Cheerful Heart Home V

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to complete the required one-year inspection. Upon arrival, the LPA was greeted and granted entry by care staff. The Administrator (AD), Ana Sandru, was notified by caregivers of the visit and arrived shortly after the LPA’s arrival. During the inspection, the LPA toured the facility’s physical plant, both inside and outside. The facility is a single-story home with seven bedrooms and four restrooms. One bedroom is designated for staff use, and six bedrooms are designated for resident use. At the time of the visit, there were two staff members on duty and six residents in care; two of the six residents were currently hospitalized. The LPA and S1 tested the smoke detectors and carbon monoxide detectors in the common areas and resident bedrooms, and all were operational. Resident bedrooms were observed to have the required furniture, including adequate bed linens and sufficient closet and/or drawer space to accommodate each resident. The LPA observed a fire extinguisher mounted in the kitchen area with a purchase date of June 16, 2025. Record review reflected a fire drill was conducted on November 10, 2025. The LPA also observed that sharps and knives were secured in a locked kitchen drawer. The LPA observed the facility maintained a two-day supply of perishable food and a seven-day supply of nonperishable food and water. All kitchen appliances were observed to be operational during the visit. Restroom toilets and water faucets were observed to be operational, and grab bars were secure. Showers were observed to be free of mold and mildew. The hot water temperature was measured between 111.6 degrees Fahrenheit and 112.0 degrees Fahrenheit. The LPA and AD toured the backyard and observed a shaded seating area available for resident use. The LPA reviewed three resident files and three staff files and observed the required documentation was present. Based on observations and record review completed during this inspection, no deficiencies were cited pursuant to Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to facility staff at the conclusion of the inspection.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Samer Haddadin made an unannounced visit to the facility to conduct a Required - 1 year visit. LPA was greeted and granted entry to the facility by care staff. Administrator (AD) Ana Sandru was notified by the caregivers of the visit who arrived shortly after LPA arrival. LPA conducted a tour of the facility inside and out of physical plant and observed the following: The facility is a single-story home with seven bedrooms and 4 restrooms. One out of the 7 bedrooms is designated for staff and 6 out the 7 bedrooms are for the current residents. At the time of the visit the facility had 2 staff members on duty and 6 residents total, in which 2 of the 6 residents were in the hospital. LPA and S1 tested smoke detectors/carbon monoxide in common areas and bedrooms; all were operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPAs observed fire extinguisher mounted in kitchen area with a purchase date of January 16th, 2025. Upon review of record, fire drill was conducted on November 12th, 2024. LPA observed sharps and knives were secured and locked in kitchen drawer. The facility had 2-day supply of perishable and 7-day supply of non-perishable foods and water. LPA observed all Kitchen appliances were operational during today's visit. Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. Water temperature measured between at 111.6 degrees Fahrenheit and 112. degrees Fahrenheit. LPAs and AD toured the backyard of the facility and observed a shaded seating area for residents’ enjoyment. . LPAs reviewed three residents’ and three staff files and observed they all had the required documentation. Based on the observations made during today’s inspection, NO deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to staff at end of inspectionthe state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea and Licensing Program Manager (LPM) Alisa Ortiz conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 1:30 PM, LPA and LPM were greeted and granted entry into the facility by caregiver, Daniela Rasadea and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for three. Currently there are six residents, of which three are on hospice during today's visit. The Administrator, Ana Sandru arrived shortly after to assist during the visit. At 1:32 PM, LPA Tea reviewed six resident files and two staff files. LPA Tea, LPM Ortiz along with the Administrator toured the facility at 2:16 PM. LPA and LPM toured the physical plant, checked food service, and the first aid kit. The home consists of 6 resident bedrooms, 1 staff bedroom, 3 and half bathrooms, living room, dining room, and kitchen. At 2:17 PM LPA observed smoke detectors/carbon monoxide in common areas and bedrooms and operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 112.1 F degrees and 113.3 degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. There are cameras placed in the common areas of the facility without audio for the safety of residents in care. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. LPA and LPM observed secured medications in a cabinet. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating and the exit gate is self latching and operational. LPA observed emergency food and water supply in the garage. Facility provides activities in the form of outdoor activities such as going out for walks and doing exercises. At 2:38 PM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with care giver, Daniela Rasadea and a copy of this report LIC809, 809-C, LIC858, LIC859, LIC9102 was read and provided through email to the facilitythe state’s words, verbatim · CDSS document, May 29, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.