198320215-3-23-2026-11-AS-SCIS-DU235Z-20260512175734

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320215
Report Date: 03/23/2026
Date Signed: 03/23/2026 01:07:39 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/14/2026 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20260114134607

FACILITY NAME:	A CARING TOUCH BOARD AND CARE III		FACILITY NUMBER:	198320215
ADMINISTRATOR:	WELLS, NICHOLAS		FACILITY TYPE:	740
ADDRESS:	2110 OAK STREET		TELEPHONE:	(510) 384-3431
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90405
CAPACITY:	6	CENSUS: 5	DATE:	03/23/2026
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Paige Esquivel-House Manager		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Staff do not ensure medication cabinets remain locked at all times
Staff do not ensure residents medications are properly managed
Staff do not follow residents dietary care plans
Licensee is not addressing issue with pets in the facility
Staff does not ensure residents personal items are safely secured
Staff do not ensure residents care needs are properly assessed

INVESTIGATION FINDINGS:

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On 3/23/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the alleged s. LPA identified herself to Khaylani White Support Staff who was informed of the purpose of the visit and allowed LPA entry into the facility.

The investigation consisted of the following

At 10:39 AM, LPA Allen requested the following documents: Admission Agreement, Needs/Service plan, ID/Emergency Information, Physicians Report for Resident 1-5 (R1-R5) and facility ADL Log. During the visit LPA reviewed the Medication Administration Records (MAR) and toured the facility and during that tour LPA did not observe any cats/dogs or any other animal other than fish in fish tanks. LPA also interviewed three (2) staff members, attempted interviews with resident 1-2(R1-R2) and conducted interviews with resident 3-5 (R3-R5).
continued.....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

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

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 11-AS-20260114134607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: A CARING TOUCH BOARD AND CARE III	FACILITY NUMBER: 198320215
	VISIT DATE: 03/23/2026

NARRATIVE

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The investigation revealed the following:

Allegation 1: Staff do not ensure medication cabinets remain locked at all times.

At 11:05 AM, LPA toured the facility and the medication storage area and LPA observed that the medications were locked in the kitchen area and the locks consisted of a combination lock and magnetic lock on the cabinet and locked storage medication boxes inside the cabinet. LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and 3 out of 5 stated that the medications are brought to them and not sure if the cabinet is locked or not.

LPA also conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure that the medication cabinets always remain locked and 2 out of 2 staff stated cabinets are always locked unless they are passing medications and no one has access to the kitchen area but the staff.

Allegation 2: Staff do not ensure residents medications are properly managed

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and they stated that they believe that their medications are managed properly.

LPA conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure residents medications are properly managed and 2 out of 2 staff members stated the residents are managed properly and documentation is noted daily.

Allegation 3: Staff do not follow residents dietary care plans

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated their dietary care plans are followed. During LPA visit LPA observed that the residents were being provided lunch based on their care plans and dietary needs.

LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated the staff does follow the residents’ dietary care plans .

continued

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20260114134607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: A CARING TOUCH BOARD AND CARE III	FACILITY NUMBER: 198320215
	VISIT DATE: 03/23/2026

NARRATIVE

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Based on interviews, file review and observation during the investigation, the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Paige Esquivel-House Manager at the conclusion of the visit.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 11-AS-20260114134607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: A CARING TOUCH BOARD AND CARE III	FACILITY NUMBER: 198320215
	VISIT DATE: 03/23/2026

NARRATIVE

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Allegation 4: Licensee is not addressing issue with pets in the facility

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated there are no animals at the facility.

LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated there are no pets in the home other than the fish.

Allegation 5: Staff does not ensure residents personal items are safely secured

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated they are in possession of their personal items and that they are safely secure.

LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated residents’ personal items are safely secure, and their names are written on their clothes and if someone happens to get another resident’s personal item(s) it is returned to the owner.

Allegation 6: Staff do not ensure residents care needs are properly assessed

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated their needs are taken care of by the staff and they receive what they need.

LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated residents’ personal care needs are met daily based on their needs and service plan.

During LPA visit LPA observed that the medications were locked in the kitchen area inaccessible to the residents in care. LPA also reviewed the medication administration records (MARs) and it appeared that the residents medications are being provided as prescribed by their physician and managed properly, LPA also observed the residents dietary needs were being met during lunch based on their care plans, LPA did not observe any animals inside the facility cats/dogs/pets other than fish at the time of visit, and during the tour of the facility it appeared that the residents had their personal items in their possession stored in their bedrooms.

Continued

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

LIC9099 (FAS) - (06/04)

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