Routine inspection·January 7, 2025

On 1/7/2024 around 9:30 AM, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator, Teresa Guanlao. CCLD staff explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection. This facility is licensed to serve 6 adults ages 60 and above, of which 3 maybe non-ambulatory and 3 maybe bedridden. Approved for a hospice waiver for 5 residents. A total of 6 residents are currently residing in this facility. Facility Layout: The facility is a one-story house located in a residential street. The home consists of 4 resident bedrooms, 2 full bathrooms, 1 living room area, 1 kitchen area, 1 dining room area, 1 laundry area, 1 detached garage, and 1 backyard patio area with shaded seating. Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are no security bars or weapons on the premises. Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept inaccessible to residents in care. There is fire extinguisher in the dining room are near the kitchen and it was last serviced on 4/9/2024. There is a landline telephone on the kitchen counter-top. Living Room: There is a landline telephone, videoconferencing device, and games/activity work (i.e. board games) for residents in the living room area. There are couches and chairs for residents to sit at. Resident Bedrooms: 4 out of 4 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Bathrooms: Toilets, showers, and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. There were cleaning solutions accessible to residents in care. Medications: were inaccessible to residents in care. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. 2 out of 6 Medication Administration Records (MARs) were reviewed and they were current and up to date. Garage: was toured. The garage has several facility supplies. Miscellaneous: Documents are posted as mandated. Last fire drill was completed on 1/5/2025. The last Annual Fire Inspection was completed on 4/5/2024 by the City of Torrance Fire Department. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. 5 resident records were reviewed and, 5 out of 5 resident records had required documentation. 3 out 5 residents Appraisal & Needs Service Plan did not have responsible party signature. Change of Administrator was discussed with the Administrator. A technical violation is being provided regarding resident records. A deficiency is being cited based observation in accordance with the California Code of Regulations, Title 22. A deficiency regarding cleaning solutions accessible to residents in care. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator.