Facility condition and maintenance
Cited in 2 reports, with 5 deficiencies in total.
HERITAGE RESIDENTIAL CARE
20975 MARIPOSA ROAD, Lake Elsinore CA 92530
6 bedsLatest official report Nov 24, 2025Licensed
Additional info
- Telephone
- (951) 245-0892
- Licensee
- MARIA ARACELI UNDAN
- Administrator
- MARIA ARACELI UNDAN
- Contact
- MARIA ARACELI UNDAN
- License first date
- Nov 25, 2003
- License effective date
- Nov 25, 2003
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 19 Type B deficiencies for this facility.
- Most recent inspection
- Nov 24, 2025
- Most recent deficiency
- Nov 24, 2025
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 486 Riverside County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 3 Type A and 19 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 22
- Type A deficiencies
- 3
- Type B deficiencies
- 19
- Substantiated complaints
- 0
- Repeated topics
- 4
More than the typical 3
1 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size have none
0 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Fire safety and emergency preparedness
Cited in 2 reports, with 4 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 3 deficiencies in total.
Dementia care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(4)(C)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (4) All facility staff and volunteers shall use gloves as a protective barrier to prevent the spread of potential infection as specified below. (C) Gloves shall be removed and discarded in the nearest appropriate waste receptacle with a tight-fitting cover immediately following the glove use as required by subsection (a)(4)(A) with one resident and prior to an interaction with another resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in Resident #1 (R1)'s trash can contained used gloves and did not have a tight-fitting cover which posed a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2025 Plan of Correction Licensee agrees to place waste receptacle with a tight-fitting cover in all of the residents' bedrooms and send proof to the Department by POC date of 12/22/2025.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in Staff #1 (S1) did not have current cardiopulmonary resuscitation (CPR) training and first aid training and was the only staff on duty and on the premises during their shift which posed a potential health andl rights risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2025 Plan of Correction Licensee agrees to send proof of S1's CPR and first aid training to the Department by POC date of 12/22/2025.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(4)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that a staff's scheduled to work the night shift, awake and on duty as required for facility with dementia residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2024 Plan of Correction Licensee stated to submit an updated Personnel Report/Staff Schedule that will show a staff scheduled to work at night, awake and on duty as required for facility with dementia residents to LPA Brown on Plan of Correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)
- Regulation authority
- CCR
What the official deficiency says
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not developing the required Infection Control Plan for the facility which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/27/2024 Plan of Correction Licensee stated to develop the required Infection Control Plan and submit a copy to LPA Brown on Plan of Correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the hot water temperature controls were maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C) which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/27/2024 Plan of Correction Licensee stated to regulate hot water temperature on residents bathroom to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C) and submit proof to LPA Brown on POC due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the outdoor passageways are kept free of obstructions which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/06/2024 Plan of Correction Licensee stated to remove the observed obstructions in the outdoor passageways and submit proof to LPA Brown on PLan of Correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1) and Resident #3 (R3) have Pre-Admission Appraisal and Resident #2 (R2) pre-admission appraisal has the required R2's responsible person signature which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/06/2024 Plan of Correction LIcensee stated to submit a completed copies of R1, R3 and R2 Pre-Admission Appraisal to LPA Brown on POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensurimng that the facility has the required emergency suppliles, food and water which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/06/2024 Plan of Correction Licensee stated to obtain/purchase the frequired emergency supplies, food and water and submit proof to LPA Brown on Plan of Correction (POC) due date. (Reference emergency.gov)
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(2)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) has a completed Preplacement Needs and Services Plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/06/2024 Plan of Correction Licensee stated to submit a copy of R2 Prepalcement Needs and Services Plan to LPA Brown on POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #4 (R4) to have a half bed rail and R4 has no written order from R4 physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/06/2024 Plan of Correction Licensee stated to obtain R4 physician order for R4 half bed rail for mobility and submit proof to LPA Brown on Plan of Correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(5)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodation & Services (d) (5) Night light shall be maintained in hallways and passages to non-private bathrooms This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that night lights were maintained in hallways and passages to non-private bathroomsi which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/27/2024 Plan of Correction Licensee stated to obtain/purchase night lights and submit proof to LPA Brown on POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by not conducting a quarterly drill which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction The licensee has agreed to read HSC 1569.695 entirely and send LPA a statement of understanding that the HSC was read and understood. The licensee has agreed to conduct a drill and send LPA proof by the POC date. The license has agreed that moving forward a quarterly drill will be conducted. POC is due by 1/4/2024.