Heritage on the Marina

We haven’t transcribed this report yet. The complete document is on the state’s site.

Allegation investigated: -Staff occupied resident's room

On 09/17/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unnannounced complaint visit. LPA was greeted by Vada Watson and Praveen Rattan, and explained the purpose of the visit. Regarding the allegation that staff occupied resident's room, the department conducted investigation, document reviewed and interviews conducted, the resident room staff occupied was vacant and no evidence was found that resident was displaced, staff S1 who was not a resident resided in a licensed residential care setting without being processed as a resident. The Department determined that the preponderance of evidence standard has been met, therefore the allegations above are found to be SUBSTANTIATED. No deficiency is cited. Report was discussed with Administrator. Substantiatedthe state’s words, verbatim · CDSS document, Sep 17, 2026 · control 14-AS-20260609111337

Type of visit: Required - 1 Year

On June 2, 2026, Licensing Program Analyst(LPA) Yi Sam Jian arrived at the facility at 9:30 AM, to conduct the unnanounced Annual 1-year required Inspection. LPA was greeted by Vada Watson, and explained the purpose of the visit. Mary Linde, Chief Executive Officer arrived later during the visit. LPA toured the physical plant. This is a 4 story building with 78 bedrooms and bathrooms, front and backyards, courtyard, kitchen, and activities room. All hallways, passageways, and the backyard were observed to be free of hazards and obstructions. No accessible bodies of water were observed in hallways or yards. The facility was maintained at a comfortable temperature. All bedrooms had the required furniture and were sufficiently lit. Hot water temperature was inspected to be in compliant. Medications, toxins, and sharps were stored appropriately and kept inaccessible to clients. The facility had the required 7 days of non-perishables and 2 days of perishables on site. Fire Extinguishers were observed to be fully charged. Fire alarms and Carbon Monoxide detectors were observed to be in working condition. The first-aid kit was inspected and is complete. LPA reviewed resident and staff records. No deficiencies were cited during today's visit. See Advisory Note issued for technical violation. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and a copy of the report left at the facility.the state’s words, verbatim · CDSS document, Jun 2, 2026

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 03/12/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced Case Management visit at the facility regarding a self-reported incident involving resident R1. LPA met with Executive Director of Resident Health Services, Martha Nkhoma(S2), and explained the purpose of the visit. During today’s visit, LPA interviewed staff, collected and reviewed facility documentation. At the time of the visit, R1 remained admitted to the skilled nursing facility for rehabilitation. The facility reported that they will reassess the resident’s care needs prior to any potential return to the facility to ensure the resident’s needs can be appropriately met. No deficiencies were cited during today’s visit. The Department will continue to review the information obtained. Additional follow-up may be conducted as needed. Report was reviewed with S2 and a copy was provided.the state’s words, verbatim · CDSS document, Mar 12, 2026

Type of visit: Required - 1 Year

On May 2, 2025, Licensing Program Analyst(LPA) Yi Sam Jian arrived at the facility at 9:30 AM, to conduct the unnanounced Annual 1-year required Inspection. LPA was greeted by Mary Linde, Chief Executive Officer and explained the purpose of the visit. LPA toured the physical plant. This is a 3 story building with 84 bedrooms and bathrooms, front and backyards, courtyard, kitchen, and activities room. All hallways, passageways, and the backyard were observed to be free of hazards and obstructions. No accessible bodies of water were observed in hallways or yards. The facility was maintained at a comfortable temperature. All bedrooms had the required furniture and were sufficiently lit. Hot water temperature was inspected to be in compliant. Medications, toxins, and sharps were stored appropriately and kept inaccessible to clients. The facility had the required 7 days of non-perishables and 2 days of perishables on site. Fire Extinguishers were observed to be fully charged. Fire alarms and Carbon Monoxide detectors were observed to be in working condition. The first-aid kit was inspected and is complete. LPA reviewed resident and staff records. LPA reviewed Centrally Stored Medication Records. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. No deficiencies were cited during today's visit. See Advisory Note issued for technical violation. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and a copy of the report left at the facility.the state’s words, verbatim · CDSS document, May 2, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Facility failed to report an incident to Licensing

