A Caring Touch Board and Care II

Type of visit: Required - 1 Year

On 08/28/26, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced annual visit using the CARE Inspection Tool. LPA met with House Manager Paige Esquivel and explained the purpose of today’s visit. The facility is licensed to serve six non-ambulatory residents, of which three may be bedridden. Bedrooms #2 and #3 are approved for bedridden. The facility has a hospice waiver for six residents. The facility does not currently have any residents receiving hospice care services. Annual fees are current. The facility is a single-story home with five bedrooms, five bathrooms, living room, dining room and kitchen, front and back yard patio with seating. Staff accompanied LPA Cloyd inside the facility during this inspection. Resident bedrooms had bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place, and water temperature measured at 114 degrees Fahrenheit. Common areas were clean and clear of hazards. Doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives were kept in a locked kitchen drawer. First aid kit was available. Two fire extinguishers, last serviced in July 2026, were observed in the hallway and kitchen. A fire drill was conducted on 07/23/26. Five staff records were reviewed; five out of five staff records had the required criminal record clearances or criminal record exemptions. Five resident records were reviewed. Two residents’ medication were reviewed. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with House Manager Paige Esquivel.the state’s words, verbatim · CDSS document, Aug 28, 2026

Type of visit: Required - 1 Year

On 5/7//2025, At 8:58 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced annual comprehensive inspection. LPA was greeted by Grace Rendon-caregiver upon arrival, LPA introduced herself, explained the purpose of the visit and was granted access into the facility. The facility is licensed to care for residents age range 60 and over, 6 non-ambulatory of which 3 may be bedridden. Only bedroom #2 & #3 are approved for bedridden. There is a hospice waiver for 3. The facility is a single-story home with 5 bedrooms, 5 bathrooms, living room, dining room and kitchen, front and back yard patio with seating. At 9:20 AM, LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings which were all current. LPA reviewed six (6) residents files for admission agreements, updated physician reports, needs and services plans, Medication Administration Records (MARS) which appeared residents have been given their medications as prescribed by their physicians and files are current. At 11:15 PM, LPA and Paige Esquivel- House Manager toured the physical plant. There were no bodies of water and there were no obstructions inside or outside of the premises. LPA inspected a total of (5) bedrooms and (5) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be clean and operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 115.5°F to 120.0°F, and the temperature throughout the facility ranged from 74°F to 78°F. During the visit. The facility appeared to be clean, sanitary, and appropriately furnished. At 12:00 PM, LPA toured the kitchen and observed cleaning supplies, toxins, and sharp objects stored in locked cabinets in the kitchen inaccessible to residents in care. LPA observed the dining area and there was sufficient seating for dining. LPA observed a 5-day supply of perishables and a 7-day supply of non-perishable food available for the residents in care which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 4/15/2025. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided Paige Esquivel- House Manager at the conclusion of the visit.the state’s words, verbatim · CDSS document, May 7, 2025

Allegation investigated: Staff did not safeguard resident's personal belongings.

