Inspection Reports for Hearts at Millwood Assisted Living

CA, 94030

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Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Jun 4, 2025
Visit Reason
An unannounced required 1-year comprehensive inspection was conducted to evaluate compliance with licensing requirements for the assisted living facility.
Findings
The facility was found to be in compliance with regulations including safe emergency exits, proper food storage, locked medications, functioning smoke and carbon monoxide detectors, and current resident and staff files. No citations were issued during this inspection.
Report Facts
Residents under hospice care: 2 Fire extinguisher inspection date: May 6, 2025 Water temperature: 107 Disaster drill date: Mar 27, 2025 Staff files reviewed: 4 Resident files reviewed: 5
Employees Mentioned
NameTitleContext
Eli Hart ErmitanoAdministratorMet with Licensing Program Analyst during inspection and discussed inspection findings
Jaime VadoLicensing Program AnalystConducted the unannounced required 1-year inspection
April CowanLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 2 Jun 14, 2024
Visit Reason
The inspection was a required unannounced 1-year annual visit to evaluate the Hearts at Millwood Assisted Living Facility for compliance with California Code of Regulations, Title 22.
Findings
The facility was toured and found generally safe with appropriate storage of medications and chemicals, operable safety equipment, and maintained records. However, deficiencies were cited related to missing physician orders for residents using half bed rails and staff not completing required annual medication training.
Deficiencies (2)
Description
Two residents use half bed rails without physician orders maintained in their records.
Two staff members have not received the required annual 8 hours of medication-related in-service training.
Report Facts
Capacity: 6 Census: 5 Liability insurance coverage: 1000000 Liability insurance coverage: 3000000 Deficiencies cited: 2 Plan of Correction due date: Jun 28, 2024
Employees Mentioned
NameTitleContext
Eli Hart ErmitanoAdministratorCertified RCFE administrator overseeing facility operations
Audrey JeungLicensing Program AnalystConducted facility tour and inspection
April CowanLicensing Program ManagerSupervisor and licensing program manager overseeing the inspection
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 3 Jun 6, 2023
Visit Reason
To complete the annual inspection of 5/22/23, the Licensing Program Analyst reviewed staff training records, client records, and interviewed staff and clients.
Findings
Deficiencies were cited related to hospice care plans, annual medical assessments for residents with dementia, and medication record-keeping. Some corrective actions such as installation of safety equipment were noted, but proof of liability insurance was still pending.
Deficiencies (3)
Description
Hospice care plan was not maintained for client #4 who was on hospice from 3/7/23 until 6/5/23.
Client #1 with dementia did not have an updated annual medical assessment and reappraisal as required.
Medications were not logged on Centrally Stored Medications Records upon receipt, only after started or opened.
Report Facts
Plan of Correction Due Date: Jun 20, 2023 Number of clients referenced in deficiencies: 5
Employees Mentioned
NameTitleContext
Elaine B. ErmitanoAdministratorFacility administrator named in report header.
Audrey JeungLicensing Program AnalystConducted review and signed the report.
Cara SmithLicensing Program ManagerSupervisor named in report.
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 1 May 22, 2023
Visit Reason
Annual inspection of Hearts at Millwood Assisted Living Facility to evaluate compliance with regulations and facility operations.
Findings
The facility was toured and found generally safe with appropriate storage of medications and chemicals, operable safety equipment, and adequate environmental conditions. However, a deficiency was cited for lack of a grab bar in the shower stall of a full bathroom in room 5, which poses a potential safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Full bathroom in room 5 does not have grab bar in shower stall, posing a potential health, safety or personal rights risk to persons in care.Type B
Report Facts
Capacity: 6 Census: 5 Plan of Correction Due Date: Jun 5, 2023 Liability Insurance Coverage: 1000000 Liability Insurance Aggregate: 3000000
Employees Mentioned
NameTitleContext
Eli ErmitanoCertified RCFE AdministratorOversees facility operations
Audrey JeungLicensing Program AnalystConducted facility tour and inspection
Cara SmithLicensing Program ManagerSupervisor and report signatory
Inspection Report Census: 5 Capacity: 6 Deficiencies: 2 Aug 11, 2022
Visit Reason
The visit was a Case Management - Other type of unannounced inspection to evaluate compliance with criminal record clearance requirements for staff at the assisted living facility.
Findings
The inspection found that two staff members worked at the facility without the required criminal record clearance, posing an immediate health and safety risk to clients. Civil penalties were assessed for these violations.
Severity Breakdown
Type A: 2
Deficiencies (2)
DescriptionSeverity
Staff #1 worked at the facility for 2 days without criminal record clearance.Type A
Staff #2 worked at the facility from 9/2021 to 6/2022 without criminal record clearance.Type A
Report Facts
Civil penalty for Staff #1: 200 Civil penalty for Staff #2: 500 Days Staff #1 worked without clearance: 2 Days Staff #2 worked without clearance (max counted): 5
Employees Mentioned
NameTitleContext
Elaine B. ErmitanoAdministratorVerified information about staff working without criminal record clearance
Audrey JeungLicensing Program AnalystConducted inspection and signed report
Jackie JinLicensing Program ManagerSupervisor of licensing evaluation
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Jul 7, 2021
Visit Reason
An annual unannounced inspection was conducted as a required 1-year visit to evaluate the assisted living facility's compliance with regulations.
Findings
The inspection found no deficiencies. The facility was observed to have proper COVID-19 mitigation measures, adequate supplies of PPE and medications, clear exit routes, and all residents and staff were reported fully vaccinated.
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Elaine ErmitanoAdministratorMet with Licensing Program Analyst during the inspection
Gladys KuizonLicensing Program AnalystConducted the annual inspection
George NwaforLicensing Program ManagerNamed in report header
Report May 22, 2023
File
report_7_415601085_inx6_2023-05-22.pdf

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