Heritage Gardens

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff neglect resulted in a resident sustaining multiple burns. Staff did not timely address a resident's change in medical condition.

On 04/6/2026,Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging, Staff neglect resulted in a resident sustaining multiple burns and Staff did not timely address a resident's change in medical condition. LPA Singh met with front staff and was granted entry into the facility. LPA Singh was greeted by facility administrator Jessica Ramos and stated the purpose of this visit. The investigation conducted by LPA Singh consisted of observations,interviews and records review. First Alegation:- Staff neglect resulted in a resident sustaining multiple burns. LPA Singh met with the resident to discuss the accidental fire that led to their burn injuries and subsequent admission. The resident admitted that the incident occurred while they were receiving 2 liters of supplemental oxygen at the facility, explaining that they inadvertently attempted to light a cigarette after forgetting they were connected to the supplythe state’s words, verbatim · CDSS document, Apr 6, 2026 · control 56-AS-20251106142042

Allegation investigated: Staff did not provide a safe environment for a resident in care.

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to initiate a complaint investigation. LPAs met with Administrator Jessica Ramos, and explained the purpose of the visit. It is alleged staff are not providing a safe environment for a resident in care. Based on interviews with staff and residents, it was determined that Resident 1 (R1) was pushed by Resident 2 and 3 (R2 & R3) on accident. R1, R2, and R3 all are in wheelchairs, R2 can only maneuver in reverse, R2 did not realize R1 was in the same path. R3 is non verbal, Based on interviews it is noted R1 is mostly upset because R2 and R3 did not apologize. Based on LPA's observations and interviews, the above allegation is unsubstantiated. This means that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed, and athe state’s words, verbatim · CDSS document, Jan 23, 2026 · control 56-AS-20260121131011

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff threatened resident with eviction.

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPAs met with Administrator Jessica Ramos, and discussed the purpose of the visit. Regarding Allegation Staff threatened resident with eviction. It is alleged Resident one (R1) had the option of moving into a single room from their double room or they would get evicted. LPAs interviewed four (4) staff, all 4 informed LPA R1 nor other residents have been threatened to be evicted. LPAs interviewed seven (7) residents, 6 out of 7 stated they have not been threatened with eviction without any notice. 1 out of the 7 residents stated they were threatened to be evicted; they were given the option of moving into a small room or to move out. Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated. A finding that complaints are UNSUBSTANTIATED means although the allegation may hthe state’s words, verbatim · CDSS document, Sep 16, 2025 · control 56-AS-20250911150242

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff unlawfully evicted a resident

Licensing Program Analyst (LPA) Bernadette Allen met with Jessica Ramos Administrator at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office on 2/5/2025 at 1:45 PM to deliver the findings for the above allegation. LPA Allen explained the purpose of the requested office visit. The investigation consisted of interviews with outside parties and file review. During the interviews with outside parties and the administrator, Jessica Ramos, as well as a review of the files, it was confirmed that Resident 1 (R1) received an eviction notice on July 5, 2024. Both Jessica and R1's responsible party have indicated that they have been collaborating to find a new facility that meets R1's needs, but their efforts have been unsuccessful so far. They have both confirmed that R1 has been and will continue to reside at the current facility until suitable housing that meets R1's needs and services is found. Unfoundedthe state’s words, verbatim · CDSS document, Feb 5, 2025 · control 56-AS-20240708112046

Allegation investigated: Facility staff did not seek timely medical attention for resident in care

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Jessica Ramos, and discussed the purpose of the visit. Regarding the allegation above, LPA’s record review and interviews reveals, R1 lives on the skilled nursing side of the facility. Based on LPA record review and interviews the above allegation is Unfounded. An Unfounded finding means, the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Administrator Jessica Ramos at the conclusion of the visit. Unfoundedthe state’s words, verbatim · CDSS document, Jan 16, 2025 · control 56-AS-20250114091007

Allegation investigated: Staff did not respond to resident's call button in a timely manner. Staff did not follow resident's diet plan. Staff did not allow resident use restroom. Staff does not ensure facility is free of pests. Staff did not ensure resident's bathroom is clean and sanitized.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Jessica Ramos, and discussed the purpose of the visit. Regarding allegations above, The Administrator informed LPA that resident #1 (R1) never resided in the assisted living facility but resided in the skilled nursing facility. LPA obtained a resident roster from the skilled nursing facility that verifies R1 lived at the skilled nursing facility. Based on LPA's interviews and record review, the above allegation is Unfounded. An Unfounded finding means, the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted where this report was discussed and a copy of this report was provided to Administrator Jessica Ramos at the conclusion of the visit. Unfoundedthe state’s words, verbatim · CDSS document, Dec 26, 2024 · control 56-AS-20241220125755

