Caring Hearts Cottage

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Robert Campbell arrived at the facility unannounced to conduct the Required Annual Inspection and met with Administrator, Aaron Lazarus. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for eight (8) Residents, and is currently operating with five (5) Residents. LPA toured the facility along with Administrator, Aaron Lazarus, and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. The facility is a two-story home with five (5) Resident rooms and three (3) bathrooms. Physical Plant: The facility phone number is (760) 643-9618 and it is operable. LPA observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA inspected facility bathrooms, and the hot water temperature tested (108 degrees) within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA observed required postings such as "If you See Something, Say Something" and the "Personal Rights." The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked. Continued to LIC809C... Continued... Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision: Facility has sufficient staff, currently two (2) staff and five (5) residents were present in the facility. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted monthly and logged, the last drill was conducted on June of 2026. Facility tests and logs water regularly: Water was tested and logged on today and tested within regulations. Fire extinguishers are charged and in the green. Training and Administrator Certificate: LPA reviewed administrator’s certification for Aaron Lazarus, and it was current at the time of this visit with an expiration 10/14/2027. Training is done in person every month by a certified RN and the last training was completed. Records Review: LPA reviewed resident and staff files. LPA reviewed five (5) staff records and those reviewed have current Criminal Background Clearance, and training's are current. Five (5) Client records were reviewed and contained required documents. Physician reports are current and TB test were completed at the time of admission. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was discussed and given to Administrator, Aaron Lazarus.the state’s words, verbatim · CDSS document, Aug 21, 2026

Allegation investigated: Staff handled resident in a rough manner Staff do not assist resident with ambulating Staff do not assist resident with bathing Staff do not assist resident with grooming Staff spoke inappropriately to resident

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Staff, Robert Luna, who was informed of the purpose of the visit. The investigation consisted of LPA conducted interviews, documented observations, and conducted records reviews. It was alleged that “Staff handled resident in a rough manner”, it was alleged that Staff had handled the resident by “shoving” Resident #1 (R1) into the shower and “forcing” R1 onto the toilet. LPA conducted interview with resident who did not recall the incident and denied staff handled R1 roughly. LPA conducted interviews (2) staff who denied R1 was handled in a rough manner. Staff revealed R1 required a (2) to (3) person assist when toileting, but denied witnessing or shoving R1 in the shower or toilet. Therefore, the allegation is unsubstantial. Unsubstantiated It was alleged that “Staff do not assist resident with ambulating”. It was alleged that staff did not assist R1 with their therapist ordered exercises. It was alleged that on 12/11/2022, R1 had not been assisted out of bed, and that R1 had stated staff keep them on the couch or in bed all day. It was also alleged that Staff had remarked that “they do not pay her enough to break her back”. LPA conducted resident interview which revealed that R1 would be in bed or on the couch, and stated at times they did not want to get up and walk due to pain. LPA conducted (2) staff interviews which revealed R1 was offered to get up and walk, however at times R1 denied this and stated they were in pain. Staff reported R1 would be transferred with a Hoyer lift and placed on the couch or toilet. Staff interviewed denied saying or having knowledge of staff making statements about not being paid enough to break their back. Therefore, the allegation is unsubstantiated at this time. It was alleged that “Staff do not assist resident with bathing” It was alleged that on 12/11/2022 R1’s hands were observed to be “dirty” and was not provided with a bathe. LPA conducted interview with resident who was unable to recall a time when they did not get bathed or cleaned between bathes. LPA conducted interviews with (2) staff who were unable to recall a time when R1 had dirty hands and were not cleaned. Staff revealed R1 was bathed by staff (2) times a week on Monday and Thursday. LPA conducted visit on 12/16/2022 and did not observed R1 had dirty hands. Therefore, the allegation is unsubstantiated. It was alleged that “Staff do not assist resident with grooming” It was alleged that on 12/11/2022 R1’s nails were long and dirty and staff did not assist R1. LPA conducted interview with resident who was unable to recall a time when they did not get assistance with cutting their finger nails. LPA conducted interviews with (2) staff who were unable to recall a time when R1 had dirty hands and were not cut. Staff revealed R1 was assisted with grooming, unless they refused to be helped by staff. LPA conducted visit on 12/16/2022 and did not observed R1 had dirty hands. Therefore, the allegation is unsubstantiated. It was alleged that “Staff spoke inappropriately to resident”. It was alleged that Staff had told R1 they had no rights. There was no staff name given pertaining to the allegation or date. LPA conducted interviews with resident who was unable to recall an incident where staff told them they have no rights. LPA conducted (2) staff who denied saying or hearing a staff tell R1 they had no rights. Therefore the allegation is unsubstantiated at this time. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 20, 2024 · control 18-AS-20221214152829

