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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201992
Report Date: 10/21/2022
Date Signed: 10/21/2022 01:35:24 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/21/2022 01:35 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131



FACILITY NAME:TOUCH OF LIFE CARE HOMEFACILITY NUMBER:
435201992
ADMINISTRATOR:SHEILA ALDAFACILITY TYPE:
740
ADDRESS:3318 CERRITO COURTTELEPHONE:
(408) 528-7137
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY:6CENSUS: 0DATE:
10/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Sheila AldaTIME COMPLETED:
01:38 PM
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Licensing Program Analyst Ryker Heberle (LPA) arrived unannounced at the facility for an annual inspection. LPA was greeted by Administrator Sheila Alda's (Admin) son Dharwin Alda (W1). W1 contacted Admin via telephone.

Admin was currently at work, and was unable to attend the inspection. Admin informed LPA that the facility has not housed residents for approximately 5 years, and that they had maintained their license just in case they decide to accept clients again in the future. Facility is currently occupied by Admin's family.

Admin granted LPA permission to tour the facility with W1. During tour of the facility, LPA did not observe any residents nor observe any evidence that residents are currently receiving care at the facility.

No deficiencies cited during today's visit. LPA advised Admin to inform CCLD in the event that they decide to admit new residents. This report was reviewed with Dharwin Alda, who was given permission to sign the report on Administrator's behalf. Signed copy of the report was provided to administrator via email.
SUPERVISOR'S NAME: Sarah YipTELEPHONE: (408) 324-2131
LICENSING EVALUATOR NAME: Ryker HeberleTELEPHONE: 714-328-5152
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2022
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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