Lifetouch the Elegant Living Residential Home Care

Type of visit: Case Management - Other

At 12:25pm on 3/19/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conduct a facility closure visit. LPA met with Licensee/Administrator Amelita Aquino announced who he was and the reason for the visit. Licensee informed LPA via text message on 3/17/2026 and via email on 3/18/2026 that they have closed the facility and there are no residents residing in the facility. LPA and Licensee conducted a full tour of facility and facility property during today's visit. LPA noted that all rooms were empty and no indication of residents residing in the facility. LPA collected the physical facility license. LPA noted that the facility appeared to be absent of all residents at this visit and the Licensee indicated that the last time a resident resided at the facility was 3/5/2026. Exit interview conducted, report signed, and report provided to the Licensee.the state’s words, verbatim · CDSS document, Mar 19, 2026

Type of visit: Required - 1 Year

At 9:10am, on 1/9/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Lead Staff Dennis Paguio and staff Mary Damasco, announced who he was and the reason for the visit. Dennis, Mary, and LPA conducted a full tour of the facility. This facility is a single story residential home with four resident bedrooms (two are dual occupancy), three full bathrooms (two are en-suite to resident bedrooms and one is for shared use) and a staff bedroom is accessible from the backyard. There is a living room, dining space, and a kitchen. Access to the garage is through a locked door for resident safety. The laundry is behind accordion doors with locking cabinets for the chemicals. LPA noted that the backyard and the front yard both have seating and shade for residents and visitors. LPA noted fresh fruit in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is near the front door and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 1/22/2025. At 9:29am LPA tested facility hot water at 130.1*(f) in the shared bathroom in the hallway, not within regulation temperatures 105*-120* (f). This facility has one hot water heater delivering water to all faucets. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. During the tour the LPA noted the following items unattended and accessible to residents in care: at 9:27am LPA noted a can of Ajax and two aerosol cans of Febreze in the shared public bathroom in the hallway; at 9:42am lidocaine ointment, nail polish remover, ibuprofen, and Tylenol in the furniture next to the dining room table; at 9:45am ten bottles of over-the-counter medications in the furniture to the left of the garage door; at (Continue LIC809-C) 9:59am in the backyard a bottle of bleach and bottle of multi-purpose cleaner; at 10:00am an unlocked shed containing paint cans, a medication bubble pack and yard equipment; at 10:02am to the left of the shed a container with seven car cleaning chemicals. LPA noted that the facility is clean with no obstructions in hallways and doorways. Medications are locked in a cabinet in the kitchen area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident record review. LPA noted during facility file review the Licensee/Entity LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE (RCFE), INC is suspended per the California Secretary of State as of 5/1/2025. LPA and Lead Staff conducted a review of the annual care tool modules. LPA spoke with Administrator Aimelita Aquino over the phone to review the visit together. Exit interview conducted, deficiencies cited on LIC809-D pages, report signed, and report provided to the Lead Staff.the state’s words, verbatim · CDSS document, Jan 9, 2026

The state marks this report as 11 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: Staff did not maintain a comfortable temperature for residents in care.

At 7:30am on 06/04/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the initial investigation to the allegation to this complaint and LPA was also able to issue final findings to this allegation based on observations, interviews, and documentation. LPA met with Direct Care Staff, Dennis Pagio (S2) and Direct Care Staff, Cora Castillo (S2), LPA contacted Administrator by phone who had scheduled appointments and requested staff review and sign complaint report. As to the allegation of, "Staff did not maintain a comfortable temperature for residents in care." It was alleged that, the air conditioner was not working during a hot day. It was discovered by observation, documentation, and interviewees. On 06/04/2025, LPA Jeffries conducted an interview with S1, who stated that the Air Condition has always worked and has never been broken since he has been working at the facility (2015). On 06/04/2025, LPA Jeffries conducted an interview with S1, who stated that the air conditioner has always been working and the facility stays cold and never gets hot. S1 has been working at the facility for 3 months. On 06/04/2025, LPA Jeffries conducted an interview with Resident 1 (R1) R1 stated that the facility CONTINUED on LIC9099-C Unsubstantiated is always comfortable and has never had any issues with it being to hot or cold. On 06//04/2025 R2 declined to be interviewed. On 06/04/2025, LPA Jeffries observed the air conditioner to be operating normally, and the facility was a comfortable 70*(f) at 9:30am on 06/04/2025. LPA noted that there was a clear frame around the thermostat control with no cover, allowing full access to the thermostat control by everyone in the facility. LPA noted that on 06/02/2025, Paso Robles Police Officer, Stewart reported that, "Facility was orderly, neat, taken care of. Could feel AC blowing from vent, comfortable temperature. No issue with AC." to a phone call to Community Care Licensing Department CCLD on 06/03/2025. At this time there is not enough evidence to support the allegation of, "Staff did not maintain a comfortable temperature for residents in care." and is unsubstantiated at this time. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Jun 4, 2025 · control 29-AS-20250602162744

Allegation investigated: Uncleared individual(s) are caring for residents

On 04/08/2025 at 08:57am Licensing Program Analyst (LPA) Haner-Tomasko conducted a 10-day complaint visit to the facility above. LPA met with Administrator Amelita Aquino and explained the purpose of the visit. During the visit, LPA interviewed staff, residents, administrator, and obtained relevant documents. On the allegation: Uncleared individual(s) are caring for residents. It was alleged the facility has uncleared individuals working and caring for the residents. LPA reviewed 5 of 5 staff fingerprint clearances. LPA noted three individuals in the facility, two were cleared staff. LPA noted the third individual, Person 1 (P1), is not fingerprint cleared and was cooking and cleaning in the facility at the time of the visit. Resident and staff interviews revealed P1 has contact with the residents, resides in the facility part-time, and provides resident assistance in bathing. (Continued LIC9099-C) Substantiated Resident and staff interviews and resident record review revealed R1 and R2 do not require transfer or lift assistance. Resident interview revealed staff are meeting their needs. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. Exit interview and report given. P1 was able to leave the facility as two cleared staff were present and able to meet the needs of the residents. Based on the information obtained, the allegation is deemed Substantiated at this time. Exit interview, deficiencies cited on 9099-D, civil penalty issued, report given, and appeal rights given.the state’s words, verbatim · CDSS document, Apr 8, 2025 · control 29-AS-20250404134901

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Apr 9, 2025

Criminal Record Clearance. All individuals subject to a criminal record review…shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption…This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when Administrator allowed a non-cleared person, P1, to have contact with the residents, reside in the facility, and assist resident bathing, which posed an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Apr 8, 2025

Plan of correction: Administrator agrees to not allow P1 back into the facility until they are fingerprint cleared and have P1 fingerprinted by Livescan in the next 24 hours. Administrator will email LPA clearance documentation prior to allowing P1 back in the facility.

Type of visit: Required - 1 Year

At 12:05pm on 01/07/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced at the facility to conduct the annual facility inspection. LPA met with Administrator, Amelita I. Aquino announced who he is and the reason for the visit. LPA conducted a tour of the facility which consist of 4 resident bedrooms, 1 staff bedroom, 3 bathrooms, living room, kitchen, dining room and outdoor area in back with shade for residents and visitors and a garage. LPA noted that there are smoke detector in each resident room and a new carbon monoxide detector in the kitchen. LPA observed the fire extinguisher primed in the green and currently tagged for service. LPA noted that all hallways and exits are free and clear of obstructions and the facility was clean and in good repair. LPA noted that a review of the Centrally Stored Medication Records (CSMR) was conducted. Medications are stored in a locked cabinet located in the dining room area. LPA noted that the water temperature in the facility was measured within regulation range of 105*-120*(f). LPA noted that he observed at least two days of perishable and at least seven days on non perishable foods on hand. LPA noted that chemicals were locked in the closet above the washer and dryer also in the dinning room area. LPA noted that the facility appeared to be clean and in good repair. LPA noted that bedrooms had appropriate linin and storage. Each room had a working lamps. LPA conducted a staff and resident file review. LPA reviewed facilities Emergency Disaster Plan and Infection Control Plan. LPA noted that bedroom #4 has a sliding door leading to staff bedroom and there are two different facility sketches associated with the facility and the fire inspection does not decimate which facility sketch is accurate. Administrator to stay in CCLD regulation compliance has scheduled for slider to be permenatly closed per city of Paso Robles approval and new fire inspection will be requested at that time that door being covered is completed. LPA cited for personal accommodations, using resident room as passage [87307(a)(2)(C).] Full care tools modules for annual facility inspection was conducted. No other citations issued. Exit interview, report read, appeal rights and report provided.the state’s words, verbatim · CDSS document, Jan 7, 2025

Allegation investigated: Resident developed a pressure injury due to neglect by staff. Staff are not addressing residents bathing needs. Staff did not seek timely medical attention for resident in care.

