Our Three Hearts Care Home

Type of visit: Required - 1 Year

On 02/04/2026 at 10:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. Administrator Shwe Pyae arrived at 11:20 AM. LPA met with Administrator, Shwe Pyae at 11:20 AM and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/30/2025. Emergency Disaster Plan was last posted on 02/04/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/30/2025. LPA reviewed 4 residents records and 3 staff records; all were complete. LPA also reviewed a sample of resident’s medications. The Updated copies of the following documents reviewed during the visit: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 4, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced at around 10am and met with staff Jimmy Venoza. LPA explained to Venoza the purpose of the visit. The Administrator arrived at the facility at 10:18 am. The facility reported that a bedridden resident on hospice was admitted to the facility on 5/11/2025. The facility does not have a bedridden fire clearance. During the visit, LPA explained to the Administrator the difference between hospice waiver and fire clearance. Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Civil penalty of $500 is being assessed for today's visit. Exit interview was conducted with the Administrator. Appeal Rights and a copy of this report were provided.the state’s words, verbatim · CDSS document, May 22, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: May 23, 2025

87202(a)(2) Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: The facility admitted a bedridden resident without an approved fire clearance which poses an immediate health and safety risk to residents under care.the state’s words, verbatim · CDSS document, May 22, 2025

Plan of correction: The facility requested for a bedridden fire clearance that was approved by the local fire department. This deficiency is cleared. Civil penalty of $500 issued today.

Type of visit: Prelicensing

On 01/29/2025 at 10:20 AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived announced to conduct pre licensing inspection. LPAs met with Administrator, Edward Labrador, and explained the purpose of the visit. The facility currently has no residents. LPA toured facility with the Administrator including but not limited to 5 bedrooms, 2 bathrooms, kitchen, common areas and backyard. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 68 degrees Fahrenheit and hot water temperature was maintained at 105.7 degrees Fahrenheit. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational and are interconnected. Fire extinguishers were last serviced on 10/23/2024. The facility has a working telephone that was verified during the visit. Prior to licensure, the following shall be corrected and emailed to CCLD by 02/12/2025: Bedroom #1 and Bedroom #4 need a chest dresser. The backyard fence needs to be repaired. The bedroom doors do not have identifying numbers for each room. The side exit gate has a second sliding bolt that needs to be removed. Exit interview was conducted and a copy of this report was provided to Licensee/applicant.the state’s words, verbatim · CDSS document, Jan 29, 2025

The state marks this report as 5 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 01/29/2025 at 11:40 AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived announced to conduct Component lll with Licensee/applicant Edward Labrador. LPAs went over with Licensee/ applicant Component lll Power point presentation. LPAs provided applicant with CCLD and LPA contact information. A copy of this report was provided to applicant.the state’s words, verbatim · CDSS document, Jan 29, 2025