Community Care Licensing

Document Has Been Signed on 07/29/2026 02:21 PM - It Cannot Be Edited

FACILITY NAME:	GIFTED HANDS CARE PROVIDER		FACILITY NUMBER:	014700120
ADMINISTRATOR/ DIRECTOR:	MAFI, TEVITA		FACILITY TYPE:	300
ADDRESS:	7315 FRESNO ST		TELEPHONE:	(510) 467-9039
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:		CENSUS:	DATE:	07/29/2026
	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Tevita Mafi		TIME VISIT/ INSPECTION COMPLETED:	12:45 PM

Yolanda Hankerson DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2026

Link to Parent Document Below:

FACILITY NAME: GIFTED HANDS CARE PROVIDER	FACILITY NUMBER: 014700120
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/28/2026 Section Cited 1796.42. (a)	1 2 3 4 5 6 7	A home care organization licensee shall do all of the following: (a) Post its license, business hours, and any other information required by the department in its place of business in a conspicuous location, visible both to clients and affiliated home care aides.
Type B 08/28/2026 Section Cited 1796.42 (e)	1 2 3 4 5 6 7	A home care organization licensee shall do all of the following: Report any suspected or known dependent adult or elder abuse as required by Section 15630 of the Welfare and Institutions Code and suspected or known child abuse as required by Sections 11164 to 11174.3, inclusive, of the Penal Code.
	8 9 10 11 12 13 14	A copy of each suspected abuse report shall be maintained and available for review by the department during normal business hours. Signed acknowledgement to report suspected elder abuse was not documented in All of the caregiver’s personnel records that were reviewed by HCSB analyst. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14
Type B 08/28/2026 Section Cited 1796.44 (a)	1 2 3 4 5 6 7	A home care organization licensee shall ensure that prior to providing home care services, an affiliated home care aide shall complete the training requirements specified in this section. A record of completion of the required training hours and topics was not documented in All of the caregiver’s personnel records that were reviewed by HCSB analyst. This poses a potential health and safety risk to clients in care

LICENSING EVALUATOR NAME: Yolanda Hankerson LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2026

Link to Parent Document Below:

FACILITY NAME: GIFTED HANDS CARE PROVIDER	FACILITY NUMBER: 014700120
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/28/2026 Section Cited 1796.42	1 2 3 4 5 6 7	Health and Safety Code § 1796.42 A home care organization licensee shall do all of the following: (b) Maintain and abide by a valid workers’ compensation policy covering its affiliated home care aides. (c) Maintain and abide by an employee dishonesty bond, including third-party coverage, with a minimum limit of ten thousand dollars ($10,000). (d) Maintain proof of general and professional liability insurance in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the aggregate.
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LICENSING EVALUATOR NAME: Yolanda Hankerson LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2026