Facility Evaluation Report

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.