Helping Hands Care Homes

Type of visit: Case Management - Deficiencies

On 05/14/2026, Licensing Program Analysts (LPAs) Janette Romero and Jarred Torres made an unannounced case management visit to the facility to address a deficiency observed at the facility. LPAs were greeted and granted entry by Caregiver Alejandro "June" Narrito Jr., who was informed of the purpose of the visit. Administrator Tyla Kincherlow was contacted and also informed of the purpose of the visit. She arrived to the facility to meet with LPAs. LPAs toured the facility with Caregiver Narrito Jr., conducted interviews, and reviewed records. During the tour, LPAs observed that a bed was placed back into the walk-in closet of the bedroom shared by Resident 1 (R1) and Resident 2 (R2) despite being cited for this on 04/13/2026. LPAs also observed an individual lying on the mattress inside R1 and R2's walk-in closet. This individual identified themselves as Caregiver Narrito's spouse and reported to be visiting Caregiver Narrito since the night of 05/13/2026 and will leave on the evening of 05/14/2026. The individual denied providing any care or supervision to the residents but reported sleeping in the bed inside this walk-in closet. As a result, a deficiency will be cited and a civil penalty will be assessed. No immediate health or safety concerns were observed during today's visit. An exit interview was conducted and a copy of this report, Confidential Names list (LIC 811), LIC 809-D, LIC 421FC, and Appeal Rights were reviewed and provided to Administrator Kincherlow.the state’s words, verbatim · CDSS document, May 14, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(2)(D) · Plan of correction due date: May 18, 2026

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (D) Not more than two residents shall sleep in a bedroom. This requirement is not met as evidenced by: Based on observation and interview, a bed was placed back into the walk-in closet located in R1 and R2's bedroom. LPAs also observed an individual lying on this bed. This poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 14, 2026

Plan of correction: Licensee agreed to permanently remove the bed in R1 and R2's bedroom walk-in closet. POC to be emailed to LPA by close of business on 05/18/2026.

Type of visit: Required - 1 Year

On 04/13/2026, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA was greeted and granted entry by Volunteer 1 (V1) who was informed of the purpose of the visit. Licensee Tyla Kincherlow was present in the facility and also informed of the purpose of the visit. LPA toured the facility with Licensee Kincherlow, conducted interviews, and reviewed records. LPA observed the facility is made up of a one-story home with four (4) resident bedrooms, two (2) bathrooms, a kitchen, dining area, living room, laundry room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathroom showers were equipped with grab bars and shower chairs. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Knives and medications are secured in a locked cabinet. LPA observed a hallway closet with additional bath towels, bedding and linens. Licensee tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen last serviced on 06/10/2025. LPA conducted a record review which noted the facility's certificate of liability insurance expires on 07/29/2026 and licensee's administrator certificate expires on 09/21/2027. LPA reviewed the facility's Emergency Disaster Drill noting their last emergency drill was conducted on 03/08/2026. Resident files reviewed had updated physician's reports and signed admission agreements. V1 has a valid CPR/first aid certification on file. The facility has an approved fire clearance to serve five (5) non-ambulatory elderly residents, of which one (1) may be bedridden. The facility also has an approved hospice waiver for four (4) residents and LPA was informed only one (1) resident is currently receiving hospice services. Departmental records show the facility is pending approval of a capacity increase request. During today's visit, LPA observed six (6) residents present in the facility. Licensee reported on approximately February 21, 2026, the fire department inspected the facility for the capacity increase request and verbally approved her to house six (6) non-ambulatory elderly residents of which one (1) may be bedridden. However, Community Care Licensing has not received an approved or denied fire clearance regarding the capacity increase request. As a result, the facility is operating over their approved capacity. LPA reviewed a copy of the facility's sketch received by the Department on 02/05/2026. LPA toured the room currently shared by Resident 1 (R1) and Resident 2 (R2) and observed a mattress in what appeared to be a walk-in closet. Inside the facility, this room is labeled as Room 4, but the facility sketch lists this room as, Bedroom 1 designated for staff. Licensee reported she placed the mattress in the walk-in closet and sleeps there as of approximately two months ago. Licensee will contact with the fire department and inquire whether a new fire clearance inspection is warranted due to the staff room being changed to a resident room. LPA also conducted an interview with V1 and determined they exceed the requirements to be exempt from obtaining a criminal record clearance. Departmental records show V1 has a criminal record clearance but is not associated with the facility. V1 reported volunteering in the facility providing care and supervision to the residents for five (5) hours a day for the past five (5) days. LPA also reviewed Resident 3's (R3's) admission agreement dated 05/23/2023 and found that the facility's visiting policy listed requests visitors to provide a 30 minute notice before arrival and restricts the visitation duration to 1-2 hours depending on whether the bedroom was shared. Licensee reported staff have not restricted R3's visits despite this being documented in their admission agreement. The facility will receive a technical violation regarding this. The facility will be cited and civil penalties will be assessed for the deficiencies noted during today's visit. Licensee was offered a referral to the Department's Technical Support Program which they accepted. An exit interview was conducted and a copy of this report, Confidential Names list (LIC 811), LIC 809-D, LIC 421BG, and Appeal Rights were reviewed and provided to Licensee Kincherlow. Note - LPA was off site from approximately 12:50 p.m. to 3:30 p.m.the state’s words, verbatim · CDSS document, Apr 13, 2026

