Inspection visit

Routine inspectionAugust 17, 2023

TOLUCA LAKE MANOR SENIOR ASSISTED LIVING LLCLicense 19760757510 citations on this visit

10 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was given entry into the home by Joel Senga, Staff. Byanca Flores, another staff arrived around 9:41 am. Mariana Romano, Administrator was contacted by Staff via telephone and she arrived at 9:56am to conduct the visit. The facility is a single storey family home consisting of a living room, dining room, kitchen, sun room, 4 bedrooms, 2 full bathrooms and a attached garage that was converted in 2018-2019 without notification to the Department. Per Licensee, she obtained permits from the city. Located in the backyard is a swimming pool enclosed with a 5 feet fence. The following were observed on today's visit. upon arrival at the facility, LPA Yee was let into the facility by a Joel Senga. Per information provided by Joe, it was his first day at the facility and per the Administrator, he is an applicant for a caregiver position. However, there were no other staff present at the facility other than then Joel. Per Joel, the regular staff, Byanca Flores had stepped out and she was observed returning at 9:41am per information obtained on today's visit, the facility had converted the attached garage to a studio without notifying the Department and has not been fire cleared for use by residents. The city also assigned a new address to the conversion - 4558 Cartwright Avenue. The Administrator was advised that the resident needs to be moved back into the facility until the conversion is fire cleared by the fire department. Per the Administrator, the resident would be relocated to Bedroom #1 as of tonight. A copy of the permit for the conversion will be provided by the Licensee by 8/24/23. Food was reviewed and there was sufficient perishable foods for 2 days and insufficient non-perishable foods for 7 days observed on the premises. Continued on LIC809-C Water temperature taken in the common bathroom located by Bedroom #4 read 98.8 degrees Fahrenheit and the reading in the common bathroom located by bedroom #3 read 107 degrees Fahrenheit. Fire extinguisher located in the kitchen was serviced on 4/25/23 All 4 resident bedrooms had the required Title 22 furniture except bedroom #4 was not observed with a night stand. The pool was observed surrounded by a 5 feet fence but the lock on the gate was not secured and entry to the pool area was not made inaccessible to the residents in care. Due to time constraints any deficiencies not cited on today's visit will be addressed on a return visit. Licensee provided the following documents on today's visit: an LIC200 - Application revised facility sketch a copy of the inspection report for the conversion of the garage. the permit number obtained for the garage conversio Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, APPEALS RIGHTS DISCUSSED and a copy given

Citations

10 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87309(a)Type A
Ensure hazardous items are locked and not unattended
Based on observation the licensee did not comply with the section cited above in 1 out of 1 count of cabinets check, the licensee did not ensure that the cabinet under the kitchen sink that contains the cleaning and disinfecting solutions that was visually observed to be secured by a chain and padlock but did not ensure that the chain could not be slipped off the knobs which poses an immediate health, safety or personal rights risk to persons in care.
87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on observation the licensee did not comply with the section cited above as the backyard and along the side of the home was observed with unstored ladders, mops, brooms, discarded items which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(c)Type B
Keep window screens clean and in repair
Based on observation the licensee did not comply with the section cited above in 2 our of 2 counts of screens inspected, it was observed that the screen by the kitchen table had holds in the screen and the screen on the sliding screen door in bedroom #3 was ripped which poses/posed a potential health, safety or personal rights risk to persons in care.
87308(c)Type B
Based on observationthe licensee did not comply with the section cited above since the sun room was being used to store , resident diapers, dog food, plastic containers, foldable bed, toiletries, which poses/posed a potential health, safety or personal rights risk to persons in care.
87555(b)(26)Type A
Onsite food stock levels for nonperishables and perishables
Based on observation the licensee did not comply with the section cited above, per review of the facility food] there was sufficient perishable foods for 2 days but insufficient non-perishable foods observed in the pantry] which poses an immediate health, safety or personal rights risk to persons in care.
87303(e)(2)Type A
Provide resident hot water for personal care
Based on observation the licensee did not comply with the section cited above in 1 out of the 2 bathroms tested for the water temperature, the water temperature in the bathroom located by bedroom #4 read 98.8 degrees Fahrenheit which poses an immediate health, safety or personal rights risk to persons in care.
87307(e)Type A
Supervision near heating and water hazards
Based on observation the licensee did not comply with the section cited above in all counts. The gate was visually observed to be secured with a chain and a padlock, however on closer inspection, the chain that secured the gate could easily be slipped off the post without the need of a key and this poses an immediate health, safety or personal rights risk to persons in care.
87355(e)Type A
Address and clearance obligations before facility work
Based on record review, the licensee did not comply with the section cited above in 1 out of 4 staff observed at the facility, Joel Senga, prospective caregiver was observed alone and providing care to residents at the facility and he did not have a criminal record clearance to be present at the facility, which poses an immediate health, safety or personal rights risk to persons in care.
87413(a)(1)Type B
Coverage for absent regular staff members
Based on observation the licensee did not comply with the section cited above the residents were left alone with Joe Senga, prospective hire as caregiiver while regular staff stepped out of the facility to do an errand, which poses/posed a potential health, safety or personal rights risk to persons in care.
87204(b)Type B
Restrict nonambulatory residents from ambulatory rooms
Error

FAQ · About this visit

Common questions about this visit

What happened during the August 17, 2023 inspection of TOLUCA LAKE MANOR SENIOR ASSISTED LIVING LLC?

This was an inspection of TOLUCA LAKE MANOR SENIOR ASSISTED LIVING LLC on August 17, 2023. 10 citations were issued: 5 Type A (serious) and 5 Type B.

Were any citations issued to TOLUCA LAKE MANOR SENIOR ASSISTED LIVING LLC on August 17, 2023?

Yes, 10 citations were issued (5 Type A, 5 Type B). The first citation was for: "Based on observation the licensee did not comply with the section cited above in 1 out of 1 count of cabinets check, th..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated July 20, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·August 17, 2023