Allegation investigated: Facility staff left resident in soiled clothing for a prolonged period of time Facility staff are not keeping the facility at a comfortable temperature for residents Staff left resident on the floor after a fall for a prolonged period of time Facility staff grab residents forcefully while changing residents clothing Facility staff are not ensuring floors are kept clean Facility staff do not properly assist resident with toileting needs

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Staff, Robert Luna who was informed of the purpose of the visit. The investigation consisted of LPA conducted interviews, documented observations, and conducted records reviews. It was alleged that “Facility staff left resident in soiled clothing for a prolonged period of time”. It was alleged that on 12/8/2022, Resident #1, (R1) had been left in soiled clothing and diaper for more than (2) hours. It was alleged that R1 was observed soaking wet, and that R1 had spilled water on themselves the night of 12/7/2022 and had not been changed until 9am or 10am the next day 12/8/2022. LPA conducted interview with (2) facility residents. Interview with R1 revealed they were unable to recall spilling water on themselves on 12/7/2022. R1 reported being changed by staff when wet. (1) other resident was interviewed who was unable to provide information due to not being oriented. LPA conducted interview with (2) staff which revealed the facility does not keep a record of a changing log. (1) Staff interview revealed R1 was provided with water the night of 12/7/2022 and observed R1 was wet the next morning, they denied R1 was left unchanged for a prolonged period of time. (1) other staff interviewed revealed they were unaware if R1 had spilled water on themselves or been left unchanged for a prolonged period of time. Therefore, the allegation is unsubstantiated at this time. Unsubstantiated It was alleged that “Facility staff are not keeping the facility at a comfortable temperature for residents” It was alleged that on 12/8/2022 around 7am R1’s room was at 67 degrees Fahrenheit and R1 had expressed being painfully freezing with cold feet despite having a pile of blankets on them. LPA conducted staff interviews which revealed that the facility is kept at a comfortable temperature and the facility has a heater for the entire home. Staff revealed residents are provided with extra blankets upon their request and R1 tended to express being cold and had a heater in their room. LPA conducted (2) resident interviews. Interview with R1 revealed at times the facility is cold and are provided with heaters and blankets from staff when they request it. (1) other resident was interviewed who was unable to provide information due to not being oriented. LPA conducted a visit on 12/16/2022 and observed the facility thermostat read 70 Fahrenheit. LPA observed facility residents had blankets in their rooms and observed the linens available at the facility. Therefore, the allegation is unsubstantiated at this time. It was alleged that “Staff left resident on the floor after a fall for a prolonged period of time”. It was alleged that Resident #2 (R2) was left on the floor of their room after experiencing a fall for hours, despite calling for staff assistance on 12/7/2022. It was alleged staff came and assisted the resident after hours of being on the floor unclothed and had placed a chair on the edge of the resident’s bed to prevent them from falling again. LPA conducted records review of facility incident reports and found no reports had been submitted to the regional office for R2 12/7/2022. LPA conducted (2) staff interviews which revealed staff could not recall an incident were R2 had a fall at night around the incident date. LPA conducted (2) resident interviews. R2 was interviewed who was unable to provide information due to not being oriented. (1) other resident interviewed was unable to recall if R2 fell. Therefore, the allegation is unsubstantiated. It was alleged that “Facility staff grab residents forcefully while changing residents clothing”. It was alleged that on 12/8/2022 R1 had been changed by staff and their arm was handled in a rough manner, where R1 had yelled in pain. LPA conducted (2) staff interviews who denied handling R1 roughly or witnessing any staff handle R1 roughly. Staff reported seeing no injuries on R1 around the incident date. LPA conducted (2) resident interviews. R1 was interviewed who denied the staff handed them in a rough manner. R1 could not recall a time when they yelled out in pain around the incident date. (1) other resident was interviewed who was unable to provide information due to not being oriented. Therefore, the allegation is unsubstantiated. It was alleged that “Facility staff are not ensuring floors are kept clean”. It was alleged that R1 and R2’s room were not kept clean on 12/8/2022, as there was blood that was found on the floor. LPA received photos of red stains on a floor. LPA conducted interviews with (2) staff. (1) staff interview denied seeing any blood on R1 and R2’s bedroom floor. (1) other staff interviewed revealed that R1 and R2’s room was soiled with stains on the floor but was unable to state what the stains were from. This staff reported cleaning R1 and R2’s room when it was dirty, and cleaning the stains. Staff denied R1’s room was dirty for a prolonged period of time. LPA conducted interview with (2) residents. Interview with R1 revealed having no issues with the cleanliness of their room. R2 was interviewed who was unable to provide information due to not being oriented. LPA conducted a walk through of the facility on 12/16/2022 and found the facility floors were clean and did not find debris or blood in any resident room. Therefore, the allegation is unsubstantiated. It was alleged that ”Facility staff do not properly assist resident with toileting needs” It was alleged that R1 had asked staff for assistance with toileting on 12/8/2022, and that staff had told R1 to go in their diaper instead. LPA conducted interview with (2) staff interviews which revealed R1 would refuse to use Hoyer lift to be taken to the restroom safely due to fall risk. R1 required (2) to (3) people to assist in incontinent care and would give R1 the choice to go in their diaper or be taken to the restroom with the Hoyer lift. Staff revealed R1 refused to use the Hoyer lift when asked by staff. (2) staff interviewed denied refusing to take R1 to the restroom and telling them to go in their diaper instead. LPA conducted (2) resident interviews. R1 was interviewed which revealed conflicting information as R1 initially stated that staff do not take R1 to the restroom, then later in the interview stating that staff do take them to the restroom. (1) other resident interviewed was unable to provide information due to not being oriented. LPA conducted interview with (1) outside source which revealed that R1 was witnessed being taken to the restrooms to relive themselves. Therefore, the allegation is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 20, 2024 · control 18-AS-20221212105449

