Caring Hands

Type of visit: Required - 1 Year

On 04/28/2026 at 11:15AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with caregiver, Wilma Nacis, and explained the purpose of the visit. Administrator Mercedes Morales could not attend and stated Wilma is authorized to sign any paperwork. The facility currently houses four (4) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 70.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 08/20/2025. At 12:30PM, LPA reviewed four (4) resident files and four (4) staff files, all found to be complete. The emergency disaster plan was last reviewed 04/07/2025. Quarterly emergency drills were last conducted 04/02/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, Apr 28, 2026

Allegation investigated: . Facility staff do not change resident diaper as frequently as needed 2. Facility staff do not notify responsible person of the resident's change in condition 3. Facility staff do not assist resident with meals 4. Facility staff are unable to communicate with resident due to language barrier

On 11/7/2025 at 4:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and to deliver complaint findings for the allegations above. LPA met with caregiver, Wilma Nacis and explained the purpose of the visit. During the investigation, LPA interviewed 3 residents, 3 staff, and 2 witnesses. LPA reviewed and obtained documents including physician's report, care plan, and emergency information. 1. Facility staff do not change resident diaper as frequently as needed Interview with witnesses and residents revealed that staff assist with diaper changes every 2-3 hours. W3 stated there was no issues for residents getting assistance with diaper changes. Interview with staff indicated that residents' diapers are changed 3-5 times a day. (Continue on LIC9099C...) Unsubstantiated 2. Facility staff do not notify responsible person of the resident's change in condition Interview with residents and witnesses revealed that staff would contact responsible party if there are any questions, changes in condition, and/or incidents regarding residents. 3. Facility staff do not assist resident with meals Interview with residents revealed that staff provides meals to residents. Interview with witnesses indicated they have seen staff serving meals to residents as they visit at different times throughout the day. W3 stated staff would cook special meals for those residents who are vegetarian. 4. Facility staff are unable to communicate with resident due to language barrier Interview with residents and witnesses revealed they are able to communicate with staff in English. Witnesses stated staff understands and speaks English. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Nov 7, 2025 · control 15-AS-20250811085057

Type of visit: Case Management - Deficiencies

On 8/15/2025 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Mercedes Morales and explained the purpose of the visit. While LPA was at the facility for a complaint investigation (#15-AS-20250811085057), the following deficiency was observed. LPA observed facility has incomplete records for one of the residents including: admission agreement, pre-placement appraisal, and re-appraisal needs and service plan. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 15, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(d) · Plan of correction due date: Aug 29, 2025

Resident Records. All resident records shall be available to the licensing agency to inspect, audit... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by having incomplete file for one resident which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Aug 15, 2025

Plan of correction: Administrator has agreed to review resident files and obtain documents in file for future reviews. Administrator will submit self-certification to CCLD by POC date.

Type of visit: Required - 1 Year

On 4/4/2025 at 10:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Wilma Nacis and explained the purpose of the visit. Administrator, Mercedes Morales arrived two hours later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and purchased on 8/28/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.6 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last disaster drill was conducted on 3/19/2025. LPA reviewed 4 residents and 4 staff files starting at 10:35AM. LPA reviewed a sample of residents' medications during inspection. At 11:45AM, LPA observed R1 and R3 did not have current appraisal needs and service plan on file during record review. At 1:00PM, LPA observed S2 and S3 did not have current annual training on file. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Mercedes Morales. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Apr 4, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 4/9/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Wilma Nacis and explained the purpose of the visit. LPA spoke with Administrator, Mercedes Morales over the phone and stated that caregiver can sign the licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 9/11/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.8 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last disaster drill was conducted on 3/14/2024. LPA reviewed 2 resident and 3 staff files starting at 10:45AM. LPA reviewed residents' medications starting at 2:30PM. LPA interviewed 2 residents and 2 staff at 3:00PM. At 11:50AM, LPA observed R1 does not have physician's report and TB test result on file during record review. At 2:50PM, LPA observed doctor's order (dated 11/2/2023) for R1's vitamin D3 was for 50mcg and Acetaminophen was for 325mg. However, facility has bottles of vitamin D3 125mcg and Acetaminophen 500mg. Facility does not have Lidocaine 4% top cream available for R1 with a doctor's order. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Apr 9, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.