A Caring Touch Board and Care III

Allegation investigated: Staff do not ensure medication cabinets remain locked at all times Staff do not ensure residents medications are properly managed Staff do not follow residents dietary care plans Licensee is not addressing issue with pets in the facility Staff does not ensure residents personal items are safely secured Staff do not ensure residents care needs are properly assessed

On 3/23/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the alleged s. LPA identified herself to Khaylani White Support Staff who was informed of the purpose of the visit and allowed LPA entry into the facility. The investigation consisted of the following At 10:39 AM, LPA Allen requested the following documents: Admission Agreement, Needs/Service plan, ID/Emergency Information, Physicians Report for Resident 1-5 (R1-R5) and facility ADL Log. During the visit LPA reviewed the Medication Administration Records (MAR) and toured the facility and during that tour LPA did not observe any cats/dogs or any other animal other than fish in fish tanks. LPA also interviewed three (2) staff members, attempted interviews with resident 1-2(R1-R2) and conducted interviews with resident 3-5 (R3-R5). continued..... Unsubstantiated The investigation revealed the following: Allegation 1: Staff do not ensure medication cabinets remain locked at all times. At 11:05 AM, LPA toured the facility and the medication storage area and LPA observed that the medications were locked in the kitchen area and the locks consisted of a combination lock and magnetic lock on the cabinet and locked storage medication boxes inside the cabinet. LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and 3 out of 5 stated that the medications are brought to them and not sure if the cabinet is locked or not. LPA also conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure that the medication cabinets always remain locked and 2 out of 2 staff stated cabinets are always locked unless they are passing medications and no one has access to the kitchen area but the staff. Allegation 2: Staff do not ensure residents medications are properly managed LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and they stated that they believe that their medications are managed properly. LPA conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure residents medications are properly managed and 2 out of 2 staff members stated the residents are managed properly and documentation is noted daily. Allegation 3: Staff do not follow residents dietary care plans LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated their dietary care plans are followed. During LPA visit LPA observed that the residents were being provided lunch based on their care plans and dietary needs. LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated the staff does follow the residents’ dietary care plans . continued Based on interviews, file review and observation during the investigation, the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and provided to Paige Esquivel-House Manager at the conclusion of the visit. Allegation 4: Licensee is not addressing issue with pets in the facility LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated there are no animals at the facility. LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated there are no pets in the home other than the fish. Allegation 5: Staff does not ensure residents personal items are safely secured LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated they are in possession of their personal items and that they are safely secure. LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated residents’ personal items are safely secure, and their names are written on their clothes and if someone happens to get another resident’s personal item(s) it is returned to the owner. Allegation 6: Staff do not ensure residents care needs are properly assessed LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated their needs are taken care of by the staff and they receive what they need. LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated residents’ personal care needs are met daily based on their needs and service plan. During LPA visit LPA observed that the medications were locked in the kitchen area inaccessible to the residents in care. LPA also reviewed the medication administration records (MARs) and it appeared that the residents medications are being provided as prescribed by their physician and managed properly, LPA also observed the residents dietary needs were being met during lunch based on their care plans, LPA did not observe any animals inside the facility cats/dogs/pets other than fish at the time of visit, and during the tour of the facility it appeared that the residents had their personal items in their possession stored in their bedrooms. Continuedthe state’s words, verbatim · CDSS document, Mar 23, 2026 · control 11-AS-20260114134607

Type of visit: Required - 1 Year

On 09/19/25, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with House Manager Paige Esquivel. LPA explained the purpose of today’s visit. The facility is licensed for a Residential Care for the Elderly (RCFE) and serves age range 60 and over, approved for six (6) non-ambulatory, of which five (5) may be bedridden in rooms #1, #3 and #4 only, hospice waiver approved for five (5). Currently, there are no residents on hospice care. The facility is a single-story structure located in a residential neighborhood. The facility has 4 resident bedrooms, 2 shared bedrooms, 2 private bedroom, each shared room has a half bath ½, living room/dining room and kitchen. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 106.7 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Two fire extinguishers were fully charged. A review of the Medication Records Administration (MAR) was observed to be maintained in order and complete. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted. LPA observed a working landline phone was operational. The last fire drill was conducted on 08/25/25. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance with policy # BSCDMRC0107156725AL effective 08/06/25 through 08/06/26. The facility is current on CCL license annual dues. An audit of resident #1-#5 (R1-R5) service files and staff #1-#5 (S1-S5) personnel files revealed to be complete. The facility has the current administrator's certification for Nicolas Wells Administrator's Certificate for #7020639740. No deficiencies during this inspection visit. An exit interview was conducted with Paige Esquivel, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Troy Watson conducted an unannounced visit to A Caring Touch Board and Care III on 08/16/2024 at 11:08 AM. The LPA met with the House Manager Paige Esquivel, and the purpose of the visit was explained. Facility is licensed to serve 6 non- ambulatory residents and currently has a census of (6) of which one has an approved hospice waiver. Some residents are diagnosed with dementia and one resident is receiving hospice care services. The facility does not handle any of the resident’s money. This home is a single-story home consisting of: (4) resident bedrooms, (4) bathrooms, (1) living room, (1) kitchen with a dining area, laundry room and an outdoor shaded patio area. The residents bedrooms have the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower were free of mold / mildew water temperature measured between 105 F– 109. F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors worked properly; the residence has two fire extinguishers that are fully charged. Carbon monoxide / smoke detectors were operational. First Aid kit was checked and properly stocked with scissors, tape, gauze and certified manual available. No bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. An exit interview was conducted, and a copy of this report was provided to the House Manager Paige Esquivel.the state’s words, verbatim · CDSS document, Aug 16, 2024

Type of visit: Required - 1 Year

On 11/18/2023 at 2 pm 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 (No COVID-19 cases). 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 requested capacity is for 6 clients, 1 non-ambulatory, 5 bedridden. Facility has a dementia care plan in place. LPA was greeted and accompanied on inspection by House Manager, Paige Danielle Esquivel. The facility is licensed for a Residential Care for the Elderly (RCFE) and serves age range 60 and over, approved for six (6) non-ambulatory, of which five (5) may be bedridden in rooms #1, #3 and #4 only, hospice waiver approved for five (5). Facility has 4 resident bedrooms, 2 shared bedrooms, 2 private bedroom, each shared room has a half bath ½, 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 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. LPA observed four resident bedrooms, three bedrooms are for bedridden and one bedroom is for non-ambulatory. Bedroom 2 has two beds, two chairs, two nightstands, overhead lighting, closet and two dressers with several drawers. Bedrooms 1 and 4 have one bed, one chair, one-night stand, overhead lighting, closet or wardrobe and a dresser with several drawers. Bedrooms 2 and 3 have two beds, two chairs, two nightstands, overhead lighting, and dressers with several drawers. All drawers comply with the requirement of 8 cubic feet of space and there was ample closet space. Continued on 809-C There are grab rails next to both the toilets and the showers as well as nonskid mats in showers. LPA observed adequate lighting in hallway leading to bathrooms via nightlights. The facility has an activity calendar and provides puzzles, origami, painting, other games and papercrafts 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's did not observe any pets or bodies of water at the facility. Fire Clearance was approved on 6/16/2021 for 5 bedridden client and 1 non-ambulatory clients with rooms one (1), three (3) and (4) four approved for bedridden. The fire drill was conducted on 10/16/2023. 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. All mandated inspection control posters were posted. No deficiencies were observed during today's inspection. An exit interview was conducted with House Manager, Paige Danielle Esquivel and a hard copy of the report was furnished.the state’s words, verbatim · CDSS document, Nov 18, 2023