On March 12, 2025, the California Department of Social Services/Community Care Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit. Katrina Baesa, the caregiver, greeted the (LPA). Baesa contacted Nicolas Wells, the administrator, by telephone, and the purpose of this visit was explained to investigate the allegation mentioned above. The investigation included interviews, a collection of records, and a tour of the facility. Interviews were conducted with staff members #1 to #3 (S1-S3), resident members #1 to -#6 (R1-R6), and witnesses #1 to #2 (W1-W2). The Department reviewed several documents, including the Facility Staff Roster, the Resident Roster, Resident #1 (R1)'s Resident Assessment, Preplacement Appraisal Information, Admissions Agreement, physician report, Medication Administration Records, Resident Personal Property Valuables and other pertinent records associated with this complaint. (Evaluation Report continues LIC 9099-C) Unsubstantiated INVESTIGATION REVEALED THE FOLLOWING: Allegation: Staff did not safeguard resident's personal belongings. The complaint stated that staff did not safeguard Resident #1 (R1’s) personal belongings. It is reported that someone at the board and care facility keeps stealing (R1’s) belongings. Furthermore, (R1) is independent and does not belong in an assisted living facility. There was no further details were provided. On March 12, 2025, between 10:00 AM and 11:40 AM, the Department interviewed three staff members, identified as Staff #1 through Staff #3, regarding the accusation. Three (3) out of three (3) could not corroborate this claim made against them. They stated that all residents are treated with dignity, respect, and privacy. All staff members have completed training in Workplace Sensitivity courses, which include topics such as Resident Rights, Working with Individuals with Dementia, and Cultural Competence, among others. (S1-S3) explained that there were no incidents involving Resident #1 (R1). (S1) explained that (R1) was admitted to this facility on December 23, 2024. (R1) resided in a private home and is still adjusting as a resident in a communal assisted living environment. (S2-S3) reported that (R1) had previously accused someone of taking personal items such as clothing, a calendar, a Bible, and hearing aids. All these items were later recovered as (R1) misplaced, and (R1) did not recall where (R1) had stored them. (S1) claimed the facility does not have a surveillance camera to capture daily activities. However, (S1) expressed that the facility has zero tolerance for employees for this behavior, so immediate action should be taken. On March 10, 2025, between 04:16 PM and 04:35 PM, the Department interviewed a resident member identified as Resident #1. (R1) claimed to be independent and did not required to be in an assisted living facility. (R1) claimed that several personal items went missing. (R1) was unable to provide descriptions of the items, dates when they occurred, or names and descriptions of individuals involved. (R1) did not present any demonstrative evidence to support the claim. Evaluation Report continues LIC 9099-C On March 12, 2025, between 10:45 AM and 11:30 AM, the Department interviewed four resident members identified as Resident #3 through Resident #6. Four (4) out of the (4) could not support this claim. (R3-R6) claimed no issues or concerns with their items. (R3-R6) are complementary of the staff for care and supervision provided and stated they are trustworthy staff. Residents #1 and #2 were out in the community or unavailable for an interview during the visit. On March 12, 2025, between 11:10 AM and 11:45 AM, the Department interviewed two witnesses identified as family representatives, Witness #1 and Witness #2. (W1-W2) reported they were unable to support this claim. (W1-W2) stated there have been no issues or concerns relating to the resident’s failure to safeguard the resident’s valuables. (W1) mentioned that (R1) had made these accusations, and later items were recovered. (W1) stated that (R1) was admitted with items of no value at this facility. A review of Resident #1’s service records, including the Physician Reports LIC 602A (dated 09/09/24 and 12/12/23), Appraisal/Needs and Services Plan LIC 625 (dated 12/19/23), revealed that (R1) is diagnosed with Major Neurocognitive Disorder (NCD). Admission Agreements for Residential Care Facilities for the Elderly LIC 604A (dated 12/23/24), Resident Personal and Valuables LIC 621 revealed (R1) only had two personal items listed a cell phone and hearing aids that are not claimed missing. Further review of staff training records verified staff have completed courses in Resident Rights, Cultural Sensitivity In Elder, Common Challenges in Aging, Communications Caring for Persons with Dementia, and Dementia. The Department observed during the visit that mandate posters, Resident Rights, Personal Rights, and California Residential Care Facilities for the Elderly Complaint Poster, were posted throughout the facility to inform residents of their rights. Based on the information gathered, there is not enough evidence to support the allegation mentioned above. Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed Unsubstantiated. An exit interview was conducted with Katrina Baesa, and copies of the reports were provided.the state’s words, verbatim · CDSS document, Mar 12, 2025 · control 11-AS-20250310103916

Allegation investigated: Staff did not provide accommodations to resident in care.

On 03/06/2025, at 8:15 AM, Licensing Program Analyst (LPA), Antonine Richard, conducted an unannounced complaint visit to the facility above. LPA met with the Care giver Allison Gaddi, and the purpose of today's visit was explained. LPA was granted entry into the facily. At 8:25 AM, LPA spoke with the Administrator, Wells, Nicholas via the telephone. Investigation consisted of the following: On 03/06/2025, LPA toured the facility, interviewed Staff S1-S3, interviewed residents R2-R5, and reviewed Resident Roster (dated 03/01/2025) staff roster (dated 03/01/2025), Medication Administration Record (MAR) from 02/03/2025 to 03/06/2025, Physician Report (dated 09/19/2024), After Doctor Visit Summary (dated 01/02/2025 to 02/11/2025) Appointment Desk-Future (dated 01/14/2025 to 08/07/2025). Appraisal/Needs and Services plan (dated 02/19/2025). The investigation revealed the following: Unsubstantiated Allegation: Staff did not provide accommodations to a resident in care. The complaint details that there was a lot of noise coming from the heater and other equipment, which irritated resident ears. During the visit on 03/06/2025, LPA Richard inspected all the residents' rooms and had staff turn on the heaters to inspect if they were noisy or malfunctioning. LPA observed the heater was operational and fully functional. When the heater was on there was normal noise coming out from the wall where the heater is located. However, when LPA Richard entered each of the resident rooms while the heater was on for thirty minutes LPA was not able to hear anything while in the resident room. On 03/06/2025, from 10:30 AM to 11:00 AM, LPA interviewed Resident # 2- 5 about the allegation 4 out of 6 denied the allegation and stated they could not hear any noise when inside the room. On 03/06/2025, from 11:16 AM to 12:20 PM, LPA interviewed Staff #1-3; 3 out of 3 staff denied the allegation and stated that the heater noises were normal, and they could only hear the sound when in the living room where the heater is against the wall. LPA interviewed the Administrator who denied the allegation and stated that only one resident complained about noises coming from the room and insisted the hearing aids had an electric shot coming through the body. LPA interviewed Witness #1 who denied the allegation and stated that Resident #1, R1 had a hearing problem for years even though the doctor could not give any logical explanation for R1's hearing problems. During the file review, LPA received and reviewed the Appointment Desk and Future (dated 01/07/2025 to 08/07/25) indicating that R1 has been seen numerous times for Hearing Tests from R1's primary doctor. LPA was unable to interview Resident #1. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. Exit interview conducted. A copy of this report was provided to the staff Allison Gaddi.the state’s words, verbatim · CDSS document, Mar 6, 2025 · control 11-AS-20250225161122

Type of visit: Required - 1 Year

On 06/19/2024 at 9:00 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of COVID-19 infection. LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. The facility is licensed for a Residential Care for the Elderly. The capacity is for 6 residents, 6 non-ambulatory, 0 bedridden. Facility has a dementia care plan in place. LPA was greeted and accompanied on inspection by Paige Esquivel, House Manager. LPA toured the physical plant, inspected food service, reviewed staff records, and reviewed resident files for medical status. There are 1 receiving Home Health and 2 receiving Hospice Services. Facility has 5 client bedrooms, 5 client bathrooms, living room, dining room and kitchen. Facility is a single-story house. The client bedrooms are spacious and will easily accommodate the client's furnishings. There is a shaded side yard with an umbrella, table and chairs. Outdoor passageways, walkways, driveways, steps and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Continued on 809-C LPA observed 5 resident bedrooms, 0 bedrooms are for bedridden, and 5 bedrooms are for non-ambulatory. Bedroom 2 has two beds (*shared resident room/there are two residents), two chairs, two nightstands, overhead lighting, closet and two dressers with several drawers. Bedrooms 1, 3, 4 and 5 have one bed, one chair, one-night stand, overhead lighting, closet or wardrobe and a dresser with several drawers. All drawers comply with the requirement of 8 cubic feet of space and there was ample closet space. All bathrooms have working toilets, wash basins and showers/baths. There are grab rails next to both the toilet and the shower as well as nonskid mats in showers. LPA observed adequate lighting in hallway leading to bathrooms via nightlights. Beds have the required linen/supplies which include, pillowcases, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen stored in linen closet, which is at end of the hall between the bedrooms. Facility does not have a washer and dryer on premises. The facility has a landline which was called by LPA and is operational (424-238-8911). Emergency Disaster Plan posted & readily available for review on the wall. Two fully charged fire extinguisher were found, one in kitchen and one in hallway. Toxins locked/stored in under kitchen sink and in shed out back. Water temperature in kitchen and bathrooms measured between 105F and 120F. Dishes, cups and flat ware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery and other sharp kitchen utensils are in magnetically locked drawers. Food supply was adequate and stored in kitchen refrigerator and cabinets and consists of the following: A variety of fresh and canned fruit, vegetable and meat food items. Seven (7) dual smoke/carbon monoxide detectors are hardwired and interconnected. Continued on 809-C They were tested and are fully operational. Stove burners and oven are in good working condition. There is 1 refrigerator in the kitchen. Refrigerator and freezer are at the correct temperature for food storage. First aid kit and manual has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and manual which are stored in locked cabinet, available for staff use but inaccessible to clients. The facility Liability Insurance is current. The facility does not handle cash resources of clients. Records of staff and clients are stored in a locked kitchen cabinet accessible to staff. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. The facility has activities and provides puzzles, origami, painting, other games and paper crafts as well as a karaoke machine, and chair dancing. Outside activity area is properly enclosed with self-closing latches and all doors have auditory devices to monitor exits. LPA did not observe any pets or bodies of water at the facility. Fire Clearance was approved on 5/12/2021 for 3 bedridden client and 3 non-ambulatory clients with rooms two (2) and three (3) approved for bedridden. LPA did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on side gates and front exits. Facility has a hospice waiver for 3. The last emergency fire drill was conducted on May 17, 2024. No deficiencies cited during this visit under California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted, and a copy of the report was provided to Paige Esquivel.the state’s words, verbatim · CDSS document, Jun 19, 2024