrator in order to gather additional information and updates into the failure to pay facility fees. LPA provided consultation on a potential eviction to Administrator. The facility updated staff roster was also requested during the visit, along with care assignments and care reports involvRead the full finding— CDSS inspection report, March 14, 2023 · control 22-AS-20230119141500

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced inspection visit to deliver findings in the investigation of the allegations stated above. LPA was greeted and granted entry by Georgianna Mendez, Administrator after explaining the purpose of the visit and detailing the allegations listed above. During the investigation, the Department interviewed seven members of staff and attempted or conducted interviews with a total of thirteen (13) residents. LPA additionally reviewed and obtained pertinent documentation, including resident records documenting the interviewed residents status on Medication Management as well as Physician Reports, Medication Administration Records among other documents. Regarding the allegations that Staff mishandled a resident's medication while in care, that Staff did not follow a physician's orders for a resident and that Facility has inadequate record keeping for a resident, the following was concluded: (CONTINUED ON FORRead the full finding— CDSS inspection report, January 18, 2023 · control 22-AS-20211221095941