Loving Hands Care Home

Type of visit: Required - 1 Year

On 2/03/2026 at 2:15pm, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced annual required inspection. LPA met with Caregiver, Elizabeth Napolitano, and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of four (4) bedrooms and three (3) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 95.4 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary. Hand washing poster and soap observed at all hand washing stations. The supply of extra hygiene was available for residents. There is a minimum of 7-day non-perishables and 2-day perishables foods. Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher were not tagged. Fire drill last conducted 01/08/2026. First aid kit was observed to be complete. Continued on LIC809C. Three (3) staff records were reviewed, all complete. All three (3) residents records were reviewed and all 3 were incomplete. Deficiencies observed by LPA during record review: At 2:58PM LPA observed water temperature was 95.4. At 3:00PM LPA observed 2 metal poles with wire sticking out of the ground located in the backyard. At 3:15PM LPA observed Resident files are not complete. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. The following forms to be updated and submitted to CCLD by 2/13/2026: LIC610D Emergency disaster plan (last page) LIC500 (Personnel Record) LIC308 (Designation of facility Responsibility) Exit interview conducted. Copy of report, LIC-809 & 809C, LIC-809D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to staff.the state’s words, verbatim · CDSS document, Feb 3, 2026

Allegation investigated: Staff are not ensuring that resident receives their mail while in care.

On 04/23/2025 at 09:23am, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegation above. LPA met with Edelyn Tupas Caregiver and explained the reason for the visit. Allegation: Staff are not ensuring that resident receives their mail while in care. Investigation Finding: unsubstantiated. During the investigation LPA interviewed staff, conservator and resident. LPA obtained and reviewed physician report, appraisal needs and service plan,letter of conservatorship, and email from conservator. Continue on LIC 9099C Unsubstantiated Continue from LIC 9099 During an interview with resident R1 it revealed that R1 stated R1 did not receive a birthday card from a church that mailed R1 a birthday card last year. R1 thinks that the staff is withholding R1s mail. R1 stated that the birthday card is the only mail that R1 is missing. R1 stated that R1 knows that the church mailed R1 a card because they did so last year. Interview with W2 revealed that in the (very rare) event that R1 receives mail at Loving Hands facility, the facility calls W2 and W2 will go there in person to inspect and likely pick up the mail, If the mail is personal (including notices from the court), W2 would give the mail directly to R1. Interview with S1 revealed that R1 has a conservator that handles all of R1s mail, if mail is received at the facility S1 will contact the conservator and the conservator will come to the facility and inspect the mail and provide R1 with the mail unless it’s a bill or something the conservator needs to take care of. Interview with S2 reveals that when mail is received at the facility it is given directly to the resident it is addressed to. Therefore, this allegation is UNSUBSTANTIATED No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 23, 2025 · control 15-AS-20250409154540

Allegation investigated: Staff are not properly feeding a resident Staff are interfering with a resident's visitations

