075600632-11-3-2023-15-AS-LAWN-CX8V4W-20231103160701

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 075600632
Report Date: 11/01/2023
Date Signed: 11/03/2023 04:08:54 PM

Document Has Been Signed on 11/03/2023 04:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME:	TENDER TOUCH RESIDENTIAL CARE HOME		FACILITY NUMBER:	075600632
ADMINISTRATOR:	CRUZ, ESTRELLITA S.		FACILITY TYPE:	740
ADDRESS:	58 MIDHILL ROAD		TELEPHONE:	(925) 228-5683
CITY:	MARTINEZ	STATE: CA	ZIP CODE:	94553
CAPACITY:	6	CENSUS: 5	DATE:	11/01/2023
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Estrellita Cruz, Licensee		TIME COMPLETED:	01:46 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/01/2023 starting at 1:00PM, an informal meeting was held via video conference with Licensee/Administrator, Estrellita Cruz. The purpose of this informal meeting was to discuss the deficiencies that were issued during the Case Management visit on 10/19/2023 and loss of control or the property. The informal conference process was explained to the Licensees. Attendees: · Estrellita Cruz, Licensee/Administrator · Jeremy Fong, Licensing Program Manager · Lori Alexander, Licensing Program Analyst Issues discussed during the meeting: 1. The sale of business(es) and notifying CCLD of the intent to sell 2. The importance of maintaining communication with pending license applicants until Change of Ownership (CHOW) is completed and final 3. Recommend when new staff are hired by pending applicant licensee to request from pending applicant licensee who are the new staff prior to start working at the facility LIC809 Continued....

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Lori Alexander-Washington	TELEPHONE: (510) 285-3934
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: TENDER TOUCH RESIDENTIAL CARE HOME	FACILITY NUMBER: 075600632
	VISIT DATE: 11/01/2023

NARRATIVE

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LIC 809C Continued....

4. Reminder that the Licensee/Administrator is the person responsible until the pending licensee applicants have been issued a new License.

5. The pending applicant licensee will become the new Administrator on record and that Licensee/Administrator will submit required documents to update a new Administrator at the facility. Also, if the pending Licensee, is unable to become the Administrator on record, then Licensee will check with the other pending Licensee applicant if they can act on the Licensee's behalf.

6. The loss of control of property and the immediate mandatory action that Licensee/Administrator must do by Friday, November 3. 2023.

During the conference, the Licensee discussed her concerns that new staff were brought in to work at the facility and that she was trying to confirm that the new staff was fingerprint cleared and associated to Guardian.

Exit interview conducted and a copy of this report provided to Licensee/Administrator via Email.

Tender Touch Residential Care Home - 075600632 - Informal Conference Meeting - 11.01.23 (part 1) - signed.pdf

Tender Touch Residential Care Home - 075600632 - Informal Conference Meeting - 11.01.23 - audit.pdf

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Lori Alexander-Washington	TELEPHONE: (510) 285-3934
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

LIC809 (FAS) - (06/04)

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