Mrs Scott's Where the Heart Is Homes-San Francisco

Type of visit: Required - 1 Year

On 07/30/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA met Staff Pauline Peralta. Administrator (A1) Phoeun Marez was called and arrived later during inspection. LPA toured the facility with A1. Two residents were present during inspection. One resident was present sitting in the living room and one resident observed in the bedroom. The facility was observed to be at a comfortable temperature at 75 degree F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food were observed. Refrigerator temperature is maintained at 24 degrees F and freezer at -2 degrees F. Fire extinguisher was observed with purchased date of 6/30/25. Medications were observed unlocked in kitchen closet. LPA reviewed MARS and checked medication. Knife observed unlocked in kitchen drawer. Extra linens and towels were observed. All bedrooms were observed to have the required furnishings and adequate lighting. Bathrooms were toured. Non-skid mats and grabbed bars were observed in bathrooms. Hot water temperature was tested 76.5 degrees F in hall bathroom and 76.3 degrees F in master bathroom. Chemicals observed locked in facility office. Dryer was observed operating during visit. (continued to Lic 809C) (continued from Lic 809) Outside of the facility toured. Adequate outdoor seating is available for residents. Both side gates observed self-latching and self-closing free of debris. All residents’ and staff files were reviewed. Carbon monoxide and smoke detectors observed operational during inspection. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA received copies of Lic 308 and Lic 610E. The following documents are requested and submitted to Fresno CCL by: 08/05/26. Forms requested: Lic 500, Lic 9020, and current liability insurance. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 30, 2026

Type of visit: Required - 1 Year

On 08/22/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met Staff Pacinta Mangunay and Staff Enrico Mangunay. Administrator Phoeun Marez was called and arrived later during inspection. LPA toured the facility with staff. All six residents were present during inspection. One resident was present sitting in the dining area, two residents observed in the common area and three residents observed in the bedroom. Two residents left to the day program during inspection. Upon entry, audio surveillance camera observed in entryway. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 28 degrees F and freezer at -2 degrees F. Fire extinguisher was observed. Last fire drill completed on 06/19/25. Medications were observed locked in kitchen closet. LPA reviewed MARS and checked medication. Knives observed locked in kitchen shelf. Audio surveillance camera observed on kitchen counter. Extra linens and towels were observed. All bedrooms were observed to have the required furnishings and with adequate lightning. Bathrooms were toured and observed operational during inspection. Non-skid mats and grabbed bars was observed in bathrooms. Hot water temperature was tested 119.9 degrees F in hall bathroom and 117.1 and 107.9 degrees F in master bathroom. Chemicals observed locked in facility office. Outside of the facility toured. Adequate outdoor seating is available for residents. Both side gates observed self-latching and self-closing free of debris. Sample of residents’ and staff files were reviewed. Carbon monoxide and smoke detectors observed operational during inspection. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 08/28/25. Forms requested: Lic 308, Lic 500, Lic 610E, current Administrator Certificate, control of property, and current liability insurance. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 22, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: POC

On this day Licensing Program Analysts (LPA) M. Yang and R. Bruce arrived unannounced to conduct a POC visit. LPAs met with Staff Enrico Mangunay Yabut. Administrator MaDivina “Grace” Petil was called and arrived shortly. LPAs received copy of S1 First Aid/ CPR certification with completion date of 08/26/24. LPAs was informed Administrator schedule appointment for R1 and R2 for TB testing to be completed on 08/29/24. TB result for R1 and R2 shall be submitted to the department by 9/16/24. LPAs observed the following: 1. Non-skid mat in the bathroom tub and shower. 2. Fire extinguisher delivered to the facility on 08/28/24. An exit interview was conducted. A copy of this report was provided to Administrator, whose signature confirm receipt of report.the state’s words, verbatim · CDSS document, Aug 29, 2024

Type of visit: Required - 1 Year

On 08/26/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met Staff Inggrit Lousye and Staff Enrico Mangunay Yabut and Josie Yabut. Administrator MaDivina “Grace” Petil was called and arrived shortly. LPA toured facility with staff and Administrator. Four residents were present in the common area during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with a service date of 07/20/22. Medications were observed locked in kitchen closet. LPA reviewed MARS and checked medication. Chemicals were observed locked under kitchen sink, bathroom sink, and laundry room sink. . Extra linens were observed. All bedrooms were observed to have the required furnishings and with adequate lightening. Carbon monoxide and smoke detector observed operational during inspection.The bathrooms were toured and observed operational during inspection. Molded non-skid mat observed in master bathroom. Non-skid mat was not observed in hall bathroom. Grabbed bars were observed in all bathrooms. Hot water temperature was tested 109.9 degrees F in master bathroom and 10110.8 degrees F in hall bathroom. Outside of facility toured. Adequate outdoor seatings available for residents. Both side gate observed self-latching and self-closing with free of debris. All residents’ and staff files were reviewed. A deficiency and an immediate Civil Penalty were assessed. See Lic 421BG and Lic 421IM is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 08/30/24. Forms requested: Lic 308, Lic 500, Lic 610E, current Administrator Certificate, control of property, and current liability insurance. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 26, 2024

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.