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(2)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by not completing a needs and services plan, LIC625, for residents R1, R2, R4, and R5 which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction The licensee has agreed to read HSC 1569.695 entirely and send LPA a statement of understanding that the HSC was read and understood. The licensee has agreed to complete a needs and services plan, LIC625, for the residents and send proof to LPA by the POC date. POC is due by 1/4/2024.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87212(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Emergency exiting plans and telephone numbers shall be posted. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by posting a Disaster Plan, LIC610E, which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction The licensee has agreed to read regulation 87212 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to complete a Disaster plan, LIC610E, post the plan in the facility, and send proof to LPA by the POC date. POC is due by 1/4/2024.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by interview and observation, the licensee did not comply with the section cited above evidenced by the bathroom sink water being measured at 129.3 degrees F which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to adjust the water temperature to the correct temperature range by the POC date. POC is due by 1/4/2024.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) 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. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by interview and observation, the licensee did not comply with the section cited above evidenced by having holes in the ceiling in the laundry room covered with trash bags and tape and having holes in the wall and ceiling in the staff room covered with trash bags and tape which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/11/2024 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to repair the wall and ceilings in the laundry room and the staff room by the POC date. POC is due by 1/11/2024.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(j)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced based on interview and observation, the licensee did not comply with the section cited above evidenced by not having an auditory devices on the facility exits in the living room, laundry room, staff room #1, bedroom #2, and bedroom #3 which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/04/2024 Plan of Correction The licensee has agreed to read regulation 87705 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to install auditory devices on all facility exits. POC is due by 1/4/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
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. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by storing and labeling resident's medications in a plastic containers that are not the original prescription bottle from the pharmacy which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/14/2022 Plan of Correction The licensee has agreed to read regulation 87465 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to train all staff on medication safety and storage. The licensee has agreed to send LPA documentation that a medication safety class has been scheduled. The licensee has agreed to send LPA documentation that each staff member has attended the medication training, this includes staff dates and signatures as evidence of attendance.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(6)
- Regulation authority
- CCR
What the official deficiency says
87303. Maintenance and Operation. (e)Water supplies and plumbing fixtures shall be maintained as follows:(6)Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having a toilet tank cover on back of the toilet. The licensee covered the toilet with a wet piece of dirty cardboard and a pink and white incontinence disposable pad which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/14/2022 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to purchase a new toilet tank cover. The licensee has agreed to remove and dispose the wet and dirty substance covered cardboard and pink and white incontinence disposable pad from the back of the toilet. The licensee has agreed to send LPA receipt of the purchase of the new toilet tank cover as well as picture proof that the new toilet tank cover was installed on the toilet.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303. Maintenance and Operation. (a)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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having cleaned window seals in the living room and kitchen area. There is a buildup of dirt and debris as well as a black colored substance which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/20/2022 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to contact a hazard company to inspect the dirt and debris to confirm whether or not it is safe to remove by the licensee or if the company needs to professionally remove the substance. The licensee has agreed to send LPA a receipt invoice of the hazard company’s evaluation of the window seals. As well as picture proof that the dirt debris substance has been cleaned and or removed.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303. Maintenance and Operation. (a)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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having a hole in kitchen wall. The hole is located above the cabinets near the refrigerator. The hole has insulation coming out of it which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/01/2022 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to contact a construction company to evaluate the hole in the wall. The licensee has agreed to send LPA a receipt invoice of the construction company’s evaluation of the hole. As well as picture proof that the hole has been repaired.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303. Maintenance and Operation. (a)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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having flooring in bedroom #2 near the sliding door that is peeling up from the surface. The flooring is lifting, has cracks, and has dirt and or debris coming out of it with a dark colored appearance which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/01/2022 Plan of Correction The licensee has agreed to read regulation 87303 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to contact a construction company to evaluate the flooring. The licensee has agreed to send LPA a receipt invoice of the construction company’s evaluation of the flooring. As well as picture proof that the flooring has been repaired.
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology