<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603525
Report Date: 12/14/2025
Date Signed: 12/14/2025 01:33:32 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/14/2025 01:33 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:HEALING HANDS ADULT CARE HOMEFACILITY NUMBER:
374603525
ADMINISTRATOR/
DIRECTOR:		RUTH LOPEZFACILITY TYPE:
735
ADDRESS:211 E. OXFORD STREETTELEPHONE:
(619) 737-9799
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 4CENSUS: 3DATE:
12/14/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:House Manager Sara VerasteguiTIME VISIT/
INSPECTION COMPLETED:
01:45 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
Licensing Program Analyst (LPA) Dang Nguyen conducted a return visit to continue a Required Annual Inspection that began on 12/10/2025. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Sara Verastegui.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, of whom all must be ambulatory. Per LPA observation and review of LIC602 Physician’s Reports: During today’s inspection, there were a total of three (3) clients in care, and all were ambulatory. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter doors, and neither of these were present.

LPA interviewed all clients in care. LPA interviewed multiple staff. LPA reviewed care records for clients in care, and personnel files for all currently active staff. LPA, accompanied by the staff, toured the interior and exterior of the facility, and inspected all common areas and client bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene, and Personal Protective Equipment (PPE) supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.

The facility’s ambient internal temperature was complaint at 69 F. Refrigerator and freezer used to preserve perishable food were complaint in temperature. There were at least (2) days of perishable food and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present and in good condition. The facility did not have a swimming pool or similar large body of water. [CONTINUED ON LIC 809-C]
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Dang Nguyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: HEALING HANDS ADULT CARE HOME
FACILITY NUMBER: 374603525
VISIT DATE: 12/14/2025
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
26
27
28
29
30
31
32
[CONTINUED FROM LIC 809] The facility’s fireplace (which staff reported is not being used) was nevertheless screened, as required. There were no open-faced heaters accessible to clients. Smoke detectors, carbon monoxide detector, emergency lighting, night lights, and facility telephone were all working. The facility's fire extinguishers were serviced within the last twelve (12) months. There was a locked area for storage of medication. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. The facility had an Internet-enabled device to allow for client videoconferencing, as needed. Per the Licensee, no firearms or ammunition were kept at the facility. Licensee presented proof of current business liability insurance and surety bond. Client and staff records contained required documents. All current staff met their annual training requirements.

Initially, the hot water temperature at 2 of 3 taps normally used by clients for grooming were too hot: Bathroom #1 Sink was complaint at 114.3 F. However, Bathroom #2 Sink was 129.9 F, and Bathroom #3 Sink was 129.6 F, when regulation required them to be between 105 F and 120 F. [During today’s visit, an adjustment to the facility’s water heater setting was attempted. However, it was not sufficient to bring the two taps in question back into the complaint temperature range, at least during the remainder of LPA’s site visit. More time and/or expertise is needed to solve this problem.]

During the facility tour, LPA observed: Within the facility’s backyard was one (1) pair of gardening shears that had a metal blade of over 12 inches, unlocked and in plain sight. Within the facility’s living room, there was one (1) container with a small amount of laundry detergent, and one (1) regular-size hammer with metal head, both unlocked. In the facility’s laundry room was laundry detergent and a few cans of paint, unlocked. In the Bedroom of Client #1 was one (1) bottle of a multi-surface cleaning chemical, one (1) bottle of glass-cleaner chemical, and one (1) bottle of 70% Isopropyl Alcohol. Regulation requires these items to be stored where they are not directly accessible to clients. [During today’s visit, LPA handed these items to staff to relocate to locked areas.]

Two (2) deficiencies were cited per California Code of Regulations, Title 22 (refer to the LIC 809-D page). Plans of Correction were jointly formed with the Licensee.

An exit interview was conducted with House Manager Sara Verastegui, to whom a copy of this report, the LIC809-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit. A copy of these same documents was E-mailed to Licensee Ruth Lopez.
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Dang Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 12/14/2025 01:33 PM - It Cannot Be Edited


Created By: Dang Nguyen On 12/14/2025 at 01:09 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HEALING HANDS ADULT CARE HOME
FACILITY NUMBER: 374603525

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2025
Section Cited
CCR
80087(g)

1
2
3
4
5
6
7
80087 Buildings and Grounds: “(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.” This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
During today’s visit, the hazardous items referenced above were handed to staff to lock away. This action resolved the immediate risk. Licensee agreed to lead a training in-service for all staff to review what items constitute hazards, and the importance of keeping them locked when not actively used under staff supervision. Licensee agreed to E-mail the training sign-in to LPA, by 01/14/2025.
8
9
10
11
12
13
14
Based on LPA observation, disinfectants, cleaning solutions, poisons, and other items that could pose a danger if readily available to clients were not stored where inaccessible to clients. This posed an immediate health and safety risk to 3 of 3 clients (Client #1 through Client #3) in care.
8
9
10
11
12
13
14
Type B
01/14/2026
Section Cited
CCR80088(e)(1)

1
2
3
4
5
6
7
80088 Furniture, Fixtures, Equipment, and Supplies: (e)(1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).” This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
Licensee agreed to allow additional time for the facility’s water heater to acclimate to the new settings, and to continue adjusting settings if needed, such that all bathroom sinks used by clients fall between 105 F and 120 F. If Licensee is unable to achieve this, then Licensee agreed to bring in a professional plumber to troubleshoot the problem. By the POC due date, Licensee agreed to send LPA either photographic proof of three (3) thermometer readings, or a plumber’s written report, which prove the temperature problem has been remedied.
8
9
10
11
12
13
14
Based on LPA measurement with a thermometer, Licensee did not maintain temperature controls of plumbing fixtures used by clients to deliver hot water of not less than 105 degrees F and not more than 120 degrees F. This posed a potential safety and personal rights risk to 3 of 3 clients (Client #1 through Client #3) in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Simon Jacob
NAME OF LICENSING PROGRAM MANAGER:
Dang Nguyen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2025


LIC809 (FAS) - (06/04)
Page: 4 of 4