Heart Court Manor

Type of visit: Case Management - Annual Continuation

On September 10, 2026, at 9:30 AM, Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Gloria Ramirez and explained the purpose of today's visit. LPA Martinez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator holds current certificate. The facility is licensed for six non-ambulatory residents. There are currently five residents who reside at this facility. The facility has an approved hospice waiver for four. The LPA Martinez toured the facility with Gloria Ramirez on August 10, 2026, at 10:30 AM. The facility has an infection control plan and emergency disaster plan. LPA Martinez reviewed three staff files and three resident files, and all files were maintained. LPA Martinez reviewed one medication administration record (MAR), and the MAR was maintained and kept current. The facility has a first aid kit, and medications are stored in locked cabinet. The facility common areas, bedrooms, and bathrooms are sanitary and furnished. The fire extinguishers, smoke detectors are in good repair. The exterior emergency exit gate is in good repair. The facility has an adequate food supply and has an emergency food and water kit. Based on this annual inspection there were no citations. An exit interview was conducted, and a copy of this report was provided to the facility. LPA Martinez requested the following documents to email by September 18, 2026. Current Liability Insurance, LIC 308 Designation of Administrative Responsibility, LIC 500 Current Personnel Report, Current copy of Administrator Certificate.the state’s words, verbatim · CDSS document, Sep 10, 2026

Type of visit: Required - 1 Year

On 8/20/25 at 9:15am Licensing Program Analyst (LPA) Kevin Gould arrived at Heart Court Manor RCFE for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Gloria Ramirez and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 116 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Case Management - Other

On 8/20/25 at 10:45am, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Case Management inspection to address concerns the facility is not following all aspects of an exception for a resident with G-Tube feeding. LPA met with identified administrator Gloria Ramirez. LPA received a written plan of correction indicating the facility was unable to provide an updated care plan to for the exception for the prohibited health condition for Resident R1 (See confidential names list, LIC 811 dated 8/20/25). Currently there is no licensed professional available to provide feedings and ensure injected medications are provided to R1 due to R1's change in condition where they are no longer able to administer own feedings and injections. At the time of this report the The facility is not meeting the stipulations of the exception waiver for the prohibited health condition and could not provide information on how the facility would again be complaint with the stipulations of the exception waiver. Due to the information above the department has revoked the exception for a prohibited health condition for G-Tube with immediate effect. The facility must provide an 30 day eviction notice to the resident and their authorized representatives and provide a copy of the eviction notice to the department by close of business on 8/21/25. Exit interview conducted an a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Case Management - Other

On 7/24/25 at 8:30am, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Case Management inspection to address concerns of the facility reporting incidents timely and concerns the facility is not following all aspects of an exception for a resident with G-Tube feeding. LPA met with identified administrator Gloria Ramirez. LPA conducted interviews with S1 and S2 (see confidential names list, LIC 811) dated 7/24/25. Both staff members interviewed identified the steps and process for feeding R1 through their G-Tube. Based of the information provided the department has determined the facility is not in compliance with the exception for R1 as staff members have been feeding R1 without a licensed qualified professional conducting the feedings. Documentation reviewed by LPA for R1 indicated that multiple physician's reports reviewed all indicate that R1 is unable to assist with prescription medications. Additionally, LPA observed several hospitalizations for R1 related to the feeding tube in May April and July 2025 with no incident reports being provided to the department. The exception for R1 clearly states incident reports related to changes for R1 that require prompt medical attention. LPA also observed that a newly appointed Administrator has been working in that capacity since February 2025 and the department has not received notification of the new appointment and the new administrator has not been approved by the department. Per the California Code of Regulations, Title 22, The following deficiencies are cited during todays inspection. Exit interview conducted and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jul 24, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87455(c)(2) · Plan of correction due date: Jul 25, 2025

Acceptance and Retention Limitations: No resident shall be accepted or retained if any of the following apply: The resident requires 24-hour, skilled nursing or intermediate care as specified in Health and Safety Code Sections 1569.72(a) and (a)(1). this requirement is not met as evidenced by statements and demonstrations by facility staff that they are proving R1's feedings via G-Tube and not an appropriately skilled professional and documentation reviewed which indicates R1 is unable to manage own medication administration which poses an immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 24, 2025

Plan of correction: The licensee has agreed to submit an updated care plan for R1 which adheres to the stipulations of the exception for R1. facility will also obtain a written statement from R1's physician whether or not they are able to administer own medications including g-tube feedings and insulin injections.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1) · Plan of correction due date: Aug 1, 2025

Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by statements and documentation reviewed that R1 was at the hospital related to G-Tube issues in May, April and July 2025 with no incident reports sent to the department which poses a potential health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 24, 2025

Plan of correction: Administrator agrees to provide updated incident reports for all of R1's recent hospitalizations and will provide a written plan of correction that the licensee and administrator understand the reporting requirements identified in regulations and provide training to all staff members who may have to submit an incident report.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(g) · Plan of correction due date: Aug 1, 2025

Reporting Requirements: The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator... This requirement was not met as evidenced by LPA has received no notification or documentation from the licensee to approve a new administrator who has been working in their capacity as an administrator since February 2025 which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 24, 2025

Plan of correction: Facility will provide all required documents to approve a new administrator including and update LIC 200, LIC 500, LIC 501 and current Administrator certificate.

Type of visit: Required - 1 Year

On 7/25/24 at 1:30pm Licensing Program Analyst (LPA) Kevin Gould arrived at Heart Court Manor for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Nai Saeteurn and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 25, 2024