Sacred Heart Senior Care

Type of visit: Required - 1 Year

On June 4, 2026, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Marebith Nary and explained the purpose of the visit The facility is licensed to have a capacity of six (6) nonambulatory residents, of which one may be bedridden, and a hospice waiver for six (6) residents. LPA Kim observed the following. The facility is a one-story house with an attached 2-car garage with six (6) resident bedrooms, three bathrooms, dining room, a kitchen, a living room, and outdoor shaded patio. LPA Kim toured inside and outside of the physical plant. There are no obstructions or bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident room 1, Resident Room 2, Resident Room 3, Resident Room 4, Resident Room 5, and Resident Room 6. Bathrooms were found to be clean and operational. The water temperature measured between 121.4 degrees F and 125.4 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water and emergency supplies are stored in the garage. All mandated inspection control posters were posted. The facility has smoke detectors and carbon monoxide detectors that were operable. The Certificate of Liability Insurance is effective from April 21, 2026 to April 21, 2027. The facility conducts Fire/Safety Drills quarterly and was last conducted on May 3, 2026. Four (4) fire extinguishers are in the facility that were mounted in the kitchen, in front of bedroom #2, and two extinguishers in the garage that were last inspected on May 21, 2026. A working telephone Facility phone number (949-600-7009) and tablet device dedicated to the residents both remain available. First Aid Kit contained all the necessary elements. LPA Kim conducted an audit of six (6) residents (R1-R6) files, and six (6) staff (S1-S6) personnel files, and medication and medication administration records. LPA observed S1 without a health screening form and S2, S3, and S4 without a completed health screening form. LPA conducted interviews for two (2) residents and two (2) staff. Based on today’s visit, deficiencies were cited as per the Title 22 Division 6 Chapter 8 of California Code of Regulations (CCR). LPA observed bathrooms used by residents hot water temperature measured between 121.4 degrees F to 125.4 degrees F. LPA observed S1 did not have a health screening form in their file and S2, S3, and S4 did not have a completed health screening form in their file at the time of the visit. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Marebith Nery.the state’s words, verbatim · CDSS document, Jun 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez was greeted and granted entry by facility administrator (AD) Marebith Nery. For this visit, there are a total of 6 residents in care, of which 2 are on hospice. LPA Rodriguez observed the administrator certificate for Marebith Nery which expires on July 22, 2025. LPA Rodriguez observed that the PUB475 "See Something, Say Something" poster was posted in the hallway of the facility. The facility has a total of 6 bedrooms, of which all private resident rooms. LPA Rodriguez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Facility was observed to have 3 bathrooms, of which were observed to be in good repair, and toilets were operational. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Hot water was measured at 113.6 degrees Fahrenheit. LPA Rodriguez observed that the facility had a two-day supply of perishables and a seven-day supply of non-perishable food. LPA Rodriguez observed hallways were free of obstructions. For the exterior portion, LPA Rodriguez observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA Rodriguez observed that the facility has fire extinguishers that were charged, mounted and located in the throughout the facility with maintenance tags dated for July 2024. Sharp items, and medications were observed to be in a locked cabinet located in the kitchen. Cleaning supplies were observed to be locked and inaccessible to residents in care. LPA Rodriguez observed that the facility has the Emergency Disaster and Evacuation plan located in the facility binder, and emergency supplies located in the garage and in a pantry. LPA Rodriguez reviewed all six resident files. LPA Rodriguez reviewed staff files, and observed that present staff members are cleared and associated to the facility. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Nery. A copy of this report and Appeal Rights were explained and provided during the visit.the state’s words, verbatim · CDSS document, Jun 6, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Administrator (AD) Anna Aldiano. For today’s visit, LPA observed a total of five residents in care and three staff members on duty. LPA observed the Administrator's Certificate for facility AD Anna Aldiano which expires on April 03, 2026. LPA Ramirez toured the interior and exterior portions of the facility with AD Aldiano. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and one bedridden. There are a total of five bedrooms, of which five are resident bedrooms and one staff office. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of three restrooms of which one is for staff and two are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 106.7-109.0 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged, mounted and one was located by the dining room, one by the resident bedrooms hallway and on in the garage. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by the kitchen. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An immediate $500 Civil Penalty was issued during today's visit. An exit interview was conducted with AD Aldiano. A copy of this report was provided at the time of exitthe state’s words, verbatim · CDSS document, Jun 18, 2024