On 04/15/2025 at 10:00am, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegations above. LPA met with Edelyn Tupas, Caregiver and explained the reason for the visit. During the investigation LPA interviewed staff, conservator and resident. LPA obtained and reviewed physician report, appraisal needs and service plan, facility menus, photos of meals and snacks, text messages requesting food items from R1 to S1, email from conservator and visitor policy. Continue on LIC 9099C Unsubstantiated Continue from LIC 9099 Allegation: Staff are not properly feeding a resident Investigation Finding: unsubstantiated. During interviews with resident R1 revealed R1 is not satisfied with the food the facility is serving, R1 stated that the facility is serving 1 slice of bread for lunch, sometimes Pilipino food and crackers, R1 stated the facility provided R1 with popcorn once and it tasted stale. R1 stated R1 has been eating trail mix, popcorn, licorice and chips, R1 stated the facility gave R1 hot peppers one time. R1 also stated that R1 is starving. Interview with S1 revealed that R1 has a conservator which will explain that R1 constantly complains about R1 care and food at the facility. S1 stated that the facility is serving American nutritious meals and S1 will go out and buy the food items and snacks requested by R1. S1 also stated that R1 likes to sleep until afternoon and wishes to have breakfast, lunch and dinner all at the same time. S1 stated R1 is eating all meals and snacks daily. S1 stated S1 takes photos of meals served and eaten by R1. Interview with W2 revealed that R1 has complained constantly about R1’s care at the facility and that R1 has called the public defender, APS, Legal Assistance for Seniors and multiple other agencies. W2 stated R1 claims are R1 is being starved, being poisoned and having funds and belongings stolen and various other abuses, W2 states that R1’s claims have never been substantiated. W2 also stated that caregivers have overlooked R1’s racial and fat-shaming slurs. W2 states R1’s actions are due to diagnosis. LPA was presented with photos of R1’s snacks, meals, texted food requests and facility menu. LPA did not observe any food being locked or inaccessible to residents. Therefore, this allegation is UNSUBSTANTIATED Continue on LIC 9099C(2) Continue from LIC 9099C Allegation: Staff are interfering with a resident's visitations Investigation Finding: unsubstantiated. During the investigation LPA interviewed staff, conservator and resident. Interview with S1 revealed that visiting hours at the facility is 10:00am to 3:00pm. S1 stated that R1 was a part of the homeless population for over 10 years and R1’s friends are from the homeless population they are welcomed to visit and follow the facility policies, but they bring R1 over the counter drugs. During COVID a friend would not follow COVID guidelines being vaccinated or tested and R1 is not vaccinated. R1 has only a few visitors and a few visitors have restraining orders and are turned away. Interview with W2 revealed that R1 has been homeless for decades and most of R1’s friends can’t make the trip to visit R1 in Rodeo. There are also some friends of R1’s that have restraining orders and are not allowed to visit the facility. W2 stated that R1 has two phones to reach out to friends. W2 stated that R1 has an attorney, and the attorney is well aware of R1’s history and background. Therefore, this allegation is UNSUBSTANTIATED No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 15, 2025 · control 15-AS-20241126100312

Allegation investigated: Staff do not administer resident's medication as prescribed. Staff do not ensure that resident(s) are provided food that is of quality and in the quantity necessary to meet the needs of the resident(s). Staff are not providing documentation regarding resident to their Responsible Party as necessary.

On 3/6/2025 at 10:00am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced deliver finding for the complaint investigation in regard to the allegation above. LPA K. Nguyen was greeted by the door by Edelyn Tupasp, caretaker. LPA K. Nguyen spoke with Cecelia San Diego-Tomas, Administrator (ADM) over the phone, and explained the purpose of the visit. ADM was not available to come to the facility and gave permission to Edelyn to sign the report. Allegation: Staff do not administer resident's medication as prescribed- Unsubstantiated During the course of investigation, LPA interviewed 3 staff and 5 residents. LPA observed 1 resident in the living room and 2 residents in their bedroom. LPA received and reviewed the following documents: communication logs between RP and S1, MAR for 5 residents, staff roster with contact numbers, physician's report, care plan, MAR, emergency information, facility progress notes for R1, R2, and R3. Report continue on LIC 9099c… Unsubstantiated RP stated that R1 was not given medication as prescribed. Based on interviews and information obtained from the MAR (medication administration record) shows that R1 received medications as prescribed, the MAR is signed by staff at the time medication is given. Allegation: Staff do not ensure that resident(s) are provided food that is of quality and in the quantity necessary to meet the needs of the resident(s) – Unsubstantiated During the course of investigation, LPA interviewed 3 staff and 5 residents. LPA observed residents are having lunch. LPA interviewed 5 residents, 5 out of 5 stated that they have no complaints on the quality of their food. LPA reviewed 5 residents files and 5 out of 5 do not have any restricted diet on files. Allegation: Staff are not providing documentation regarding resident to their Responsible Party as necessary – Unsubstantiated During the course of investigation, LPA interviewed 3 staff, 3 out of 3 stated RP have not request any documents from them. S1 stated “I communicate with RP almost daily and have not received any files requested from RP via text, mail, or verbal. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conduct and a copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Mar 6, 2025 · control 15-AS-20230807122525

