Pure Heart Care Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with administrator Chrysel Dela Cruz for a one (1) year required visit for this facility. Purpose of the visit was stated. There is only one entrance being utilized at the facility. the facility had submitted and approved Mitigation and Infection Plan. A tour of the physical plant was conducted with Ms. Dela Cruz at 12:56 PM. The facility has four (4) bedrooms and two (2) bathrooms currently occupying three (3) residents. One (1) bedroom is designated for staff use only. The facility is fire cleared for six (6) non-ambulatory residents, one of which maybe bedridden on Room #3. Hospice waiver for three (3) residents. Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 73°F. Dual smoke/carbon monoxide detector is hardwired, tested and observed to be operational. There were three (3) fire extinguishers in the facility. They are located in the kitchen, bedroom hallway and laundry room. Fire extinguishers were observed to be full and last inspected on 05/11/26. (continued on LIC 809-C) The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. The garage is attached to the home and also being used as storage for frozen and emergency food and old equipment. The garage is observed to be locked and inaccessible to residents. Laundry room is located going through the garage, it was observed to be locked during visit. Laundry detergents, cleaning solutions and other chemicals and toxins are locked and secured in a cabinet in the laundry room. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Dishwashing liquids and other cleaning supplies were stored in the kitchen cabinet below the sink and observed to be locked and inaccessible to residents. All sharps and knives were also observed to be locked in a kitchen drawer. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit to non-private rooms. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. Staff Room: Staff room is observed to be locked. No medications are observed in the staff room. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. The hot water temperature measured at a range of 110.1.°F to 117.3°F. Towels and washcloths are not shared. There is enough clean linen available in stock at the cabinet. Medications: LPA observed medication in the medication cabinet in a kitchen cabinet to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. There is a complete first aid kit located in the bedroom hallway. Client records: Client records are reviewed and appeared to be complete and updated. Staff records: LPA also conducted a complete file review of staff records. Staff record appeared to be complete and updated. Disaster drill was last conducted on 04/18/26. Required posting are observed to be complete and current and displayed properly at the facility. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, May 16, 2026

Type of visit: Required - 1 Year

On 2/20/2025 at approximately 10:00 AM, Licensing Program Analysts (LPAs), Angelica Segovia and Leslie Ngo-Castaneda conducted an unannounced annual visit to the facility. LPAs were greeted by Administrator Chrysel Dela Cruz. LPAs stated the reason for their visit. LPAs asked for census, Staff/Resident Roster, and Insurance. LPAs conducted a physical plant tour at approximately 11:00 AM and the following was noted: There is only one entrance being utilized at the facility. The facility is a single unit building with four (4) bedrooms and two (2) bathrooms currently occupying three (3) residents. There is one (1) designated staff room. The facility has approved fire clearance for six (6) non-ambulatory residents. Hospice waiver approved for three (3). Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Required postings such as See/Say Something, Facility Sketch, and Facility License are located immediately upon entrance. Common areas: Living room and dining room observed to be neat, clean, and organized. Both rooms observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. Fire extinguisher located in the kitchen and dated 04/24/24. Fireplace: Observed to be covered and inaccessible to residents. Working telephone observed. Kitchen: Kitchen observed to be clean and inaccessible to pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. Knives and sharps observed to be locked in kitchen drawer. Toxins and cleaning solutions locked underneath kitchen sink. Kitchen appliances observed to be working and in proper condition. (continued on LIC 809-C) Bedrooms: The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers stored in storage closet located in hallway’s passageway. Bathrooms: Bathrooms were checked for cleanliness and proper operation. Appropriate grab rails and skid mats were observed and in proper condition. The hot water temperature was measured within regulations at 114.3°F. Laundry Room: The laundry room is located near the bedrooms and kept locked. Laundry appliances observed to be working and in proper condition. Additional cleaning solutions, toxins, and laundry detergent stored in locked storage cabinet in hallway leading towards laundry room. Garage: The garage can be accessed from inside the facility and is kept locked. Extra refrigerator and freezer stocked with additional food for residents Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water in this facility. Medications: Medication logs and facility files kept stored in locked cabinet in the kitchen. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer, tweezer, and manual. Smoke detectors and carbon monoxide observed to be working properly and were tested. Last Fire Drill conducted on 1/22/25. Resident/Staff Records: LPAs conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPAs conducted a complete file review of staff records. Staff records appeared to be complete and updated. Citation issued. See LIC 809D. There were no other immediate health and safety hazard observed during the day of inspection. Exit interview conducted, Appeal Rights given, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with administrator Chrysel Dela Cruz for a one (1) year required visit for this facility. Purpose of the visit was stated. There is only one entrance being utilized at the facility, there are required poster posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection Plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. A tour of the physical plant was conducted with Ms. Dela Cruz at 9:10 AM. The facility has four (4) bedrooms and two (2) bathrooms currently occupying two (2) residents. One (1) bedroom is designated for staff use only. The facility is fire cleared for six (6) non-ambulatory residents, one of which maybe bedridden on Room #3. Hospice waiver for three (3) residents. Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 73°F. Dual smoke/carbon monoxide detector is hardwired, tested and observed to be operational. There were three (3) fire extinguishers in the facility. They are located in the kitchen, bedroom hallway and laundry room. Fire extinguishers were observed to be full and last inspected on 04/24/24. (continued on LIC 809-C) The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. The garage is attached to the home and also being used as storage for frozen and emergency food and old equipment. The garage is observed to be locked and inaccessible to residents. Laundry room is located going through the garage, it was observed to be locked during visit. Laundry detergents, cleaning solutions and other chemicals and toxins are locked and secured in a cabinet in the laundry room. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Dishwashing liquids and other cleaning supplies were stored in the kitchen cabinet below the sink and observed to be locked and inaccessible to residents. All sharps and knives were also observed to be locked in a kitchen drawer. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit to non-private rooms. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. Staff Room: Staff room is observed to be locked. No medications are observed in the staff room. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. The hot water temperature measured at a range of 112.3.°F to 119.1°F. Towels and washcloths are not shared. There is enough clean linen available in stock at the cabinet. Medications: LPA observed medication in the medication cabinet in a kitchen cabinet to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. There is a complete first aid kit located in the bedroom hallway. Client records: Client records are reviewed and appeared to be complete and updated. Staff records: LPA also conducted a complete file review of staff records. Staff record appeared to be complete and updated. Disaster drill was last conducted on 04/24/24. Required posting are observed to be complete and current and displayed properly at the facility. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, May 18, 2024