Type of visit: Required - 1 Year

On August 16, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Administrator, Aaron Lazarus. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for (8), Elderly Adult Residents and is currently operating at (5), Elderly Adults (740), Facility Type. LPA Mixson toured the facility along with Administrator, Aaron Lazarus, and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. The facility is a two-story home located at 682 Vale View Drive Vista, CA. 92081. Physical Plant: The facility phone number is (760) 643-9618 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something" and the "Personal Rights." The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision: Facility has sufficient staff, currently two staff and five of five residents participating in family visits, meeting with Hospice Nurse, and other activities. CONTINUED FROM LIC 809 Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted monthly and logged, the last drill was conducted on June of 2024. Facility tests and logs water regularly: Water was tested and logged on today and tested within regulations. Fire extinguishers are charged and in the green. Training and Administrator Certificate: LPA reviewed administrator’s certification for Aaron Lazarus, and it was current at the time of this visit with an expiration in August of 2025. Training is done in person every month by a certified RN and the last training was completed on 08/11/2024. Records Review: LPA Mixson reviewed resident and staff files, conducted two staff interviews. LPA Mixson reviewed current staff records and those reviewed have current Criminal Background Clearance, current First Aid and CPR certification, and training's are current. Client records were reviewed and contained required documents. Physician reports are current and TB test were completed at the time of admission. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was discussed and given to Administrator, Aaron Lazarus.the state’s words, verbatim · CDSS document, Aug 16, 2024