Inspector’s narrative
What the inspector wrote
On 06/05/2025, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced annual visit using the CARE Inspection Tool. LPA met with lead caregiver Elvira Brondial, and the purpose of today’s visit was explained. LPA was granted entry into the facility. We were later joined by Licensee, Leia Joaquin. The facility is licensed to serve six (6) bedridden elderly adults ages 60 and above, with an approved hospice waiver for one (1) resident.
Physical Plant/Structure
The facility is a single-story structure located in a residential neighborhood. It consists of six (6) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room, dining room, kitchen, attached garage, and an outside area. During the inspection, LPA observed all walkways around the outside of the facility were observed clean, clear, and free of debris, obstructions, and hazards. LPA observed a table with an umbrella and chairs for residents use. LPA did not observe any bodies of water on the premises.
Bedrooms
LPA inspected all resident bedrooms. LPA observed all bedrooms were clean and in good repair. LPA observed all rooms have the required furniture including a bed, dress, nightstand, chair, and ample storage space for resident’s personal belongings. LPA observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an additional supply of linens, in good repair, stored in a closet in the hallway. All bedrooms were observed with ample lighting.
Bathrooms
LPA inspected all bathrooms and fount them to meet Title 22 regulations and were operable. LPA observed the showers are clean and free mold and mildew. LPA observed resident hygiene boxes stored in a closet in the hallway. LPA observed an additional supply of hygiene products stored in the closet in the hallway. LPA observed an ample supply of towels, hand towels, and wash cloths. LPA observed safety handrails are secured. LPA observed an ample supply of incontinent products and supplies. LPA
observed cleaning supplies secured in a locked cabinets under the sinks. The water temperature measured 106.8-degrees, 107.2-degrees, and 114.3-degrees Fahrenheit.
Kitchen
LPA inspected the kitchen and observed it to be clean and sanitary. LPA observed all appliances are operable and in good repair. LPA observed an ample supply of dishware, cookware, and cutleries in good repair. LPA observed a 3-day supply of perishable foods, and a 7-day supply of nonperishable foods properly stored, labeled, and dated. LPA observed cleaning supplies and toxins secured in the locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 116.2-degrees Fahrenheit.
Common Areas
LPA observed in the living room there are four (4) recliners and two (2) chairs available for resident use. LPA observed games and activities available for residents. The dining room has a large table with chairs to accommodate all residents. LPA observed the facility was appropriately furnished during time of visit. LPA did observe a screened fireplace inaccessible to residents. All walkways and hallways inside the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature of 74-degrees Fahrenheit.
Files
LPA reviewed the file for four (4) residents and found they contained the required documents. LPA reviewed the Administrator and three (3) staff files and found they contained the required documents, training, and certifications. The Administrator Certificate is valid till 07/19/2025. LPA informed Licensee Licensing Fees were overdue. LPA provided the PIN to pay fees online was provided the confirmation of payment.
Medications
LPA observed medications secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed medications in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for four (4) residents and observed four (4) out of four (4) resident’s medications are consistent with properly documented records.
Safety
LPA observed smoke and carbon monoxide detectors are operable. LPA observed two (2) fully charged fire extinguishers lasted serviced on 03/29/2025. The last fire prevention was conducted by the Torrance Fire Department on 08/23/2024. The last emergency drill was conducted 06/02/2025. LPA reviewed the facility’s liability insurance through Acord that is valid till 02/02/2025. LPA reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E) that was last updated on 06/04/2025. LPA inspected the First Aid kit and observed it contained the required items and a current manual. The facility has an operational landline telephone. All exits are marked with an EXIT sign. All doors have an alarm that chimes when a door exiting the facility is opened. LPA observed all required postings
posted in the hallway at the entrance of the facility.
Infection Control
During the visit, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the entrance of the facility that has a visitor log, hand sanitizer, thermometer, and masks. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA observed all required infection control signs were posted in the facility.
During today’s visit, LPA did not observe or cite any deficiencies.
An exit interview was conducted with Licensee, Leia Joaquin, and a copy of this report was provided.