Type of visit: Case Management - Other

On 07/02/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a case management other visit. LPA met with Lead Caregiver Tyla Kincherlow and explained the purpose of the visit. At the time of the visit there was (1) staff and (1) resident present. Upon arrival LPA observed for there to be a Volunteer #1 (V1) whom has fingerprint clearance but, is not associated to the facility and was left alone with the resident in care, a deficiency is being cited , and $300 civil penalties are being assessed, as V1 has been a volunteer since 06/30/25. Lead Caregiver Tyla Kincherlow arrived 5 minutes after LPA. LPA conducted a review of the following outstanding items: -Status of administrator certification for Caregiver Tyla Kincherlow, proof of completion of CEUs as well as a money order for the fees was observed and obtained. The deficiency was cleared. -On 04/14/25, there was no proof of an emergency disaster drills that were conducted and a citation was issued during the annual inspection conducted. During today's visit there was no proof of an emergency disaster drill being completed therefore the citation is being reissued. -On 04/14/25 a citation was issued for the facility not having valid liability insurance and a citation was issued. During today's visit the status is the same, as the facility does not possess a valid liability insurance policy, therefore the citation is being reissued. -On 04/14/25 a citation was issued due to there not being a staff that possessed valid CPR certification. During today's visit proof was provided and the deficiency was cleared. LPA conducted a review and found for the facility Licensee Helping Hands Care Homes LLC governing body/ FTB, to not be in good standing, as there is a balance due of around $4,000 per Lead Caregiver Tyla, it will be paid by the second week of July. A deficiency is being cited. Please note that LPA was provided the LIC9182 as well as a copy valid of V1, identification was obtained during today's visit. V1 will be associated via Guardian at the RO. An exit interview was conducted and a copy of this report, 809C, 809D, appeal rights, LIC42BG, was reviewed and provided to Lead Caregiver Tyla Kincherlow.the state’s words, verbatim · CDSS document, Jul 2, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(1)(A)(D) · Plan of correction due date: Jul 3, 2025

87355 Criminal Record Clearance (1) (A) Adults responsible for administration or direct supervision of staff. (D) Any staff person, volunteer, or employee who has contact with the clients. This requirement is not met as evidenced by V1 not being associated to the facility which poses an immediate health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2025

Plan of correction: The licensee agrees to associate V1 to the facility, and to review the regulation, 87335 Criminal Record Clearance. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

From the deficiency page — Deficiency type: Type A · Section cited: HSC1569.695(c) · Plan of correction due date: Jul 3, 2025

(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... 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: The facility has no record of drills of being conducted, which posed an immediate health safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2025

Plan of correction: The Licensee agrees to conduct an emregency disaster drill, and document it. Proof of POC is due to the department by 5pm on the due date indicated.

