Routine inspection·August 18, 2025

On 08/18/2025 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. The House Manager, Nancy Magallanes arrived shortly after 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 12:30 PM and the following was noted: The facility is a single-story building with seven (7) bedrooms and three (3) bathrooms currently occupying three (3) residents. There is a designated staff room, staff office and storage room. 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 III Residential Care for the Elderly. Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 76°F. LPA observed a fire extinguisher to be located near the kitchen and dated 01/30/2025. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights 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 foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen cabinet. 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 stored within storage closets located in the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations at 106.7 °F. Staff Room: LPA observed the staff room to be kept locked and inaccessible to residents. Laundry Room: The laundry room was observed to be located near the staff room and kept locked. LPA observed cleaning solutions and toxins stored within the laundry room and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water located at the facility. Medications: The medications and First-aid kit were observed stored in a locked cabinet located in the kitchen. Smoke detectors and carbon monoxide observed to be working properly and were tested. The last Fire Drill was conducted on 8/16/2025. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be missing reappraisals for all three residents. Staff records: LPA conducted a complete file review of staff records. Staff records appeared to be missing one (1) staff member (S1) Cardiopulmonary Resuscitation (CPR)/ First Aid certificate. S1’s CPR/First-Aid certificate was observed to be expired with a date of 7/30/2025. S1 was the only caregiver on duty upon LPA's arrival. There were no other immediate health and safety hazards observed during the day of inspection. Citations issued please see 809-D. Exit interview conducted, Appeals Rights given, and a copy of this report was provided to the House Manager.