Silver Heart Chateau

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Correia conducted the required one-year inspection. Upon arrival, LPA was greeted by Caregiver Mabenilda Rumingan, identified herself, and explained the purpose of the visit. The facility is licensed to serve six (6) residents aged 60 and above, all of whom may be non-ambulatory and/or receiving hospice services, and up to two (2) residents who may be bedridden. Licensee Hideen Nucom arrived shortly thereafter to join the inspection. The facility’s census at the time of inspection was five (5) residents in care: four (4) non-ambulatory, one (1) receiving hospice services, and one (1) bedridden. All five residents were present during the visit. A review of resident files confirmed that all required documents including the current Physician’s Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, were complete and up to date. Staff files were reviewed and found to include Criminal Record Clearance, required training, Health/TB Screening Report, First Aid and CPR certification, and qualifications. All records were current and complete. The Administrator’s certification is valid until 2027. The facility’s last disaster drill was conducted in December of 2025. The Licensee owns the property and maintains current liability insurance. [Continued on LIC 809C] Medications and Hazardous Materials: Medication administration records were accurate and complete. Medications were stored in a locked medication cart located in the staff office. Toxic substances and other hazardous materials were secured in locked cabinets and were inaccessible to residents. Facility Tour: LPA, accompanied by Licensee Nucom, conducted a tour of the interior and exterior of the facility. The facility was observed to be clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Required postings were visible. Resident bedrooms contained the required furnishings. Resident showers were equipped with non-skid flooring and grab bars and were in working order. Water temperature at taps used by residents measured 105.1°F. Doors, windows, and screens were in good condition. Extra linens, hygiene supplies, Personal Protective Equipment (PPE), and a landline telephone were available. Smoke and carbon monoxide detectors were present and operational. Fire extinguishers were up to date on inspections, and a stocked First Aid Kit was available. The facility has a large common area and a shaded outdoor space for activities and visitation. No bodies of water were observed on the premises. Per the Licensee, there are no firearms or ammunition on the property. Based on today’s inspection, no deficiencies were cited. An exit interview was conducted, and a copy of this report along with Licensee Rights (LIC 9058, rev. 01/16) will be provided to Licensee Nucom. Licensee’s signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jan 28, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst Correia made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Correia was greeted by Caregiver Melissa Everroad, and identified herself, was granted entry into the facility, and explained the purpose of the visit. The facility is licensed to serve six (6) residents 60 and above; all who may be non-ambulatory and/or receiving Hospice services, and two (2) who are bed-ridden. During today's visit, LPA Correia, accompanied by Caregiver Actub, conducted a facility tour of both indoor and outdoor. LPA also conducted staff, resident, and facility file reviews. The facility temperature was 75 degrees Fahrenheit at the time of the visit. The facility's hot water temperature measured with-in regulation requirements. Disinfectants, cleaning solutions, and poisons were inaccessible to residents in care. All resident rooms were equipped with the required furnishings, lighting, and padded mattress covers. Residents’ bathrooms were equipped with grab bars and nonskid flooring in the resident showers, and bathroom fixtures were operational. LPA observed smoke alarms, and carbon monoxide detectors that were in operable condition. Fire extinguishers were last inspected on October 4, 2024. The facility’s outdoor area was free from obstructions, included a shaded area for residents, and sufficient space for activities and visitations. The facility was stocked with a 2-day supply of perishable and 7-day supply of nonperishable food items. The food was observed properly stored. Knives and sharp objects were stored in locked container and were inaccessible to residents in care. Medications were stored in a locked cabinet. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility's last disaster drill was conducted on 12/13/2024. Licensee Nucom has current Administrator certification. LPA observed a sufficient amount of PPE supplies, and a first aid kit. LPA also observed the required postings. Per Caregiver Actub there are no weapons and/or ammunition housed on the facility premises, nor any bodies of water. Resident and staff records were complete, organized, and up to date. Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted with Caregiver Actub and will be provided with a copy of this report and licensee/appeal rights (LIC 9058 01/16), and their signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Required - 1 Year

1. Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct the required annual licensing inspection. LPA was met by Caregiver Hilda Rumingan, identified herself, was granted entry, and stated the purpose of today’s visit. There were six (6) residents present during today’s visit, all of which were non-ambulatory, and three (3) who received Hospice services. In addition, there were four (4) staff present during today's visit. Licensee Hideen Nucom arrived at the facility and accompanied LPA during the general overall inspection. The facility is licensed to serve 6 residents, age 60 and over, of which all six (6) can be non-ambulatory, as well as all receive Hospice services, and two (2) bedridden. The facility temperature was 72.7 degrees Fahrenheit at the time of the visit. The resident bathroom's hot water temperature measured between 109.5- and 117.9-degrees Fahrenheit. Disinfectants, cleaning solutions, and poisons were inaccessible to residents. All resident rooms were equipped with the required furnishings. Resident bathrooms were observed to be sanitary and equipped with the required supplies. Showers had grab bars and nonskid flooring. Lighting was maintained in hallways and passages to client bathrooms. Facility staff provided each resident with clean linen in good repair, padded mattress covers, and sufficient hygiene products for personal use. LPA Correia observed smoke alarms, and carbon monoxide detectors throughout the facility that were in operable condition. Per Caregiver Rumingan there are no weapons and/or ammunition housed in the facility, nor does the facility have any bodies of water on the premises. The facility is stocked with a 2-day supply of perishable and 7-day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked cabinet and administered according to the label instructions. The facility's last disaster drill was conducted on November 22, 2023 Per staff records reviewed, individuals subject to a criminal record review obtained clearance and/or an exemption; staff responsible for direct care and supervision have current First Aid and CPR training. Licensee Nucom's Administrator Certificate is current until December 2025. Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted with Licensee Nucom and will be provided with a copy of this report and licensee/appeal rights (LIC 9058 01/16), and their signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jan 12, 2024