Routine inspection·March 16, 2026

On 3/16/2026 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. LPA spoke with the Administrator, Clifton Von Buck who was not available and designated staff member, Faith Kemanzi to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and liability Insurance. LPA conducted a physical plant tour at approximately 11:30 AM and the following was noted: The facility is a single unit building with four (4) bedrooms and three (3) bathrooms currently occupying four (4) residents. There is a designated staff room with its own private bathroom. The facility has an approved fire clearance for four (4) ambulatory residents. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level II Residential Home for the Elderly. Common areas: The living room and dining room were observed to be neat, clean, and organized. Both rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 70°F. A fire extinguisher is located in the kitchen was observed to be fully charged. Required postings such as See/Say Something, Facility License, and Rights of Individuals with Developmental Disabilities were observed to be located throughout the common areas. A working telephone was observed. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. The cleaning solutions/toxins and knives/sharps were observed to be kept locked underneath the kitchen sink. The kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. (continued on LIC 809-C) Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Laundry Room: The laundry room was observed to be located near the staff room. The laundry appliances were observed to be working and in proper condition. Staff Room: LPA observed the staff room to be locked and inaccessible to residents. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. No body of water located at the facility. Garage: The garage is located outside of the facility and was observed to be kept locked. The garage was observed to be used for storage purposes. Extra refrigerator and freezer with additional food for residents was observed. Medications: The medications along with staff and residents’ files were observed to be kept in the storage closet located in the hallway. The medications were observed to be kept in a locked container. Smoke detectors and carbon monoxide observed to be working properly and were tested. Resident/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of three (3) staff records. Staff records appeared to be complete and updated. There were no immediate health and safety hazards observed during the day of inspection. Exit interview conducted and a copy of this report was provided to the designated staff member.