Heatherfield Inn
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State Inspection History
State Inspections
Source: CA Community Care Licensing Division
Sep 12, 2025Follow-up
This was a POC case management visit to clear deficiencies cited on August 28, 2025, during the annual inspection. The deficiencies cited previously (87303(a) and 87355(e)) were noted as cleared during today's visit. No deficiencies were cited during this current inspection.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility.
Aug 28, 2025Routine
The inspection revealed multiple deficiencies across several areas, including immediate safety hazards and recordkeeping issues. Specifically, expired fire equipment and unauthorized volunteers were cited as Type A deficiencies, indicating immediate risks. Additionally, issues with window screens and inaccurate medication records were noted as Type B deficiencies.
The fire extinguisher was observed to be expired, which poses an immediate safety risk to persons in care.
Two volunteers were observed helping residents in the facility without being associated with the facility, which poses an immediate health, safety, or personal rights risk to persons in care.
The window screens in a resident room and in a bathroom were observed needing repair, which poses a potential health, safety, or personal rights risk to persons in care.
Two out of two residents' centrally stored medication forms were observed as inaccurate, which poses a potential health, safety risk to persons in care.
Apr 1, 2025ComplaintCleanReport
This report details a complaint investigation conducted on 04/01/2025 regarding allegations of restricted visitor access, medication administration issues, failure to address weight loss, and lack of resident telephone access. Following interviews and document reviews, all allegations were deemed unsubstantiated.
Jan 30, 2025Follow-up
The unannounced case management visit identified deficiencies related to staff compliance with criminal record clearance requirements. Specifically, one staff member (S2) was found working without the necessary criminal record clearance. This constitutes a Type A deficiency, posing an immediate risk, and resulted in a Type B citation regarding the associated civil penalty.
A civil penalty is being assessed for S2 working in the facility for more than 5 days without receiving criminal record exemption transfer approval.
Dec 30, 2024Follow-up
The inspection was an unannounced visit conducted as part of a complaint investigation, leading to a case management review. The primary deficiency found relates to the maintenance and accessibility of staff personnel records. Specifically, the facility failed to keep a complete staff file for one employee on-site, which was cited as a potential risk to residents.
All personnel records must be maintained at the facility and be available to the licensing agency for review. This was not met because the facility did not maintain the staff file for S2 on-site.
Failure to maintain staff files poses a potential health, safety, or personal rights risk to persons in care. This was evidenced by the inability to review the complete staff file for S2.
Nov 15, 2024ComplaintCleanReport
The report details a complaint investigation that reviewed several allegations regarding pest control, grounds maintenance, laundry service, staff clearances, and staff training. Based on the investigation findings, the department determined that all listed allegations were unfounded.
Aug 8, 2024Routine
The inspection revealed multiple deficiencies across several critical areas, including improper storage of hazardous materials in the backyard, inadequate maintenance of the outdoor environment, and significant lapses in resident medical record keeping. Specific concerns were noted regarding outdated medical assessments for residents with dementia, discrepancies in medication logs, and missing required documentation for volunteers.
The facility's backyard area contained several tools and a red container of gasoline behind the shed, and a container of lighter fluid near exit #3. This poses an immediate health, safety, or personal rights risk to persons in care.
The facility backyard area contained several dog droppings between both sheds. This poses a potential health, safety, or personal rights risk to persons in care.
Four out of five residents' beds were observed with half side rails, and the facility staff could not provide the required physician's orders for these rails. This poses a potential health, safety, or personal rights risk to persons in care.
The facility backyard area contained several dog droppings between both sheds. This poses a potential health, safety, or personal rights risk to persons in care.
Records review showed that for residents R2 and R3 with neurocognitive disorders, the physician's reports and Needs & Services plans were outdated. This poses a potential health, safety, or personal rights risk to persons in care.
Medication record review found discrepancies: four medication bottles for R2 were not listed in the central log, one for R1 was missing, and three medications for R1 had incorrect information imputed in the central record. This poses a potential health, safety, or personal rights risk to persons in care.
The facility was unable to produce the required health statement and health screening documents for volunteer V1. This poses a potential health, safety, or personal rights risk to persons in care.
Apr 26, 2024ComplaintCleanReport
The facility underwent an unannounced Collateral visit as part of a complaint investigation for another facility. The Licensing Program Analyst interviewed a resident during this visit. No deficiencies were cited at this time according to the report.
Ownership & Operations
Who Operates This Facility
Vista Verde Home Health LLC
NGUYEN, DIEU-QUI H
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