Heritage Senior Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual inspection using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Sonia De La Cruz, who was informed of the purpose of the visit. Administrators Michelle Navarro and Nino Navarro arrived shortly thereafter. The facility’s fire clearance is approved for six (6) residents over the age of 59. Bedroom #1 is approved for one (1) bedridden resident. Bedroom #3 is approved for two (2) non-ambulatory residents. Bedrooms #5 and #6 are each approved for one (1) non-ambulatory resident, and Bedroom #4 is approved for one (1) ambulatory resident. The facility may retain no more than five (5) hospice residents. At the time of inspection, three (3) residents were under hospice care. Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Required “Oxygen in Use” signage was posted in visible locations throughout the facility in accordance with safety requirements. Physical Plant The facility is located in a residential neighborhood and is a single-story home consisting of six (6) bedrooms, three (3) bathrooms (one of which is a private shared bathroom), a living room, family room, kitchen, dining area, attached garage, front yard, and backyard. LPA observed five (5) resident bedrooms, with one (1) bedroom designated for staff use. All bedrooms observed contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. (continued on 809C) Cleaning supplies and other toxic substances were observed to be inaccessible to residents and secured in a locked cabinet located in the kitchen. Bathrooms were clean and equipped with the required grab bars in the showers and near toilets, as well as non-skid mats. Hot water temperatures measured 107.4°F in Bathroom (1), 110.7°F in Bathroom (2), and 110.8°F in the private bathroom, all of which are within the required range of 105°F–120°F. Extra linens and towels were available and stored in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be operational. A fire extinguisher was observed near the dining room area and medication cabinet. No bodies of water were present on the premises. The backyard contained shaded seating for residents. Passageways and exits were observed to be clear and unobstructed. Food Service Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees°F and freezer 0-degreeºC ) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives were observed to be accessible to residents due to a broken lock on the kitchen drawer. The Licensee/Administrator corrected the issue at the time of the visit by securing the knives in a locked location. Health-Related Services & Records Three (3) resident files were reviewed. While the files contained current required documentation including Admission Agreements, signed consents, Needs and Service Plans, Physician’s Reports documenting TB results and ambulatory status, and Resident Rights acknowledgments, LPA observed that Resident 2 (R2) and Resident 3 (R3) were missing required re-appraisals. Licensee/Administrator corrected the issue at the time of the visit. Three (3) residents’ medications were reviewed. Medications were observed to be centrally stored in a locked closet located in the living room. Disaster Preparedness Last fire/earthquake drill was conducted on December 25, 2025, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training Four (4) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Michelle Navarro was valid through May 04, 2026, and Nino Navarro valid through April 10, 2026. Insurance Liability insurance was in compliance with an expiration date of July 1, 2026. An exit interview was conducted with the Administrator Nino Navarro. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. A copy of this report, LIC 809D/809C, and appeal rights will be provided via email.the state’s words, verbatim · CDSS document, Feb 10, 2026

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez and LPA Blanca Gonzalez conducted an announced annual inspection visit on 4/08/2025 and was greeted by Caregiver Nelson Tinio. Administrator Nino and Michelle Navarro arrived shortly after. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected five (5) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers and no slip mats. LPA Ramirez observed seated shower chairs in bathrooms. Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 03/07/2025 & 12/05/2024. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in pantry. See 809-C Residents with Special Needs: No large bodies of water were observed LPA Ramirez observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. LPA Ramirez observed several oxygen tanks in resident rooms secured in stands. