A Tender Touch Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Edith Conchas made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with House Manager, Teresita Espinoza and was granted entry to the facility. The facility is a one story, (6) bedroom, (3) bathroom, Residential Care Facility for Elderly (RCFE). The facility has a license capacity of (6), and a current census of (5). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is shaded and enclosed with a self-latching gate. Resident bedrooms were furnished with beds, bed linen, nightstands, storage space and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured between 105-120 degrees F. The facility is equipped with a covered fireplace, smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, weekly menu, evacuation plan and emergency telephone numbers. Sharps were kept locked and inaccessible to residents in care. LPA observed chemicals and cleaning supplies were kept unlocked in the laundry room and under the sink. A deficiency was cited. Continue LIC 809-C Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. Care & Supervision: The facility provides 24 hours a day, 7 days a week care staff coverage. Health Related Services: Resident medications were centrally store in a locked cabinet. LPA audited medication for resident and saw dates are dispensed at random. A citation was issued. . Record Review: Two (2) resident files reviewed had admissions agreements, physician’s reports, preplacement appraisals, needs and services plans. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, job related training, and health screenings. LPA review of staff files reveals, no physician report only TB was completed. The Administrator’s certification, facility’s insurance and emergency drill training are up to date. Based on LPA observations and records reviewed, deficiencies were cited and Technical advisories were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-C, LIC809-D and LIC9102) were discussed and copies were provided with appeal rights to the house manager at the conclusion of the visitthe state’s words, verbatim · CDSS document, Nov 17, 2025

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with House Manager, Teresita Espinoza and was granted entry to the facility. The facility is a one story, (6) bedroom, (3) bathroom, Residential Care Facility for Elderly (RCFE). The facility has a license capacity of (6), and a current census of (4). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is shaded and enclosed with a self-latching gate. Resident bedrooms were furnished with beds, bed linen, nightstands, storage space and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 109 degrees F. The facility is equipped with a covered fireplace, smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, weekly menu, evacuation plan and emergency telephone numbers. Sharps were kept locked and inaccessible to residents in care. LPA observed chemicals and cleaning supplies were kept unlocked under a bathroom sink and laundry room. The manager locked the chemicals in both rooms. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. Care & Supervision: The facility provides 24 hours a day, 7 days a week care staff coverage. Health Related Services: Resident medications were centrally store in a locked cabinet. LPA observed medication list for resident #1 (R1) and resident #2 (R2) was not updated with current medication and dosages. Record Review: Four (4) resident files reviewed had admissions agreements, physician’s reports, preplacement appraisals, needs and services plans. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, job related training, and health screenings. LPA review of staff files reveals, staff #1 (S1) did not have a criminal record clearance by the Department. Staff #2 (S2) did not have current first aid/CPR training on file. S2 and S3 did not have record of job related training on file. The Administrator’s certification, facility’s insurance and emergency drill training are up to date. Based on LPA observations and records reviewed, deficiencies were cited and Techinical advisories were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-C, LIC809-D and LIC9102) were discussed and copies were provided with appeal rights to the house manager at the conclusion of the visitthe state’s words, verbatim · CDSS document, Nov 21, 2024

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA's) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit there was one (1) staff members and (4) residents. LPA met with Teresita Espinoza- Manager who was informed of the purpose of the visit. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: The Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and lighting and is maintained at a comfortable temperature. Posters such as personal rights was posted in a common area. There was enough nonperishable and perishable food for the number of residents in care. The facility has a variety of food available for residents, and a menu was available for review. LPA observed that the food was stored in a safe manner. Sharps are stored in a locked cabinet inaccessible to clients in care. The resident’s bedrooms are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. All bathrooms had non-slip mats and were operating in a safe and in good sanitary condition. The hot water temperature measured between 105-120-degrees F. LPA also observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers. LPA did observe cleaning supplies, toxins items are kept in a locked cabinet in the laundry room inaccessible to clients in care. LPA reviewed three (3) client files for admission agreements, updated physician reports, and needs and services plans which were not available for review, the files were incomplete or not signed by the resident or their responsible party. LPA requested the files for three (3) staff members and there were no files available for review at the time of visit. LPA observed the centrally stored medication for each resident's was transferred between the original packaging into separate containers and there was no current MARS or log of medications being given to the residents as prescribed by their physicians. An exit interview was conducted, and this report LIC809, LIC809-D's was discussed and provided to Teresita Espinoza at the conclusion of the visit with the appeal rights.the state’s words, verbatim · CDSS document, Nov 30, 2023

The state marks this report as 15 pages; the online copy we transcribed has 13. You can request the full file from the county licensing office.