Allegation investigated: Staff does not ensure facility serves food of good quality to residents in care

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Jessica Ramos and discussed the purpose of the visit. Regarding the allegation above, It is alleged that the facility does not stick to the provided daily menu that is displayed for residents. Investigation consisted of review of the food supply, food receipts, and menu. Based on review and interviews with facility staff and residents in the facility the allegation is unsubstantiated. LPA conducted three (3) staff interviews, 3 out of the 3 staff informed LPA the menu almost never gets changed unexpectedly and if it does staff notify residents same day. Interviews with 5 residents in the facility could not corroborate the allegation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 6, 2024 · control 56-AS-20241204143348

Allegation investigated: Staff do not ensure resident's needs are met.

Licensing Program Analysts (LPAs) Sarina Ramirez ad Mary Rico conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPAs met with Administrator Jessica Ramos and explained the purpose of the visit. Regarding the allegation above, LPA Ramirez and LPA Rico conducted 5 staff interviews. 5 out of the 5 staff informed LPA residents needs are being met. 3 out of the 5 staff stated to LPAs they encourage residents to be independent, but never refuse assistance. LPA conducted 7 resident interviews. 2 out of the 7 residents stated staff are not ensuring residents needs are being met; 3 out of the 7 residents stated staff ensure their needs are being met, during the investigation 2 out of the 7 residents were unable to answer LPAs questions to corroborate the above allegation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 22, 2024 · control 56-AS-20241018122741

Allegation investigated: Staff did not ensure dinner was available to resident in care

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann conducted an unannounced visit to the facility to conclude the investigation on the above allegation. LPAs met with Sam Goings, Director of Operations, and explained the purpose of the visit. The investigation consisted of record review, interviews with staff and residents. Regarding the allegation staff did not ensure dinner was available to resident in care, interviews with outside parties, five (5) staff and six (6) residents reveals, for every meal service, a meal ticket is created and placed along side a meal tray for each resident. Staff deliver the meal trays to the residents in their rooms or in the dining area. All residents interviewed stated that staff have not missed provided them with meal service. Based on evidence obtained during the investigation, the above allegation is Unfounded. Unfounded means the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was cothe state’s words, verbatim · CDSS document, Oct 15, 2024 · control 56-AS-20240627142625

Allegation investigated: Facility staff did not meet resident's incontinence care needs

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation and deliver findings on the above allegation. LPA met with Administrator Jessica Ramos who was informed of today’s visit. Regarding the allegation, staff did not meet the resident's incontinence care needs, interviews with five (5) staff and six (6) residents reveals not enough evidence to corroborate the allegation. Based on LPA record review, staff and resident interviews, the allegation above is Unsubstantiated; meaning that 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. An exit interview was conducted where this report was discussed and a copy of this report was provided to Administrator Ramos at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 20, 2024 · control 56-AS-20240315115831

Allegation investigated: Illegal eviction

Licensing Program Analyst (LPA) Magda Malcore conducted an announced visit to the facility to conclude a complaint investigation. LPA met with Jessica Ramos, LVN, and discussed the purpose of the visit. Regarding the allegation, illegal eviction, it is alleged that the facility is illegally evicting resident #1 (R1) from the facility. LPA Malcore interviews with staff, residents, outside parties and record review reveal, there is not enough evidence to corroborate the allegation; Therefore, the allegation above is Unsubstantiated. An Unsubstantiated complaint means, that 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. An exit interview was conducted with LVN Ramos and a copy of this report with Appeal Rights was provided to LVN Ramos at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 25, 2024 · control 56-AS-20240318132655

Allegation investigated: Staff are not providing resident their medications as prescribed.

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conduct a complaint investigation. LPA met with Jessica Ramos, LVN, and explained the purpose of the visit. Regarding the allegation, staff are not providing resident their medications as prescribed, it is alleged that staff are intentionally not providing resident with their medications. Six (6) staff interviewed deny not providing resident their medications as prescribed. Five (5) out of (6) residents interviewed stated that staff are providing their medications at prescribed. Based on evidence obtained during this investigation, the allegation above is Unsubstantiated; 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. An exit interview was conducted and a copy of this report was provided to Jessica Ramos at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2024 · control 56-AS-20240221152527

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.