Senior Care Records.

Facility Evaluation Report

Heart and Soul Communities II, San Leandro08/07/2025Licence 019200476

Capacity6
Census8
Date signed08/07/2025 04:50:55 PM
Name of licensing program analystGrace Luk
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 8/7/2025 at 4:00PM, Licensing Program Analysts (LPAs) G. Luk and Y. Brown arrived unannounced to conduct a case management visit. LPAs met with Licensee/Administrator, Ericka Tillis and explained the purpose of the visit.

While LPAs were at the facility for a complaint investigation (#15-AS-20250528121744), the following deficiency was observed.

LPAs observed facility does not have centrally stored medication records available. Interview with staff indicated that facility did not keep medication records for residents.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction