Routine inspection·October 8, 2025

On 10/08/2025 at approximately 09:30 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 Administrator, Celia Oyibu 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 12:00 PM and the following was noted: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms. The facility is currently occupying six (6) residents. There is a designated staff room. One (1) room and one (1) bathroom is designated for staff use only. The facility has an approved fire clearance for two (2) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver approved for two (2). 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 74°F. LPA observed a fire extinguisher to be located near the kitchen. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the entrance. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. 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. The cleaning solutions/toxins along with the knives/sharps were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Laundry Room: The Laundry room was observed to be located near the kitchen. LPA observed cleaning solutions and toxins stored appropriately within the laundry room and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature of the staff bathroom was not measured within regulations. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed there to be a locked shed. There is no body of water located at the facility. Garage: The garage is located outside in the backyard and can be accessed from inside the designated staff room. The garage was observed to be kept locked and used for storage purposes. Extra refrigerator and freezer with additional food for residents was observed. Medications: The medications along with staff and residents’ files were observed to be kept in a locked filing cabinet located in the hallway’s passageway. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer and tweezer.. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records were not complete and updated. Staff records: LPA conducted a complete file review of two (2) staff records. Staff records appeared to be complete and updated. Let it be noted that this facility will be going through construction/renovations. The renovations will be taking place through the grant funding of Community Care Preservation Project overseen by the Los Angeles County Department of Mental Health (DMH). The Administrator has begun the process with Community Care Licensing Division in developing and submitting their Plan due to all six (6) residents needing to be relocated until renovations have been completed. (Continue to LIC 809-C) The following deficiencies were observed during the day of inspection: -3 of 6 residents missing their Re-Appraisal, 2 out of 6 residents missing their Pre-Appraisal, 2 of 2 residents medications checked were not updated correctly on their medication log. 4 out of 6 residents are noted to be non-ambulatory on their Physician Reports. Citations issued, please refer to 809-D. A $500 immediate civil penalty for a fire clearance violation was assessed. The administrator was notified that additional civil penalties would be issued if the violations are not corrected by the POC due date. There were no other immediate health and safety hazards observed during the day of inspection. Exit interview conducted, Appeal rights given and a copy of this report was provided to the Administrator.