Unified Hearts Home Care

Type of visit: Required - 1 Year

LPA Jeung toured facility and grounds of this two level facility. There are 6 bedrooms--each of which exits to exterior, 2 bedrooms have full private bathrooms and one has a private half bathroom--two common full bathrooms, a great room which includes dining area, and kitchen. On the upper level, there is a large staff bedroom with two bunk beds, large office space, and full bathroom; this level is not used by residents. Emergency signal system by Smart Caregiver Corp. is installed and consists of pendant alarms for each bedroom that transmit an audible alert--that also identifies the room of origin--to central unit in the kitchen as well as two pagers Carbon monoxide detectors are present and operable. Clothes washer and dryer are located in the 2-car garage. Property is level, mostly paved, and fenced. Medications are stored in locked kitchen cabinet and toxins are stored in garage. It is recommended that a storage cabinet be installed in garage to secure chemicals. Hot water temperature is tested at 117 degrees in common bathroom. Food supplies for 2-day perishable and 7-day non-perishable fruits, vegetables and protein are maintained. Supplies of bed and bath linens and hygiene products are observed. First aid kit is complete. Staff and client files are reviewed, including Centrally Stored Medications Records. Lina Chen holds a valid RCFE administrator certificate (x 1/27), as does assistant administrator John Skaggs (x 5/27). Updated Personnel Report (LIC500) is given to LPA today. Deficiencies of the California Code of Regulations, Title 22 are cited on following pages. See also Technical Advisory Note--one page.the state’s words, verbatim · CDSS document, May 14, 2026

Type of visit: Post Licensing

LPA Jeung toured facility and grounds of this two level facility. There are 6 bedrooms--each of which exits to exterior, 2 bedrooms have full private bathrooms and one has a private half bathroom--two common full bathrooms, a great room which includes dining area, and kitchen. On the upper level, there is a large staff bedroom with two bunk beds, large office space, and full bathroom; this level is not used by residents. Emergency signal system by Smart Caregiver Corp. is installed and consists of pendant alarms for each bedroom that transmit an audible alert--that also identifies the room of origin--to central unit in the kitchen. and two pagers Carbon monoxide detectors are present and operable. Clothes washer and dryer are located in the 2-car garage. Property is level, mostly paved, and fenced. Medications are stored in locked kitchen cabinet and toxins are stored in garage. It is recommended that a storage cabinet be installed in garage to secure chemicals. Hot water temperature is tested at 113 degrees in common bathroom. Food preparation and service items are present, as well as non-perishable fruits, vegetables and protein. Supplies of bed and bath linens and hygiene products are observed. First aid kit is complete. Staff and client files are reviewed, including Centrally Stored Medications Records. Lina Chen holds a valid RCFE administrator certificate (x 1/27), as does assistant administrator John Skaggs (x 5/27). Proof of current liability insurance is requested to be sent to CCLD within SEVEN days. Deficiencies of the California Code of Regulations, Title 22 are cited on following pages. See also Technical Advisory Notes--5 pages.the state’s words, verbatim · CDSS document, Feb 27, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(c) · Plan of correction due date: Feb 27, 2026

CRIMINAL RECORD CLEARANCE TRANSFER A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another...by providing ...documents to the Department. This requirement is not met, as criminal record clearance for staff #2 is not yet associated to this facility. Licensee failed to ensure that all staff with client contact maintain criminal record clearance and association to facility, which poses an immediate health or safety risk to clients in care. Staff #2 started working 2/8/26.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Criminal record clearance for staff #2 was associated to this facility in LPA's presence. Deficiency corrected and cleared.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a) · Plan of correction due date: Mar 6, 2026

PERSONAL ACCOMMODATIONS/SVCS Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others... This requirement is not met, as sofa in living room is used by staff for sleeping at night. Licensee failed to ensure that common areas are reserved for common use, which poses a potential health, safety or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Staff shall cease sleeping in living room. Proof/plan of correction to be sent to CCLD BY DUE DATE, describing how this deficiency has been corrected.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87465(h)(6) · Plan of correction due date: Mar 6, 2026

INCIDENTAL MEDICAL CARE A record of centrally stored prescription medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions. This requirement is not met, as 6 Rx & OTC meds for client #2 are not recorded on Centrally Stored Medications REcords, and OTC Robitussin for client #1 is not logged. Licensee failed to ensure that there is a written record of all centrally stored client medications, which poses a potential risk.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Rx and OTC medications for clients #1 and #2 are recorded on Centrally Stored Medications Records in LPA's presence. Plan of correction to address this deficiency shall be sent to CCLD BY DUE DATE

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.626 · Plan of correction due date: Mar 6, 2026

HEALTH AND SAFETY CODE All RCFEs shall meet the following training requirements.... for all direct care staff: 12 hours of dementia care training, 6 of which shall be completed before a staff member begins working independently with residents...remaining 6 hours of which shall be completed within the first 4 weeks of employment. This requirement is not met, as staff #4 has been employed for over 4 weeks, and only received 5 hours of dementia training. Licensee failed to ensure that new staff received required dementia training, posing a potential risk to clients.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: New staff shall receive required 12 hours of dementia training and proof of correction to be sent to CCLD BY DUE DATE

From the deficiency page — Deficiency type: Type B · Section cited: CCR87411(c)(1) · Plan of correction due date: Mar 6, 2026

PERSONNEL REQUIREMENTS GENERAL Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met, as staff #1 and #4 do not have proof of current first aid training, which poses a potential health, safety, or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Proof of current first aid training for staff #1 and #4 will be sent to CCLD BY DUE DATE

Type of visit: Prelicensing

Applicant Unified Hearts Home Care LLC has applied for RCFE licensure for 5 non-ambulatory and one bedridden elderly clients in 6 private rooms. Fire clearance has been approved. LPA Jeung toured facility and grounds of this two level facility. There are 6 bedrooms--each of which exits to exterior, 2 bedrooms have full private bathrooms and one has a private half bathroom--two common full bathrooms, a great room which includes dining area, and kitchen. On the upper level, there is a large staff bedroom with two bunk beds, large office space, and full bathroom; this level is not used by residents. Emergency signal system by Smart Caregiver Corp. is installed and consists of pendant alarms for each bedroom that transmit an audible alert--that also identifies the room of origin--to central unit in the kitchen and two pagers Carbon monoxide detectors are present and operable. Clothes washer and dryer are located in the 2-car garage. Property is level, mostly paved, and fenced. Medications will be stored in locked kitchen cabinet and toxins are stored in garage, which is locked. It is recommended that a storage cabinet be installed in garage to secure chemicals. Hot water temperature is tested at 107 degrees in common bathroom. Food preparation and service items are present, as well as non-perishable fruits, vegetables and protein. Supplies of bed and bath linens and hygiene products are observed. First aid kit is complete. Lina Chen holds a valid RCFE administrator certificate (x 1/27). A spare set of keys--including all resident units, all exit doors, all cabinets, cupboards or files that contain elements of the emergency and disaster plan--is available for use during an evacuation. Continued on next page. . The following items are observed and must be addressed prior to licensure: 1. Emergency Disaster Plan (LIC610E) must be updated to include corrected location of water shut off and fire extinguisher locations. (Section 87212 Emergency Disaster Plan) 2. Beds are not fitted with mattress pads (Section 87307 Personal Accommodations and Services) 3. There is not yet telephone service (Section 87311 Telephones) 4. Internet capable device for client use only has not yet been obtained (Health & Safety Code 1569.319) LPA to be contacted upon completion of the above 4 items. Component III orientation is reviewed with Ms. Chen today.the state’s words, verbatim · CDSS document, May 13, 2025