A Loving Touch Care Home II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra conducted an unannounced required annual inspection of this facility and met with Licensee/Administrator Elvira Gazal. Facility has 3 residents receiving hospice care and residents with dementia diagnosis. Required postings observed. Annual fees are current. LPA/Administrator toured the facility common areas, residents rooms, kitchen and bathrooms observed had sufficient lighting. Residents rooms are furnished per regulation. The facility was a comfortable temperature. Passageways were free of obstructions. Facility has a sufficient supply of cleaners and hygiene items. Facility has fire pull station. Some residents have a call button that alerts staff in the kitchen. The kitchen area were found to be clean and sanitary; There was sufficient supply of perishable and non-perishable food. Prepared and left over foods were covered and labeled. The facility has emergency supplies to meet requirements of the 72-hour shelter in place. All medications were all locked and inaccessible to residents. Facility's smoke and carbon monoxide detectors were operational. Bathrooms have non-skid surfaces and grab bars at the toilet and shower areas. Exit doors have auditory alarms to alert staff. The last fire drill was conducted 2/1/26. Medication is centrally stored and secure in kitchen. Facility has a generator. - At 10:00 AM, LPA conducted a file review of three staff and six residents. All staff have current 1st aid or CPR certificates and required annual training hours completed There are residents receiving hospice care services within the approved hospice waiver. All residents' care plans are updated. Medical assessments are current and included a description of any known behavioral expression. Elvira Gazal, Administrator Certificate 7002386740 expires 1/12/2028. Licensee agrees to submit updates of the following documents by not later than 4/7/26: LIC500 Personnel Report and Copy of liability Insurance. No deficiencies cited during today's visit. Exit interview conducted with Administrator and copy of this report was given.the state’s words, verbatim · CDSS document, Mar 24, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shannan Hansen conducted an unannounced required annual inspection of this facility and met with Licensee/Administrator Elvira Gazal. Facility has 5 residents in care, 1 receiving hospice care and 4 residents with dementia diagnosis. At approximately 8:50 AM LPA toured the building and grounds with Administrator, which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. Some residents have call buttons which sound in kitchen area. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in locked hallway closet and in locked garage. Water temperature measured between 112.6 degrees F and 116.9 degrees F, within regulation between 105 and 120 degrees F in 2 out of 2 faucets accessible to residents. There was an ample supply of cleaners, hygiene products and paper products available for residents. Resident bathrooms had required slip resistant mats and grab bars. Fire extinguisher inspected was last charged on 12/18/2024. Smoke detectors and Carbon Monoxide detector was tested and found to be in working order. Facility has fire pull station located by front door. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in kitchen along with small refrigerator with lock for medication. At approximately 9:30 AM, LPA reviewed 5 of 5 resident records and found 5 of 5 residents have current physician’s reports or care plans, as well contained current and signed admission agreements and physician’s orders on file. At approximately 10:30 AM, all staff and others needing background clearance and associated have been. LPA reviewed 4 of 4 staff records. 4 of 4 records contain documentation of completed training records as required. Evidence of current first aid and CPR training were observed. Continue on LIC809-C Continued from LIC809 Medications were centrally stored in locked cabinet in the facility kitchen. The Medications of 2 out of 2 residents were found to be given according to physicians’ directions on 3/13/2025 at approximately 10:15 AM. Centrally Stored Medication Record (CSMR) of 2 out of 2 residents were found to be complete and accurate. At approximately 11:00 PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts quarterly disaster drills with the last disaster drill conducted on 2/1/2025. Elvira Gazel Administrator Certificate 7002386740 expires 1/12/2026. No deficiencies cited during today’s inspection LPA Hansen is requesting Licensee to update and submit the following documents to CCL by 3/28/2025: LIC 308 Designation of Responsibility (if changed) LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (if changed) LIC 9020 Register of Facility /Resident’s Control of Property – updated Lease Copy of Administrator’s Certificate Proof of Liability Insurancethe state’s words, verbatim · CDSS document, Mar 13, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA’s) Shannan Hansen & Julie Florio conducted an unannounced required annual inspection of this facility and met with Licensee/Administrator Elvira Gazal. Facility has 6 residents in care, 1 receiving hospice care and 4 residents with dementia diagnosis. At approximately 9:00 AM LPA’s toured the building and grounds with Licensee, which was found to be clean and in good repair. LPA's observed all walkways and exits to be unobstructed. Some residents have call buttons which sound in kitchen area. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in locked garage and locked hallway closet. Water temperature measured between 116.4 and 118.7 degrees F which is within regulation between 105 and 120 degrees F in 2 out of 2 faucets accessible to residents. There was an ample supply of cleaners, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars and non-slip floors/mats. Fire extinguisher inspected was last charged on 1/2/2024. Smoke detectors and Carbon Monoxide detector was tested and found to be in working order. Facility has fire pull station located by front door. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in kitchen along with small refrigerator with lock for medication. Facility to ensure that approved Admissions Agreements are always posted and/or accessible to public view in the facility as per Title 22 Regulations # 87507 (e)(2) Admissions Agreement “The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement, modifications and attachments, or notice of their availability from the facility.” Continue on LIC809-C Continued from LIC809 At approximately 10:00 AM, LPA’s reviewed 6 of 6 resident records and found 6 of 6 residents have current physician’s reports or care plans. 6 of 6 resident records contained current and signed admission agreements and physician’s orders on file. At approximately 11:20 AM, LPA’s reviewed 4 of 4 staff records. 4 of 4 records contain documentation of completed training records as required. Evidence of current first aid and CPR training were observed. Medications were centrally stored in locked cabinet in the facility kitchen. The Medications of 2 out of 2 residents were found to be given according to physicians’ directions on 3/5/2024 at approximately 1:00 PM. Centrally Stored Medication Record (CSMR) of 2 out of 2 residents were found to be complete and accurate. At approximately 12:30 PM, LPA’s reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts quarterly disaster drills with the last disaster drill conducted on 2/1/2024. Elvira Gazel Administrator Certificate 6008643740 expired 1/12/2024 LPA observed pending certification received 10/23/2023. LPA reviewed Licensing Information System (LIS) with Licensee who stated that is correct and updated at this time; no need to change any of the information. No deficiencies cited during today’s inspection LPA Hansen is requesting Licensee to update and submit the following documents to CCL by 3/25/2024: LIC 308 Designation of Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (if changed) LIC 9020 Register of Facility /Resident’s Control of Property – Lease or Deed Copy of Administrator’s Certificate Proof of Liability Insurancethe state’s words, verbatim · CDSS document, Mar 5, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.