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Auditory devices were observed to be in working order. During records review, LPA Ramirez did not observe a signed statement by resident's roommate, if any, or any resident who will share a room with a person who is terminally ill to be accepted or retained as a resident, indicating his or her acknowledgment that the resident intends to receive hospice care in the facility for the remainder of the resident's life, and the roommate's voluntary agreement to grant access to the shared living space to hospice caregivers, and the resident's support network of family members, friends, clergy, and others. LPA Ramirez will issue Technical Advisory. Administrator Navarro agreed to email statement to LPA Ramirez by 4/15/25. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication closet and in bubble packs and/or original containers. The facility provides incidental medical services. Staffing: Administrator Certificate for Nino Navarro 05/04/2026. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for three (3) out of the three (3) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel record reviewed. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) residents over the age of 59 years old. Bedroom#1 is approved for bedridden. Two (2) non-ambulatory in bedroom#3. One (1) non-ambulatory in bedroom#5 & 6 each, and one (1) ambulatory in bedroom#4. This facility may retain no more than five (5) hospice residents. There were two (2) residents during hospice during time of inspection. Resident Records/Incident Reports: LPA reviewed resident records for six (6) residents in care. Resident records are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. No deficiencies were observed during this visit. Exit interview conducted. A copy of this report, LIC 9102 was provided via email.the state’s words, verbatim · CDSS document, Apr 8, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Required 1-year Visit on 02/15/2024. LPA was met by Administrators Nino Navarro and Michelle Navarro and explained the purpose of the visit. The facility is licensed to serve six (6) residents over the age of 60, of which four (4) may be non-ambulatory and has a hospice waiver approved for five (5). Bedroom #1 is approved for one (1) bedridden resident. Bedrooms# 3,5,6 is approved for non-ambulatory. Bedroom#4 is approved for ambulatory only. LPA OBSERVATIONS: The facility is a two-story dwelling located on a residential street and consists of five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, kitchen, dining room, living room, attached garage, front yard, and backyard. LPA Ramirez observed auditory devices on entry of door to be operational, sliding door and exits. Front Yard: Was clean and well maintained. No hazards were observed. Kitchen: LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located in kitchen cabinet, to be inaccessible to five (5) out of five (5) residents in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located under kitchen sink, to be inaccessible to five (5) out of five (5) residents in care. Kitchen sink water temperature was measured at 106.5 degrees F. Kitchen appliances were observed to be clean and in working order. See 809-C for continuation. Dining Room/Living room: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed to have plenty of seating and lighting. Nearby thermostat was observed to read 74-degree F. Linen Closet: Contained plenty linens, towels, and hygiene products. Resident Rooms 1-5: LPA Ramirez inspected five (5) resident bedrooms and observed all bedrooms to contain required furnishings, lighting, and linens. Bathrooms 1-3: Water temperature in two (2) resident bathrooms were within 105- 120 degrees F. Bathroom#3 was in sue during visit and LPA Ramirez was unable to inspect. Two (2) out of the three (3) bathrooms were observed to be clean and well stocked. Backyard: Was clean and well maintained. No hazards were observed. Plenty of shade and seating was observed. Garage: PA Ramirez observed emergency water and extra PPE/linens, and toiletry items in this area. Access to garage was observed to be inaccessible to five (5) out of five (5) residents in care. Emergency Drills/Emergency Disaster Plan/First Aid Kit: LPA Ramirez observed Emergency & Disaster Plan (LIC 610E) during inspection. Last two (2) fire drills were conducted on 12/18/23 and 09/08/23. LPA Ramirez observed a First Aid kit in kitchen cabinet. Carbon Monoxide Detectors/Fire Alarm/Fire Extinguisher: LPA observed carbon monoxide in hallways and smoke detectors were observed to be operable. Personnel Records: Personnel records are maintained at facility. LPA Ramirez reviewed staff files for three (3) staff. LPA Ramirez observed Administrator’s certificate for Nino Navarro with an expiration date of 05/04/2024. LPA Ramirez observed required annual training, CPR and First Aid for two (2) out of the three (3) personnel records reviewed. Resident Records: Five (5) resident files were reviewed. Five (5) resident medications were reviewed with Administrator Nino Navarro. Liability Insurance & Infection Control Plan: Facility has current liability insurance on file. LPA Ramirez observed updated infection control plan. No deficiencies were cited during this annual inspection. Exit interview was conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 23, 2024