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Inspection visit

Follow-up

AM RESIDENTIAL CARE HOMELicense 4156006933 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On December 17, 2025, Licensing Program Analyst (LPA) Murial Han conducted a case management visit to follow-up on the pre-licensing inspection findings that were observed for Heritage Manor. LPA met with administrator, Katie Eiseman explained the purpose of today's visit. During the pre-licensing inspection, LPA observed sharps were not locked and accessible to residents in care. During medication review, LPA observed some of resident #1 (R1), resident #3 (R3), and resident #6 (R6)'s medications did not have a written order from the physician. During the medication review, LPA also observed resident #2 (R2), resident #4 (R4), resident #5 (R5), and R6's medications were removed from its original contains and pre- poured into a weekly medication organizer. According to Staff #1 (S1), the medications were prepared for a later shift. LPA requested for a copy of the current medication list/prescription for R1, R3 and R6 to be submitted by 12/18/2025. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the administrator. A copy of this report and the appeal rights were provided.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    (a) Except as specified in subsection..the licensee shall ensure that..sharp objects,other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidence by based on observation, and interview, LPA observed sharps were unlocked and accessible to residents in care which poses an immediately health and safety risks to residents in care.

  • 87465(e)Type A

    Require physician order and label for PRN medication

    87465 Incidental Medical and Dental Caree)For every prescription and nonprescription PRN medication..there shall be a signed, dated written order from a physician,.. This requirement is not met as evidenced by based on observation, record review and interviews, LPA observed some of R1, R3, and R6 medications did not have a written physician order which poses an immediately health and safety risk to residents in care.

  • 87465(h)(5)Type A

    Keep prescriptions in original containers

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container... This requirement is not met based on observation, and interview, LPA observed R2, R4, R5, and R6's medications were transferred to a weekly medication organizer for a later shift which poses an immediate health and safety risks to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 17, 2025 inspection of AM RESIDENTIAL CARE HOME?

This was an other inspection of AM RESIDENTIAL CARE HOME on December 17, 2025. 3 citations were issued: 3 Type A (serious).

Were any citations issued to AM RESIDENTIAL CARE HOME on December 17, 2025?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "(a) Except as specified in subsection..the licensee shall ensure that..sharp objects,other similar items which could pos..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.