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.605 · Plan of correction due date: Jul 3, 2025

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate... This requirement is not met as evidenced by: the licensee did not comply with the section cited above in 1 out of 1 times which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2025

Plan of correction: The Licensee agrees to obtain valid liability insurance. Proof of POC is due to the department by 5pm on the due date indicated.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87205(a) · Plan of correction due date: Jul 16, 2025

87205 Accountability of Licensee Governing Body (a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement is not met as evidenced by the FTB is not in good standing. This poses a potental health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2025

Plan of correction: The Licensee agrees to pay the outstanding taxes and reinstate the Proof of POC is due to the department by 5pm on the due date indicated.

Type of visit: Required - 1 Year

On 04/14/25 Licensing Program Analyst (LPA) Javina George made and unannounced visit to the facility to conduct a 1 year required inspection. LPA met with Administrator Tyla Kincerlow, where LPA explained the purpose of the visit. During today's visit LPA obtained updated facility contact information, and will update as applicable. The facility is licensed to serve (5) non ambulatory residents of which (1) may be bedridden, with (0) bedridden residents in care at this time. There is also an approved hospice waiver for (4) with (2) residents currently receiving hospice services. LPA conducted a file review and observed for the facility's annual fees that are due by 4/29/25, to not have been paid. LPA provided the following PIN 811329, should the Licensee wish to pay electronically. LPA conducted a records review and observed for the residents to have current medical assessments and admission agreements. Staff present were observed to not have valid Cardio Pulmonary Resuscitation (CPR) certification, deficiency cited. In addition to no initial training for Staff #1 (S1) or updated training for Administrator Tyla Kincherlow. LPA observed for Tyla to not have a valid administrator's certificate, and stated that she is in the process of obtaining her renewal certification. deficiency cited. The laundry appliances were observed to be operable. The facility food supply was observed to be sufficient as there was a (2) day supply of perishable and a (7) day supply of non perishable food items. LPA observed for there to be medication stored inside the refrigerator on the side door. There is no valid Liability insurance insurance, and the facility is not conducting emergency disaster drills on a quarterly basis as required, in addition the fire extinguisher has not been serviced since 2/12/2020, deficiencies cited. Based on today's inspection a citation will be issued on the attached 809D, in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). LPA provided Tyla with the LIC311F-Records to be Maintained at the facility, and requested the following: Please submit to the licensing office the following forms 5pm 4/28/25: Current Designation of Administrative Responsibility (LIC 308) Personnel Report (LIC 500) Emergency Disaster Plan LIC610-E Remove the cameras in the common areas ***Forms are available at www.ccld.ca.gov An exit interview was conducted and a copy of this report, 809D, appeal rights, LIC811-Confidential names List, LIC9098-Proof of Corrections form was reviewed and provided to Tyla Kincherlow.the state’s words, verbatim · CDSS document, Apr 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit . LPA was granted entry and met with Licensee Tyla Kincherlow, who was informed of the purpose of the visit. At the time of the visit there was one (1) staff and five (5) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for residents. LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. Facility contained PPE equipment and cleaning supplies to do regular cleaning of the facility. Cleaning supplies and detergents were locked and inaccessible to residents. The sharp and dangerous objects was locked and inaccessible to residents. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The smoke detector and carbon monoxide was operational, and the hot water temperature was recorded at 108 degree F, which met department requirements. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed staff files and training. All staff have the required personnel records on file and criminal record clearance and updated training along with CPR/First Aid Certification. Four (4) resident files were reviewed. Record review of resident files revealed R1 and R2 did not have a Physician's Report available for review. A deficiency cited under Title 22 Regulation 87458(a) Medical Assessment. LPA observed the centrally stored medication cabinet to be locked and inaccessible to residents in care. LPA reviewed medications for four (4) residents and found medication listed on medication list was found to be in place. LPA reviewed medication and observed PRN for R2 was not being documented when administered. A deficiency cited under Title 22 Regulation 87465(d)(3) Incidental Medical and Dental will be issued along with a plan of correction. LPA reviewed the facility's emergency and disaster plan. A technical assistance (TA) will be issued under Healthy and Safety Code 1569.695(c) due to quarterly fire drill required to be conducted by the end of the April 2024. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in the garage and first aid kit with all required items. Fire extinguishers were fully charged and inspected. An exit interview was conducted where a copy of this report, LIC 809-D, and appeal rights was provided to Tyla.the state’s words, verbatim · CDSS document, Apr 18, 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.