At on 11/21/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to issue finial findings to the allegations to this complaint and a case management visit related to this complaint on a separate report during this visit. LPA met with announced who he is and the reason for the visit. As to the allegation of, “Resident developed a pressure injury due to neglect by staff.”, “Staff are not addressing residents bathing needs.” And “Staff did not seek timely medical attention for resident in care.” It was discovered through interviews, reliable witness (W1) (with current medical license) observation, documentation, and photographic evidence that on 11/14/2024 Resident 1 (R1) was seen by Emergency Room staff and observed two pressure injuries (level 2) about 15 millimeters on the resident’s sacrum. At 8:38am on 11/05/2024, LPA Jeffries contacted W1 who stated, R1 had a stage 2 wound on their lower back (Sacrum) that was not being addressed. Additionally, W1 stated that, R1 had crusted scalp, severe dandruff, crusted skin all over their (R1) body, yeast under the folds of their skin, and dry blood in ears.” On 11/05/2024, CONTINUED on LIC9099-C Unsubstantiated LPA Jeffries conducted an interview with Facility Administrator and Licensee, Amelita I. Aquino, who stated that R1’s complete resident file was in a green folder and given to the Emergency Medical Technicians (EMTs) when they transported R1 to the hospital on 11/04/2024. Only documentation Administrator had for R1 was R1’s LIC602 (Physician Report), Skilled Nursing Visit Report (SKR) dated 10/29/2024 from Central Coast Home Health Inc. and R1’s Centrally Stored Medication Record (CSMR). On 11/19/2024 LPA Jeffries received an email from Administrator Licensee that R1’s file was lost. On 11/05/2024, LPA Jeffries reviewed documentation of R1’s Physicians Report (LIC602) signed and dated 01/26/2024 which indicated R1 having a primary diagnose of Chronic venous stasis ulcers to BLE's" [medical condition where open sores (ulcers) develop on the lower extremities (BLE's - below the knee) due to poor blood flow in the leg veins], additionally a history of skin break down, also requiring help in Activities of Daily Living (ADL’s) in bathing, grooming, and toileting needs. Both staff stated R1 could walk around in the backyard for exercise, and regularly slept in a recliner. Staff all indicated R1 was able to reposition themselves in the recliner, and transfer themselves from the walker to and from the recliner, and to and from the shower chair. LPA reviewed SKR dated 10/29/2024, indicating a Licensed Skilled Professional attended and dressed two wounds (stage 2) located on the left and right side of R1’s buttock (same area as Sacrum). On 11/18/2024, LPA Jeffries interviewed direct care staff 1 (S1) who stated that R1 had regularly schedule showers every other day. S1 stated that on 11/03/2024, R1 was provided a sponge bath due to mobility issues. S1 stated that every other day prior to 11/03/2024, R1 was provided full assistance with a full shower and bathing routine. S1 stated that R1 had chronic skin conditions that required full showering routine due to scalp and skin condition. S1 stated that there was a dime size wound on R1’s lower back that was treated by Home Health and facility staff twice per week. On 11/05/2024, interviews with S2 and administrator, both stated that R1 would have full shower and bathing assistance every other day, as well as wound care by Central Coast Home Health twice per week. On 11/05/2024 LPA Jeffries attempted to interview 4 of 4 residents at the facility, however no resident was able to complete interview. LPA noted that 4 of 4 residents were clean, free of odors and appeared to be well groomed. LPA attempted to interview R1’s responsible party, but LPA’s calls were not returned. LPA attempted to obtain photographs of R1’s condition from W1, but the photographs were never provided to LPA. LPA attempted to interview home health personnel who visited R1, but personnel declined LPAs requests for interview. LPA also reached out to the licensee for direct phone numbers and names of home health personnel, but licensee was unable to provide the documents. CONTINUED on LIC9099-C Additionally, the licensee attempted to track down R1’s resident file that was sent with EMTs however was unsuccessful. Based on Interviews, SKR documentation, and observations, home health was treating R1’s pressure injuries, staff assisted R1 with bathing, R1 had a skin condition, and R1 was able to walk around independently. There is not enough evidence to support the allegations of, “Resident developed a pressure injury due to neglect by staff.”, “Staff are not addressing residents bathing needs.” And “Staff did not seek timely medical attention for resident in care.” and are all unsubstantiated at this time. The issues of the licensee losing their original copy of R1’s file and their lack of reporting will be addressed on a separate case management report. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Nov 21, 2024 · control 29-AS-20241104143354