Type of visit: Required - 1 Year

On 1/14/2025 at 12:00pm, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced annual required inspection. LPA met with Caregiver, Edelyn Tupas, and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of four (4) bedrooms and three (3) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 135 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary. Hand washing poster and soap observed at all hand washing stations. The supply of extra hygiene was available for residents. There is a minimum of 7-day non-perishables and 2-day perishables foods. Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher were not tagged. Fire drill last conducted 12/09/2024. First aid kit was observed to be complete. Continued on LIC809C. Continued from LIC809. Three (3) staff records were reviewed, one was complete and two (2) were incomplete. All three (3) clients' records were reviewed and 1 was complete and 2 incomplete. Deficiencies observed by LPA during record review: At 1:04PM LPA observed shower faucet was leaking. At 1:09PM LPA observed the water temperature is 135 degrees F. At 1:29PM LPA observed screen door and screen on side yard window is tore. At 1:35PM LPA observed Administrator Certificate is expired. At 1:40PM LPA observed Fire Extinguisher has no tag or receipt taped to cylinder. At 1:55PM LPA observed Staff and Resident files are not complete. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. The following forms to be updated and submitted to CCLD by 1/30/2024: LIC610D Emergency disaster plan (last page) LIC500 (Personnel Record) LIC308 (Designation of facility Responsibility) Administrator current Certificate. Exit interview conducted. Copy of report, LIC-809 & 809C, LIC-809D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to staff..the state’s words, verbatim · CDSS document, Jan 14, 2025

Type of visit: Case Management - Deficiencies

On 12/6/24 at 9:15AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to open a 10-day initial complaint on an unrelated matter and conducted a case management. LPA met with Ester Ramos, Caregiver and explained the purpose of the visit. At 9:55AM, LPA observed S1 was working at the facility and not have done fingerprint clearance. LPA verified that S1 was not fingerprint cleared. LPA was informed that S1 has been working for 2 days. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Civil penalty of $200 is being assess. Exit interview conducted with Cecilia San Diego-Tomas. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Dec 6, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(1) · Plan of correction due date: Dec 20, 2024

All individuals subject to a criminal record review.... shall prior to working, residing or volunteering in a licensed facility: (1) ...the Department. Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to ...transfer of a ... This requirement is not met as evidenced by: Licensee failed to ensure all staff had a criminal record clearance. LPA observed S1 did not have a criminal record clearance, which poses an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Dec 6, 2024

Plan of correction: Administrator will submit evidence that S1 will not work until criminal record clearance is obtained, proof of criminal record clearance and agree to have all future employee obtain criminal record clearance prior to working at facility and submit to CCL by POC date. A civil penalty of $200 is being assessed today.

Type of visit: Required - 1 Year

On 1/05/2024 at 9:30am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Princess Nido, Caregiver, and explained the purpose of the visit. Cecilia San Diego-Tomas, Administrator arrived at 10:45am. The Administrator currently holds a certificate (#6048434740) that expires on 06/28/2024. The facility’s fire clearance was approved for four (4) non-ambulatory and four (4) bedridden residents. LPA toured the facility with Caregiver Princess Nido including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of four (4) total bedrooms, and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 74.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. New Fire extinguisher will be purchased on 01/06/2024. Emergency Disaster Plan was last posted on 1/15/2023. First aid kit was observed to be complete. LPA reviewed five (5) resident files and three (3) staff files which were found to be incomplete. Administrator had electronic copies of documents and will update resident and staff files. Continued on LIC809C. Continued from LIC809. LPA observed the following deficiencies: · At 10:21am, LPA observed 2 ladders, buckets, bedframes, concrete mix, paint, shovels, wood pallets, wood boards with nails, hoyer lyft, large umbrella frame located in the backyard. LPA requested the following documents to be submitted to CCLD by 1/12/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report along with appeal rights providedthe state’s words, verbatim · CDSS document, Jan 5, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.