The Heights Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection. LPA met with the administrator, Sayda Naz Hai, and explained the purpose of the visit. The facility is licensed for six (6) residents, ages 60 and over, of which five (5) may be non-ambulatory and one (1) bedridden. There is a hospice waiver approved for (3) residents. LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tools. The facility has 4 bedrooms (3 resident shared bedrooms, 1 staff room), 2 bathrooms, 2 living rooms, dining room, kitchen, and attached garage. No swimming pool on the premises and no items obstructing the walkways. Smoke detectors are interconnected and carbon monoxide detectors in the hallways. LPA observed sufficient food supplies of perishable and nonperishable. Knives and cleaning solutions are locked and inaccessible to the residents. The hot water temperature is measured within the required range of 105-120 degrees F. Staff are continuing to clean and disinfect throughout the day. LPA reviewed (3) personnel files. Administrator's certificate expires on 4/14/26. Staff are fingerprint cleared and associated to the facility. LPA issued a technical violation on staff training. LPA reviewed six (6) resident files. Files have the medical assessment, TB test results, and Needs/Services Plan. LPA reviewed medications and five (5) out of the (6) residents have medication discrepancies. The current Emergency Disaster Plan is posted and fire drills are conducted. LPA issued a technical violation to ensure that the drills are varied and properly documented. A deficiency and technical violations are issued today. An exit interview was held and a copy of this report, along with appeal rights, was given to the administrator.the state’s words, verbatim · CDSS document, Feb 13, 2026

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Administrator Sayda Naz Hai. The following 12 (CARE) tool domains were utilized during the inspection: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. An Infection Control Plan was observed Physical Plant/Environment Safety: Facility is in a residential neighborhood and is two stories home, first floor consist of a kitchen, living room, family room, 3 resident rooms, 2 bathrooms, 1 staff room, an attached garage. The Basement is the administrator's residential area and inaccessible to the residents. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are enclosed ponds in the backyard. Cleaning supplies and toxic substances are inaccessible. Water temperature readings measured within title 22 regulations. Operational Requirements: A current Plan of Operation observed. Dementia Care Plan on file A fire clearance for total 6 residents of which (5) may be Non ambulatory and (1) bedridden Hospice care waiver approved for up to three (3) residents. Personnel Records - Staff Training: Administrator on file is current Staff have criminal background clearances. Three (3) staff files were reviewed. Continued on LIC 809-C Staffing: Sufficient staff observed during visit Resident Records - Incident Reports: A total of five (5) resident files were reviewed. Resident Rights - Information Required postings observed Food Service: Sanitation practices and kitchen cleanliness was observed. Kitchen has utensils for clients to use and to store their meals Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Incident Medical and Dental: First Aid Kid observed (5) of (5) Resident medications reviewed Disaster Preparedness: Emergency and Disaster Plan observed Last Emergency Drill conducted 12/1/24. Residents with Special Health Needs: Currently (2) residents receiving hospice services. Hospice care plans observed Inspection Tool was completed and per Title 22 deficiencies are being cited on todays visit. See 809-D pages attached Exit interview conducted. Copy of this report and appeal rights were discussed and provided.the state’s words, verbatim · CDSS document, Feb 25, 2025

Allegation investigated: Staff admitted resident without resident's consent. Staff did not follow the facilities visitor policy. Staff allowed resident to leave the facility without verifying appropriate supervision.

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint visit regarding the above-mentioned allegations. LPA met with Sayda Naz Hai (Administrator) and Myra Johnson (Caregiver ) and explained the reason for the visit. The investigation consisted of the following: During initial visit dated 6/16/23 LPA Luis Mora interviewed the Administrator and Staff 1. LPA Mora obtained copies of Resident 1 (R1) entire file. During subsequent visit 3/7/24 LPA Herrera obaitned copies of staff and resident roster and visitation policy, interviewed Administrator, and 3 residents. (Resident #1(R1) was not available for interview) (Continued on 9099-C) Unsubstantiated The investigation revealed the following: Allegation: Staff admitted resident without resident's consent. It is alleged that Resident #1 (R1) was admitted to the facility by unauthorized individuals. Per information gathered on hospital records, hospital that transferred R1 to facility, it was stated that R1's brother was the Power of Attorney (POA). LPA interviewed brother of R1 and they stated that they are not and have never been a POA for R1, however, they are the next of kin and the Responsible Party for medical decisions for R1. R1's brother further stated that R1 at the time of admission was in recovery and unable to make their own decisions, therefore, R1's brother made the decision of admitting R1 to facility and signed all paperwork to do so, R1 was aware of the move and went willingly. R1's Physician's report dated 5/19/23 states that R1 "is not decisional for medical care", and indicates that bother assists with medical decisions. Allegation: Staff did not follow the facilities visitor policy. It is alleged that the facility did not follow visitor policy as the required sign out was not done. LPA obtained a copy of the facilities visitor policy and no where in the policy does it state that one must sign in and out during visitation. LPA interviewed Administrator and 1 Staff and both stated that facility allows visitation with family members and friends, facility encourages these visits and that all staff are aware of who the responsible parties for each resident are and would not allow residents to leave without proper supervision if needed. LPA interviewed 2 residents and both stated that they are allowed visitation with family and are able to leave into the community with their responsible parties/family. Allegation: Staff allowed resident to leave the facility without verifying appropriate supervision. It is alleged that R1 left the facility unassisted with girlfriend and staff did not follow behind R1 to ensure safety. LPA reviewed admission agreement for R1 and girlfriend identified as wife on paperwork was indicated as a responsible party for resident. During interview with R1's brother/Responsible Party, they stated that although girlfriend was not able to make medical decisions for R1 visitation was granted as family lives out of state and girlfriend lives near by and is able to be a support for R1. LPA obtained a copy of a signed letter from R1's girlfriend stating they are taking R1 from facility on 6/10/23. Administrator stated that since girlfriend was listed as a responsible party during admission she was able to take R1 from facility, there fore, R1 left facility supervised with their Responsible Party. (Continued on LIC9099-C) Based on statements and interviews conducted with staff and residents, review of R1's files and facility Visitation Policy, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided to Caregiver Myra Johnson.the state’s words, verbatim · CDSS document, Mar 7, 2024 · control 28-AS-20230615135534

