Heartland Senior Living at Sunnydale

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with Administrator John Strellner and explained the reason for the visit. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At approx 09:50 a.m. LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. The knives and sharps were observed locked and inaccessible to residents in care in the garage. LPA observed two (2) residents having breakfast at the dining table. LPA observed five (5) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bedroom #3 has access to a private side yard with clear passage way to exit during an emergency. There is a storage unit in this area. LPA observed unit to store decorations and other supplies for facility use. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in a hallway closet. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguisher to be fully charged and purchased on 09/03/2026. There is an office area located next to living room. Facility files were observed stored inaccessible to residents in care. Medication cabinet located in office area. LPA observed cabinet to be locked and inaccessible to residents in care. All exits have functioning auditory devices and were operational at the time of the visit. LPA observed required postings throughout the common areas. The garage is currently under renovation to be a another living area for residents. Upon completion there will be a bedroom, a living room and a private bathroom. LPA observed permits with the city on file. Licensee will submit required documents to Regional office for new fire clearance once area is complete. LPA did not observe any hazardous tools or items accessible to residents in care. LPA observed laundry area next to the kitchen. Cleaning supplies were inaccessible to residents in care. There is a freezer on the side yard to store extra perishable food. Knives, sharp objects and cleaning supplies were observed stored inaccessible in storage units in the side yard. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. LPA observed a swimming pool that had (2) gated entrances. LPA observed both entrances to the pool to be locked and secured during the visit. There were (2) storage units in the backyard. LPA observed them to store tools and supplies for facility use, both were observed locked and inaccessible to residents in care. Records review, five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Four (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time Medication review, medications for all residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. Infection control / Emergency Disaster plan: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 07//2026 The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. Smoke detectors and carbon monoxide detectors were tested, all alarms were functional at the time of the visit. During today’s visit LPA conducted interviews, obtained a copy of the facility’s LIC 500 and resident roster. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Sep 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with Administrator John Strellner and explained the reason for the visit. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At approx 10:00 a.m. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. The knives and sharps were observed locked and inaccessible to residents in care in the garage. LPA observed five (5) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bedroom #3 has access to a private side yard with clear passage way to exit during an emergency. There is a storage unit in this area. LPA observed unit to store decorations and other supplies for facility use. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. The fire door was observed to be closed during the visit. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in a hallway closet. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguisher to be fully charged and purchased last week. There is an office area located next to living room. Facility files were observed stored inaccessible to residents in care. Medication cabinet located in office area. LPA observed cabinet to be locked and inaccessible to residents in care. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care. LPA observed a laundry area. LPA observed laundry and cleaning supplies inaccessible to residents in care. LPA observed garage to be empty at this time as maintenance was being conducted. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. LPA observed a swimming pool that had (2) gated entrances. LPA observed both entrances to the pool to be locked and secured during the visit. There were (2) storage units in the backyard. LPA observed them to store tools and supplies for facility use, both were observed locked and inaccessible to residents in care. Records review, four (4) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time . Last emergency disaster drill was conducted on 08/2025. Medications review, all medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate. LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and facility’s liability insurance Interviews were conducted during the visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. Upon arrival LPA met with Administrator, John Strellner and explained reason for visit. Entrance interview conducted. Starting at 10:00 A.M., the LPA, along with Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: Kitchen: Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food at the time of the visit. There was sufficient dining and cook ware to accommodate a maximum capacity of 6 residents. Clining supplies are stored in a locked under-sink cabinet. There were no visible immediate hazards observed. At 10:17 A.M. hot water temperature measured at 114.9 degrees Fahrenheit. Fire extinguisher is fully charged, and recently purchased on 07/13/2024. Combination smoke alarms and carbon monoxide detectors were tested at 1:36 P.M. and were operational at this time. Bedrooms: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) total bedrooms. This facility doesn’t have a staff room, facility provides 24/7 care. Room #3 is cleared as a bedridden room. LPA observed that Room #3 is equipped with a fire door, and it has a direct exit to the backyard in case of an emergency. At the time of the visit, LPA observed fire door closed. No bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. Continues on LIC 809-C Continued from LIC 809 Bathrooms: The LPA observed two (2) shared bathtrooms. Resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. All bathrooms were supplied with appropriate paper and hygiene products. Water temperatures were measured in all resident bathrooms and measured within the required range of 105 degrees Fahrenheit to 120 degrees Fahrenheit at the time of the visit. Common spaces: In the common areas walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common area. The facility maintained a comfortable temperature of 73 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. Next to the living room there is an office area. Here, LPA, observed a working phone available for residents use whenever needed. Next to the office desk, there is a locked file cabinet where both staff and resident files, along with medications, are securely stored. There is a fireplace in the Dining Room, which was observed to be adequately screened. During today’s inspection, LPA observed, a closed fire door separating the common areas and kitchen from bedrooms and bathrooms. Fire door was closed at the time of the visit. Outdoor Space: The backyard area contains a shaded area with a table and chairs for resident use. There are 2 side gate doors with self-latching mechanisms. Passageways were observed to be clear and free of hazards. LPA observed an in-ground swimming pool. The pool is kept inaccessible to residents with the use of fencing that includes a locked gate on both sides of the backyard, ensuring that access is restricted. The LPA mentioned that facility requires a Water Safety Certification for staff providing supervision during pool use and that qualified staff must be present at all times that the pool is in use by residents. Garage: The garage is where the washer and dryer are held, including emergency food and emergency water. Cleaning supplies and disinfectants are kept in locked cabinets in the garage all cleaning compounds were stored in areas separately from food supplies. All knives were observed to be locked and kept in the garage inaccessible to residents. Continued from LIC 809-C Continued from LIC 809-C File review: A review of facility files was initiate at 11:35 A.M. and the following was observed. LPA reviewed four (4) residents files and four (4) staff file including the administrator’s. All documents reviewed appeared complete and current. LPA obtained Client Roster, Staff Roster, and Liability insurance. Last emergency drill was conducted on 08/14/2024. Medication review: Began at 1:10 P.M.; LPA reviewed medication log for all four (4) residents. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. No deficiencies cited at this time. Exit interview conducted. Report issued and provided to Administrator.the state’s words, verbatim · CDSS document, Sep 18, 2024