Type of visit: Case Management - Incident

At on 11/21/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct a case management visit related to a complaint finial findings (29-AS-20241104143354) visit being issued on this same visit. LPA met with announced who he is and the reason for the visit. During the above-mentioned complaint, it was discovered through interviews on 11/05/2024 Licensee/Administrator stated on 11/04/2024, facility staff accidently gave Emergency Medical Technicians (EMT’s) Resident 1 (R1) full resident file, containing documents including but not limited to Pre Admissions Appraisals, Appraisals Needs and Services Plan, Admissions Agreement, Hospital and Physician Visit, Home Heath Care documentation and other documentation. Licensee/Administrator made several attempts to located R1’s file including Calling both hospitals, EMT company, Placement Agency, and R1’s son. On 11/18/2024, Licensee/Administrator sent LPA Jeffries and email that R1’s file was, “nowhere to be found.” On 11/17/2024 LPA Jeffries contacted Licensee/Administrator by phone and requested Incident report for R1 for 11/04/2024 hospitalization and death report for same date. Licensee/Administrator stated, “I was so nervous, I forgot”. Licensee emailed LPA Jeffries incident report on 11/17/2024, and an informal email stating that, facility was “Waiting for the Death Certificate from The Coroner's office to provide a copy.” LPA noted that on 08/29/2023, during a prior complaint investigation, and 12/12/2023 during an annual inspection, and an email on 08/14/2024, the regulation requirements for timely reporting, including where, who and how to report. LPA noted that the incident report and the death report were not submitted to LPA’s email until 12 days after the incident and death. Additionally, Licensee/Administrator did not safeguard Resident information and Resident files to keep for 36 months. LPA noted that the facility is cited for Reporting Requirements [87211(a)(1)(A)]. LPA noted that facility is cited for Resident Records [87506(c)(1) and 87506 (e).] Exit interview, report read, appeal rights and report provided.the state’s words, verbatim · CDSS document, Nov 21, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c)(1)and(e) · Plan of correction due date: Dec 5, 2024

Resident Records 87506(c)All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible fo...r safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available ... .(e)Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was note met by evidence of R1's lost full file and is a potential risk fore residents in carethe state’s words, verbatim · CDSS document, Nov 21, 2024

Plan of correction: Licensee agrees to continue to search for R1's missing folder and report by 12/05/2024 that efforts of search and results with incident report submitted to LPA via email.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1)(A) · Plan of correction due date: Dec 5, 2024

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency ...(1) A written report shall be submitted to the licensing ..(A)Death of any resident from any cause regardless of where the death occurred.... the resident within seven days of the occurrence of any of the events specified .... This requirement was not met by evidence of R1/s incident report being request past the 10 day submission limits, which poses a risk to residents in care.the state’s words, verbatim · CDSS document, Nov 21, 2024

Plan of correction: Licensee agrees to create a facility procedure and standardized resident information form for Emergency Medical Technicians (EMT) when residents are transported to the hospital and sample of all current residents in care by 12/05/2024, via email to LPA

Type of visit: Required - 1 Year

At 10:15am on 12/12/2023, Licensing Program Analyst (LPA) Jeffries arrived unannounced at the facility to conduct the annual facility inspection. LPA met with Administrator, Amelita I. Aquino announced who he was and the reason for the visit. LPA conducted a tour of the facility which consist of 4 resident bedrooms, 1 staff bedroom, 3 bathrooms, living room, kitchen, dining room and outdoor area in back with shade for residents and visitors. LPA noted that there are smoke detector/carbon monoxide combos in each resident room. LPA observed the fire extinguisher primed in the green and currently tagged for service. LPA required Administrator to add two additional smoke detectors in the living room and the kitchen/dining room area for full coverage of the facility. LPA noted that all hallways and exits are free and clear of obstructions and no other fire clearance issues were noted during the facility physical tour. LPA noted that a review of the Centrally Stored Medication Records (CSMR) was conducted. Medications are stored in a locked cabinet located in the dining room area. LPA noted that the water temperature in the facility was measured within regulation range of 105*-120*(f). LPA noted that he observed at least two days of perishable and at least seven days on non perishable foods on hand. LPA noted that chemicals were locked in the closet above the washer and dryer also in the dinning room area. LPA noted that the facility appeared to be clean and in good repair. LPA noted that bedrooms had appropriate linin and storage. Each room had a working lamp, however the lamp was not connected to the wall switch in any of the resident rooms. LPA requested Administrator to provide safe lighting for each residents room. Administrator and LPA conducted a full review of the annual care tools module. During the care tool modules a technical violation was issued for insurance not showing $3 million in aggregate, Administrator will provided proof of $3M aggregate coverage by 12/27/2023. A technical advisory was issued on lamp for resident room #3 lamp, Administrator will fix and sent proof to LPA. No other citations or violations were issued as a result of the full annual inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Dec 12, 2023

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.