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Administrator Sayda Naz Hai. The following 12 (CARE) tool domains were utilized during the inspection: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. An Infection Control Plan was not observed but requested Physical Plant/Environment Safety: Facility is in a residential neighborhood and is two stories home, first floor consist of a kitchen, living room, family room, 3 resident rooms, 2 bathrooms, 1 staff room, an attached garage. The Basement is the administrator's residential area and inaccessible to the residents. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are enclosed ponds in the backyard. Cleaning supplies and toxic substances are inaccessible. Water temperature readings measured within title 22 regulations. Operational Requirements: A current Plan of Operation observed. Dementia Care Plan not on file A fire clearance for total 6 residents of which (5) may be Non ambulatory and (1) bedridden Hospice care waiver approved for up to three (3) residents. Personnel Records - Staff Training: Administrator on file is current Staff have criminal background clearances. Three (3) staff files were reviewed. Continued on LIC 809-C Staffing: Sufficient staff observed during visit Resident Records - Incident Reports: A total of five (5) resident files were reviewed. Resident Rights - Information Required postings observed Food Service: Sanitation practices and kitchen cleanliness was observed. Kitchen has utensils for clients to use and to store their meals Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Incident Medical and Dental: First Aid Kid observed (5) of (5) Resident medications reviewed Disaster Preparedness: Emergency and Disaster Plan observed Last Emergency Drill conducted January 2024 Residents with Special Health Needs: Currently (2) residents receiving hospice services. Hospice care plans observed Inspection Tool was completed and per Title 22 deficiencies are being cited on todays visit. See 809-D pages attached Exit interview conducted. Copy of this report and appeal rights were discussed and provided.the state’s words, verbatim · CDSS document, Feb 13, 2024

Allegation investigated: Staff did not administer prescribed medication to a resident in care. Facility illegally evicted a resident in care.

Licensing Program Analyst (LPA) Tao conducted an unannounced initial complaint visit to the facility regarding the above-mentioned allegations. Upon arrival at the facility, LPA met Sayda Naz Hai, Administrator and explained the purpose of today’s visit. The investigation consisted of interviews of staff from staff #1 (S1) through staff #2 (S2); interviews of resident#2 (R2) and resident#3 (R3); attempted interview of resident#1 (R1), resident#4 (R4) and resident#5 (R5); interview of R1’s representative (RR); review of resident#1 (R1)’s record; and tour of the facility. LPA obtained copies of the staff and resident rosters, and resident #1 (R1)’s records with relevant information. The investigation revealed the following: Regarding the allegation of staff did not administer prescribed medication to a resident in care, it was alleged that staff failed to give resident#1 (R1) with one of resident’s prescribed medication. (- continued in LIC 9099 C-) Unsubstantiated Two (2) out of five (5) residents interviewed could not corroborate the allegation. Three (3) out of five (5) residents was attempted but failed to conduct interview. LPA interviewed R1’s representative (RR). RR could not corroborate the allegation. All two (2) staff interviewed denied the allegation. Per record reviews, it revealed residents’ prescribed medication was administered as prescribed. Per incident report and facility notes dated 12/13/23, R1 did not come with the claimed prescribed medication upon arrival at the facility after discharged from the hospital. R1 was sent back to the same hospital in about 2 hours after discharged on the same day. Therefore, staff could not administer R1's medication since R1 did not come to the facility with the claimed prescribed medication. Due to the short period of staying (~2 hours), administrator did not have sufficient time to obtain R1’s medication from R1’s pharmacy. Thus, there was not preponderance of evidence to show staff did not administer prescribed medication to the resident. Regarding the allegation of facility illegally evicted a resident in care, it was alleged that facility refused to accept the resident#1 (R1) back into the facility after discharged from hospital. Two (2) out of five (5) residents interviewed could not corroborate the allegation. Three (3) out of five (5) residents was attempted but failed to conduct interview. All two (2) staff interviewed denied the allegation. LPA interviewed R1’s representative (RR). RR stated RR chose to relocate R1 to a better placement for R1’s level of care. As a result, R1 was not returning to the facility. Therefore, facility did not illegally evicted resident in care. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted with Administrator. A hard copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 19, 2023 · control 28-AS-20231215112346