All for Care

Type of visit: Case Management - Deficiencies

This Case management– Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Abdoulaye Zerbo for the purpose of issuing citations for deficiencies observed during the visit on 08-19-26. LPA met with Administrator Tywan Towers and explained purpose of the visit. During the visit, LPA reviewed records and observed files for 2 out of 2 residents to be incomplete. Citation will be issued. LPA also observed the AC unit to be in disrepair. According to the Administrator, the unit has been broken since August 1st, 2026. The facility staff provided portable AC units and fans all over the facility but failed to report the incident to licensing agency. Citation will be issued. An exit interview was conducted, and a copy of this report , the 809 D and appeal rights was discussed with and provided to Administrator Tywan Towers.the state’s words, verbatim · CDSS document, Aug 19, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(b) · Plan of correction due date: Sep 16, 2026

87506 Resident Records (b)Each resident’s record shall contain at least the following information: This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above. R1 and R2 have imcomplete files as referenced in 87506 (b), which posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 19, 2026

Plan of correction: Licensee stated they will complete the files for R1 and R2 and sent proof of correction to LPA by POC due date

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1)(D) · Plan of correction due date: Sep 16, 2026

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above. Licensee did not report to licensing that the AC unit was broken, which posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 19, 2026

Plan of correction: Licensee agreed to conducted staff training on reporting requirements and will include the material used and the sign in sheets of all staff participating.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Yolanda Delgado conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 1:03 PM, LPA met with Licensee Tywan Towers and current Administrator Favie Jimeno . An initial application for Change of Ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 11/09/2024 for a total capacity of six (6) non-ambulatory, of which one (1) bedridden resident. Waiver/Granted for Hospice Care for six (6). Fire clearance was granted on 2/19/2025. LPA Delgado observed the following: Structure: Facility was a one-story house with four (4) resident bedrooms, two (2) resident bathrooms, living room, dining area, kitchen, office, storage and two (2) staff rooms. There will be live-in staff on premises. There was an attached two car garage in the front of the house. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Bedrooms: Each resident bedroom #1-private bedridden, #2-shared non-amb, #3-shared non-amb and #4-private non-amb will accommodate any non-ambulatory resident. Four (4) resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm. Bathrooms: The two (2) resident bathrooms has a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. (CONTINUED ON LIC 809C) (Continued from Page 1) At 2:15 PM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 116 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked cabinet located in the kitchen. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals for all clients. Laundry room with washer and dryer was located inside the garage. Laundry detergents and cleaning supplies were observed in garage away from residents. Living/Family room: There was a living/family room with seating for all clients and TV. Linens and Hygiene Supplies: An adequate supply of linens stored in the main hallway and hygiene supplies was stored in a cabinet near the kitchen area. Yards/Outside: Patio table, chairs and covered patio were observed in the backyard. There was a gate on the West and East sides of the property with a manual latch. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch were observed posted in the main hallway and residents bedrooms. Obudsman poster and Let-Us-No poster observed. General items: Two (2) fire extinguishers were charged and located in the kitchen and hallway. Eight (8) smoke detectors and two (2) carbon monoxide alarms were tested and were observed to be in working order. Client records will be stored in a locked cabinet in the office. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and it was verified to be operational as evidenced by LPA dialing the number to trigger a ring. Emergency water and food supply was observed. No bodies of water observed and no firearms stored at the home. Component III was completed on 04/30/2025 at Riverside RO. (Continued on Page 3) (Continued from Page 2) Pre-Licensing is incomplete and the following corrections to be resolved by 9/18/2025: kitchen floors need deep cleaning and sanitation discern emergency food from regular food supply obtain night light for common bathrooms obtain current edition for First Aid manual obtain additional emergency lightning obtain pest control for ants in kitchen area obtain additional emergency water remove two chains on hooks inside office entry An exit interview was conducted with Tywan Towers and a copy of this report was given.the state’s words, verbatim · CDSS document, Sep 4, 2025