Melvin Heart Haven

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Mariana Agban conducted a Pre-Licensing Inspection with facility Administrator Mary Arnalie Mecate and Licensee Rizza Hunida. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 14, 2025. A fire clearance was approved on September 04, 2025, for a maximum capacity of four (4) non-ambulatory, two (2) Bedridden residents. Hospice waiver has been approved for six(6) hospice residents. A tour of the physical plant was initiated at 9:30 am, and the following was observed: KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, microwave oven, and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) residents. Laundry Area: The washer/dryer appears to be in good condition, and they were located in the kitchen. The Laundry cabinets were locked, and thus laundry detergents are inaccessible to residents. BEDROOMS: There are four (4) bedrooms designated for residents' use. Two bedrooms are designated to be private, and 2 shared rooms. All bedrooms are furnished with beds, dressers, and required bedding and linen. The bedrooms have sufficient closet space. Bedroom#3 is approved for bedridden use. BATHROOMS: The facility has one (1) main bathroom that also has access doors by the entrance and through the main hallway. Bedroom#1 has a private bathroom for the residents in that room to utilize The hot water delivered in the bathroom sink was measured at 107.8°F and 114.9°F. (Continue 809C) LPA tested the smoke alarms and carbon monoxide detectors, and they were functioning properly. COMMON AREAS: These included the living room and dining room, which were equipped with furniture, a television, and sofas. There is a fireplace with a screen and a glass slide. It is non-operational. No fireplace tools or fixtures present. The dining area has a dining table to accommodate six (6). There were no visible immediate hazards. LPA observed two fire extinguishers located in the dining /kitchen and the living area, with a date of purchase of 06/27/25. The common areas were properly furnished MEDICATION: The medication will be kept in a locked cabinet in the dining area. SURROUNDING GROUNDS: The driveway, passageways, and entrance to the home were clear of obstruction. There is a carport large enough to park two cars. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility's backyard has sufficient yard space. There is no swimming pool or bodies of water. The side gates were checked to ensure it was clear of obstruction. LPA observed and inspected the attached garage. No hazards observed. The garage is used for storage only. Staff and resident files: Staff and resident files will be kept and maintained in a locked cabinet in the dining room. In addition to the Pre-Licensing inspection, a Component III PowerPoint presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised, and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): Method: Telephone call with CAB COMP II Participants: Mecate, Mary; Huida, Rizza On 10/24/2025, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. 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 provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 24, 2025