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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881566
Report Date: 10/05/2026
Date Signed: 10/05/2026 01:15:31 PM

Document Has Been Signed on 10/05/2026 01:15 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:ADDING A TOUCH OF LOVE ELDERLY CARE FACILITYFACILITY NUMBER:
331881566
ADMINISTRATOR/
DIRECTOR:		PINTO, LEAHFACILITY TYPE:
740
ADDRESS:19716 SEASON GROVETELEPHONE:
(951) 532-1596
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY: 6CENSUS: 0DATE:
10/05/2026
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Administrator Timothy WilliamTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 10/5/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an announced one-year required inspection. LPA Flores met with Administrator Timothy Williams and was granted entry into the facility. A tour of the facility was conducted alongside Timothy where the following was observe:
During the time of visit, there were no residents residing in the home. The home was observed to be a single-story structure containing (3) three resident bedrooms, (1) one staff room, (3) three bathrooms, living room, dining area, kitchen, garage, and secured backyard. The home was maintained at a comfortable temperature. Indoor and outdoor passageways were free of obstruction. Resident bedrooms were equipped with the required bedding, furniture, and functional lighting. Non-private bathrooms and hallways were equipped with night lights. Bathrooms were observed to be sanitary and in good repair. Shower areas were equipped with grab bars and slip resistant materials. The kitchen was observed to be organized and sanitary. LPA observed a filing cabinet near the kitchen that maintained a designated area for knives, confidential files, and a first-aid kit. LPA observed board games stored in a television stand located in the living room. Emergency food and water was stored in closet of the staff bedroom. LPA observed the backyard to be furnished. The facility will be providing laundry services on-site. The washer and dryer were observed to be in good repair. There was a fully charged fire extinguisher mounted on a wall near the medication cabinet. The facility maintained an adequate supply of extra linen and towels. Per Administrator, there are no firearms and/or ammunition on the premises.
Since there are no residents in care, (0) zero resident records were reviewed. LPA observed postings of the PUB475, LTCO, employee rights, emergency disaster plan, infection control plan, license, right to resident counsel, and more. Administrator Timothy Williams Administrator Certification will expire on 4/17/2028. There were no deficiencies issued during the time of visit.
An exit interview was conducted were a copy of this report was provided to the Administrator.
Anthony Perez
Valerie Flores
DATE: 10/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2026
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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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)
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