Big Hearts Residential Living

Type of visit: Required - 1 Year

At approximately 9:15 a.m. on 10/16/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an annual inspection. LPA met with staff and disclosed the reason for the visit. The facility is a single story building with six (06) bedrooms, two (02) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) residents, of which five (05) may be nonambulatory and one (01) bedridden in Bedroom #5. The facility serves residents with dementia. LPA observed a maintained front yard with gardened areas. The walkway leading to the main entrance was free of debris. Postings located at the front and side living room included the administrator’s certificate, personal rights, rights of resident councils, facility sketch with evacuation routes clearly labeled, confidential complaint poster, Ombudsman contact poster, house rules, facility license, emergency disaster plan, and emergency contacts. Walls, floors, windows, screens, and blinds were clean and in good repair. At 9:25 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. The hallway contained night lights and a closet for hygiene supplies. A fully charged fire extinguisher was observed near the kitchen. It was last inspected on 09/10/25. The front living room contained exercise equipment, puzzles, board games, a television, and furniture in good repair. The side living room contained emergency water, confidential files, locked medications, and exercise equipment. A washing machine and dryer were located in the garage. Both were in working order. Detergents were locked in a storage shed. The garage stored additional supplies. The facility has two (02) bathrooms. The bathroom designated for residents contained liquid soap, paper towels, grab bars and a non-skid mat in the shower, and a commode with grab bars. It needed some minor repairs to the shower head which was leaking. At approximately 9:45 a.m. LPA measured the water temperature in the resident bathroom to be 108.5 degrees Fahrenheit. The facility has six (06) bedrooms. One (01) bedroom is designated as a staff room. The staff room was unlocked and free of hazards. Four (04) out of five (05) resident bedrooms contained a chair, lamp, nightstand, dresser, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #1 did not have a chair or lamp and contained a resident, Resident #1 (R1), who was bedridden. Review of the facility sketch and fire clearance at 10:30 a.m. today revealed Bedroom #5 was the only bedroom designated for a bedridden resident. Review of R1’s medical assessment at 10:35 a.m. revealed they were bedridden. A deficiency is cited for this violation on the corresponding LIC 809-D page. LPA observed an adequate supply of perishable and non-perishable foods stored in the refrigerator, freezer, and pantry. The stove and surfaces were clean. Appliances were in good condition. Sharps were locked below the countertop. Cleaning solutions were locked below the sink. LPA observed a covered patio area in the rear of the facility. The patio contained shaded furniture in good condition. A locked storage shed contained additional supplies. The emergency exit path was free of debris. The exit gate was unlocked. Three (03) out of three (03) auditory alarms were turned on and functioning. LPA reviewed personnel and resident files at 10:00 a.m. All files were available for audit. At approximately 10:35 a.m. LPA observed that Resident #1 (R1) and Resident #2 (R2) did not have tuberculosis tests or chest exams. This deficiency is cited on the corresponding LIC 809-D page. At 11:05 a.m. the house phone was called and confirmed to be functional. At approximately 11:10 a.m., smoke and carbon monoxide detectors were tested and operational. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Oct 16, 2025

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 1:00 p.m. on 10/30/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an annual inspection. LPA met with staff and later the administrator and disclosed the reason for the visit. The facility is a single story building with six (06) bedrooms, two (02) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) residents, of which five (05) may be nonambulatory and one (01) bedridden in Bedroom #5. The facility serves residents with dementia. LPA observed a maintained front yard. The walkway leading to the main entrance was free of debris. Gardened areas contained fruit-bearing trees in the front and back yards. Postings located at the front and side living room included the administrator’s certificate, personal rights, rights of resident councils, emergency disaster plan, facility sketch with evacuation routes clearly labeled, confidential complaint poster, Ombudsman contact poster, house rules, facility license, emergency contacts, an emergency disaster plan. Walls, floors, windows, screens, and blinds were clean and in good repair. At 1:50 p.m. LPA measured the room temperature to be 71.0 degrees Fahrenheit. The hallway contained functioning night lights and a closet for hygiene supplies. Fully charged fire extinguishers were observed near the kitchen and side living room. Two (02) residents were observed watching television in the main living room which also contained games and reading materials. The side living room contained emergency water, confidential files, locked medications, and exercise equipment. The facility has six (06) bedrooms. One (01) bedroom is designated as a staff room. The staff room was unlocked and free of hazards. The five (05) resident bedrooms contained a chair, lamp, nightstand, dresser, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. The facility has two (02) bathrooms. The bathroom designated for residents contained liquid soap, paper towels, grab bars and a non-skid mat in the shower, and a commode with grab bars. It needed some minor repairs to the light switch, faucet, and overhead vent. At approximately 2:10 p.m. LPA measured the water temperature in the resident bathroom to be 108.9 degrees Fahrenheit. LPA observed an adequate supply of perishable and non-perishable foods stored in the refrigerator, freezer, and pantry. The stove and surfaces were clean. Appliances were in good condition. Sharps were locked below the countertop. Cleaning solutions were locked below the sink. A washing machine and dryer were located in the garage. Both were in working order. Detergents were locked in a storage shed. The garage stored additional supplies. LPA observed a covered patio area in the rear of the facility. The patio contained shaded furniture in good condition. A storage shed contained additional supplies. The emergency exit path was free of debris. The exit gate was unlocked. Three (03) out of three (03) auditory alarms were turned on and functioning. LPA reviewed personnel and resident files at 2:15 p.m. All files were up to date and available for audit. At 3:00 p.m. the house phone was called and confirmed to be functional. At approximately 3:05 a.m., smoke and carbon monoxide detectors were tested and operational. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health or safety hazards were noted during the time of this visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Oct 30, 2024

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.

Type of visit: Prelicensing

At 10:00 a.m. on 10/25/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted a prelicensing inspection. LPA met with the applicant and disclosed the reason for the visit. LPA and the applicant toured the facility inside and out at 10:15 a.m. today. No immediate health or safety hazards were noted during the time of this visit. Today’s prelicensing visit is conducted due to a Change of Ownership with residents in care. It is a single story building with 6 bedrooms, 2 bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for 6 residents, of which 5 may be nonambulatory and 1 bedridden in Bedroom #5. The facility serves residents with dementia. LPA observed a maintained front yard. The walkway leading to the main entrance was free of debris. Gardeners were observed sweeping and cleaning. Facility policies were observed at the main entrance. Additional postings located inside included but were not limited to an administrator’s certificate, personal rights, rights of resident councils, emergency disaster plan, facility sketch with evacuation routes clearly labeled, confidential complaint poster, Ombudsman contact poster, and facility menu. The facility has 6 bedrooms. 1 bedroom is designated as a staff room. The staff room was unlocked but free of hazards. Of the 5 resident bedrooms, all bedrooms contained a chair, lamp, nightstand, dresser, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. 3 residents were observed laying down. Bedroom #5 had a notice posted: “No smoking – Oxygen in use”. The facility has 2 bathrooms. The bathroom designated for residents contained liquid soap, paper towels, grab bars and a non-skid mat in the shower, and a commode with grab bars. At approximately 10:30 a.m. LPA measured the water temperature in the resident bathroom to be 11.9.8 degrees Fahrenheit. Walls, floors, windows, screens, and blinds were clean and in good repair. At 10:40 a.m. LPA measured the room temperature to be 75.0 degrees Fahrenheit. Hallways contained functioning night lights. LPA observed an adequate supply of perishable and non-perishable foods stored in the refrigerator, freezer, and pantry. The stove hood was clean. Appliances were in good condition. Sharps were locked below the countertop. Cleaning solutions were locked below the sink. Staff members carried the keys. A washing machine and dryer were located in the garage. Both were in working order. Detergents were locked in a storage shed. The garage stored additional supplies. LPA observed a covered patio area in the rear of the facility. The patio contained furniture in good condition. A storage shed was locked and contained additional supplies. A gardened area contained fruit bearing trees and plants. Perimeter fences were at least five (05) feet in height. All emergency exit paths were free from obstructions. Exit gates were unlocked. Three (03) out of three (03) auditory alarms were turned on and functioning. Medications, staff files, and resident files were locked and inaccessible in the activity room. A complete first aid kit was also locked in the activity room. At 10:45 a.m. LPA called the house phone near the dining room, and it was confirmed to be functional. At approximately 10:50 a.m., smoke and carbon monoxide detectors were tested and operational. At approximately 11:00 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 04/21/2023. LPA reviewed three (03) out of three (03) resident files at 11:05 a.m. Resident files were complete and up to date. The facility vehicle was inspected at 11:20 a.m. and was in working order. Component III was conducted with the applicant at 11:45 a.m. During today's inspection, the facility was in compliance with Title 22 regulations. Pre-Licensing is complete and this facility has no deficiencies. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Oct 25, 2023

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): COMP II Participants: ELAINE BOTE, APPLICANT/ADMINISTRATOR Interview Method: Telephone interview On 10/10/23, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisionsthe state’s words, verbatim · CDSS document, Oct 10, 2023