On 12/6/2024 Licensing Program Analyst (LPA), Tobola conducted an unannounced visit to deliver the complaint investigation findings. LPA met with Mary Linde and explained the purpose of the visit. Regarding to the allegation of- facility failed to report an incident to licensing, the facility's LULA lift//elevator was malfunctioned in December, 2023 which resulted resident #1 (R1) being struck inside and the facility failed to report it to Community Care Licensing (CCL). As part of the investigation, LPA interviewed the Director of Health Services who stated that he/she can not remember if the incident was reported to CCL and the facility was not able to provide proof that it was reported. Therefore, on March 20, 2024, the Director of Health Services completed an incident report for this incident that occurred in December 2023. After the investigation, this allegation is substantiated as the facility was not able to provide proof that this incident was reported to CCL according to the Regulation- Reporting Requirement. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. A copy of the report and appeal rights were provided. Substantiated Based on documents provided by the facility, it revealed that the LULA lift was maintenance every month by the San Francisco Elevator Services. During LPA's visit on 3/28/2024, LPA observed the LULA lift was in operating condition. After the investigation, this allegation is unsubstantiated. The elevator was malfunctioned, however, the facility followed its preventive maintenance program as the elevator was being serviced on a monthly basis and the incident that happened in December 2023 was an accident and monitoring company responded immediately. Regarding to the allegation of- facility has no designated person to cover for administrator while he/she is not present, there is no additional information forthcoming from the reporting party. However, during the initial reporting, the reporting party stated that when R1 was stuck in the LULA lift, there was no manager on the premises to assist the situation. As part of the investigation, LPA interviewed the Director of Health Services who stated that there was always more than one manager at the facility during business hours and a manager was assigned to be on-call during non-business hours and the assigned manager would be answering calls from the facility and providing assistance 24/7. Based on documents provided by the facility, LPA observed a list of on-call managers who rotates on a weekly basis. After the investigation, this allegation is unsubstantiated as there was a designated manager covering the administrator when the administrator was not at the facility. Regarding to the allegation of Financial Malfeasance, there is no additional information provided by the reporting party. Based on the review of audited financial statements for fiscal year ends (FYE) 2021,2022, and 2023, Budget Presentations for FYE 2022 and interviews with the complainant and the Provider, the CCCB did not find instances of financial malfeasance related to the misuse of investment funds or monthly care fees. After the investigation, this allegation is deemed to be unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED A copy is provided.the state’s words, verbatim · CDSS document, Dec 6, 2024 · control 14-AS-20240327103010

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Dec 17, 2024

87211 Reporting Requirements..a) Each licensee shall furnish to the licensing agency such reports ..(1) A written report shall be submitted to the licensing..within seven days of the occurrence D) Any incident which threatens the welfare, safety or health of any resident,... This requirement is not met as evidenced by based on interviews, and record review, facility's LULA lift was malfunctioned which resulted R1 being stuck and the facility did not reported it to CCL which poses a potential health risks to residents in care.the state’s words, verbatim · CDSS document, Dec 6, 2024

Plan of correction: The administrator/licensee will develop a plan in writing to ensure the facility is in compliance with the regulation and the plan shall include staff education. The administrator will provide a copy of the signed and dated plan to CCL and a copy of the staff in-service record by the plan of correction due date of 12/17/2024.

Type of visit: Case Management - Annual Continuation

On July 3, 2024, Licensing Program Analyst (LPA) John Calandra arrived at the facility at 9:15 AM to complete the Annual 1-year required inspection. LPA Calandra was greeted by Mary Linde, Chief Executive Officer (CEO) and Martha Nkhoma, Executive Director of Resident Health and explained the purpose of the visit. LPA Calandra reviewed 5 staff files. All were observed to be complete. LPA Calandra also reviewed Centrally Stored Medication Records. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA Calandra interviewed 3 residents and 3 staff No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and a copy of the report left at the facility.the state’s words, verbatim · CDSS document, Jul 3, 2024

Type of visit: Required - 1 Year

On June 20, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:30 AM, to conduct the unnanounced Annual 1-year required Inspection. LPA Calandra was greeted by Martha Nkhoma, Executive Director of Resident Health and explained the purpose of the visit. Mary Linde, Chief Executive Officer joined the visit later. LPA Calandra toured the physical plant. This is a 3 story building with 84 bedrooms and bathrooms, front and backyards, courtyard, kitchen, and activities room. All bedrooms had the required furniture and were sufficiently lit. Fire Extinguishers were last checked on November 11, 2023 and were observed to be fully charged. Fire alarms and Carbon Monoxide detectors were observed to be in working condition. No accessible bodies of water were observed in hallways or yards. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. Hot water temperature was measured between the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. LPA Calandra reviewed 6 resident records. All were observed to be complete. The Annual will be completed at a later date. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and Martha Nkhoma, Executive Director of Resident Health.the state’s words, verbatim · CDSS document, Jun 20, 2024