Routine inspection·April 21, 2026

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. LPA met with Executive Director Chanel Sanchez. The Residential Care for Elderly (RCFE) facility serves residents ages 60 and over. The following were observed/inspected: Infection Control: The Infection Control Plan includes Environmental cleaning and disinfection activities. Operational Requirements: The facility has a hospice waiver for 8 residents. A fire clearance for 85 non-ambulatory residents; of which 7 may be bedridden is in place. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 12/31/2026. The facility does not handle residents' monies. Physical Plant/Environment Safety: The facility is comprised of a 2-story building consisting of 73 resident rooms, 2 activity rooms, beauty salon, dining room, laundry room, and a courtyard patio area. The interior and exterior physical plant was inspected. The interior and exterior physical plant was inspected. A total of 22 randomly selected resident rooms were inspected. The signal system was tested and is operational. Residents use a pendant alert system and bathrooms are equipped with emergency pull cord alert system. Beds have required bedding, linens, and mattress pads. The signal system was tested and is operational. There are evacuation chairs on facility stairwells to be used during an emergency as a path of egress from the facility to safety. Cleaning supplies and toxic substances are inaccessible to residents. The facility is equipped with sprinklers, smoke detectors, carbon monoxide detectors, and has fire extinguishers. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Exit doors are free of any obstruction. There are surveillance cameras in common areas. The last fire inspection was conducted on 2/25/2026 by the County of Los Angeles Fire Department. *Five rooms had beds that did not have mattress pads. Staffing: A total of 33 staff members provide care and supervision of residents. Personnel Records/Staff Training: Administrator certificate expires 7/6/2027. Staff have criminal background clearance. Eight staff files were reviewed. They contained 1st Aid/CPR training, criminal background clearance, health/TB screenings, 1st Aid/CPR training, and training records. Resident Records/Incident Reports: Six (6) resident files were reviewed. They contained Admission Agreements, Service Plans, Physician's Reports, Appraisals, TB clearance, Physician's Orders, medical consent, and centrally stored medication records. Resident (R5's) file did not have an updated LIC602. Planned Activities: Facility activity calendar was posted. Sufficient space to accommodate both indoor and outdoor activities was observed. RCFE & Ombudsman complaint posters are posted. Food Service: Food supply was checked in the kitchen and pantry storage areas, consisting of 2-day perishables, 7-day non-perishables, and emergency food supplies. Residents have physician orders for modified diets. A diet list was observed in the kitchen. Kitchen personnel have current food handling certificates. The refrigerator tray had blood from a ground beef bag. A citation was issued. Incident Medical and Dental: Centrally stored resident medications were reviewed; containing a 30-day supply of medications. Medical and dental transportation is provided by family or facility van. Disaster Preparedness: Emergency and Disaster Plan LIC 610E was reviewed and is updated. Facility has a First Aid Kit and Manual. The last emergency disaster drill was conducted on 3/4/2026. Residents with Special Health Needs: There are currently 4 residents receiving hospice services, 6 residents receive home health services, and no residents have prohibited health conditions. Individual Service Plans, Appraisals, and postural support physician orders are on file. Pursuant to Title 22, deficiencies were observed and are cited. Exit interview was conducted with Executive Director Chanel Sanchez. A copy of report and appeal rights were issued.