Toscano Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual required inspection. LPA Valerio met with facility staff, and explained the purpose of the visit. LPA Valerio was later met by Administrator Ana Espinoza. Upon entry, LPA Valerio observed the facility receiving grocery delivery. Items included frozen chicken, watermelon, orange juice, fresh vegetables, bananas, deli meat, etc. LPA Valerio observed one (1) resident on the dinning table eating animal crackers and ice water. LPA Valerio observed facility staff preparing lunch for residents and a resident's family member, watching the resident eat their snack, putting away the grocery items, dancing with residents, assisting with feeding during lunch, and engaging in positive conversations with residents. LPA Valerio observed the facility living room to be fully furnished with lounge chair and couch. LPA Valerio observed the kitchen table to be set for resident lunch time along with table top activities for them to engage later in the day. Today for lunch staff prepared chicken drumstick, rice, and vegetables with water. LPA Valerio observed resident bedrooms to be free from odors and fully furnished. LPA Valerio observed the resident bathrooms to be sanitary with the hot water temperature was within regulatory range of 105.0 - 120.0 degrees. LPA Valerio observed the backyard to have a shaded place for sitting and many fruit trees. LPA Valerio observed the shed in the back. The fire extinguisher was observed to be fully charged with a last annual check on April 2026. LPA Valerio reviewed resident and staff files. LPA Valerio observed files to be up to date with required documents. LPA Valerio requested the following be sent to cclascpsacramentosouthro@dss.ca.gov: LIC 500, LIC 308, LIC 610, and copy of liability insurance Per California Code of Regulations (CCR) - Title 22 - no deficiencies were observed today. An exit interview was held, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 21, 2026

Type of visit: Post Licensing

On 10/07/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct the post-licensing inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Ana Espinoza and a brief interview followed. LPA began the inspection in the kitchen. All sharps were locked and inaccessible to residents in care. LPA observed that there was an adequate food supply for 7-day non-perishable and 2-day perishable. LPA provided technical assistance regarding dating and storing refrigerated and pantry items. The fire extinguishers (2) were last inspected on 04/02/24 by Jorgensen Co. LPA observed the following posted in the main living area: Resident Rights, "If You See Something, Say Something," Ombudsman poster, Meal Calendar, Emergency/Disaster Plan, and License and Administrator Certificate for Espinoza. The 2 resident bathrooms were inspected next. LPA observed hand soap, paper towels and trash cans. The hot water temperature was measured to ensure it was between 105 and 120 degrees Fahrenheit. The tour continued to each of the 6 facility bedrooms. Currently one room had 2 residents and 3 rooms were single occupancy. All rooms had the required furniture, furnishings and lighting to be in compliance at the time of this inspection. The 6th room was being used a staff break room. LPA provided consulting services as the facility sketch did not show a staff break room listed. LPA reviewed that medications were all kept locked and inaccessible to residents in care. LPA reviewed storage, administration, recording and destruction procedures. Each resident had their own binder recording their centrally stored medications and these were also kept in the locked medication cabinet in the kitchen. The first aid kit was also inspected and found to be in compliance at the present time. The Administrator and LPA inspected the exterior of the building. The yard was completely fenced in and in good repair. All screens and gutters were in good repair at the time of this inspection and there was a shaded area with seating for residents to enjoy. LPA then reviewed 5 resident files. LPA provided technical assistance with some of the forms included. According to the California Code of Regulations, Title 22, there were no deficiencies cited during today's visit. A copy of this report was provided and an exit interview was conducted with Espinoza.the state’s words, verbatim · CDSS document, Oct 7, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sommer Hayes conducted an announced Pre-licensing visit to this facility on 07/03/25 and was met by the Applicant, Ana Espinoza. A brief interview was conducted with the Applicant. This facility will be licensed as a Residential Care Facility for the Elderly (RCFE) to serve up to 6 non-ambulatory clients. There were 5 residents present during today's pre-licensing visit. LPA observed one resident watching television in the common room, one resident in the kitchen playing games and three other residents in their bedrooms. LPA conducted an inspection of the facility including but not limited to the 5 resident bedrooms (4 single rooms and 1 double room) and two bathrooms, all of which contained the required furniture, furnishings, and lighting to be in compliance at the present time. All bedrooms had doors with locks to provide clients with privacy. Both bathrooms contained paper towels, soap, grip bars and slip mats. Hot water temperatures were taken and measured at 111. F which is within the allowed range of 105-120 degrees. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels and linens able to meet the needs of the residents. LPA inspected the kitchen, and all knives and sharps were in a locked drawer and inaccessible to residents. LPA observed enough plates, cutlery, pots, pans, and cups for residents. Food supply for 2-day perishable and 7-day nonperishable quantities were reviewed to make sure that this facility was in compliance at this time. LPA observed the locked cabinet where medications for residents are stored so that they remain inaccessible to residents in care. There were a total of 1 fire extinguisher in the kitchen. It was inspected by Jorgensen on 04/02/25. Smoke detectors/carbon monoxide were tested by caregiver and LPA observed they were working. The living room, dining room, and laundry room were also inspected. This facility had no bodies of water present on its grounds. A review of the facility perimeter fence, side gates, and walkways were observed. LPA provided the following advisories to the Applicant: Repair of a window screen in bedroom #2. Advisory was provided to clear out potential hazards on the left side of the storage in the back yard. Component III completed with applicant during visit. Exit Interview conducted with Ana Espinoza copy of this report was left with the Applicant. Per California Code of Regulations (CCR) - Title 22, no deficiencies were observed. An exit interview was held, and a copy of the report was provided. LPA will notify the Central Application Bureau that the Pre-Licensing has been completed and passed.the state’s words, verbatim · CDSS document, Jul 3, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 6 Census (if any clients in care): 5 COMP II Participants: ANA ESPINOZA Interview Method: Telephone interview On June 05, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 5, 2025