Routine inspection·June 19, 2025

On 06/19/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator, Bienvenido ‘Bien’ Cadungog, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) elderly residents ages 60 and above, five (5) of which may be non-ambulatory and one (1) bedridden. The facility has an approved hospice waiver for three (3) residents. There are currently one (1) resident receiving hospice services. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident room, staff room, two (2) common bathrooms, living area, dining area, kitchen, attached garage, and an outside patio area. LPA inspected the facility with Administrator. LPA did not observe any bodies of water on the premises. All walkways around the facility were observed clean, clear, and free of obstructions, hazards, and debris. Bedrooms LPA inspected all resident rooms and observed them to be clean and in good repair. LPA observed all rooms have the required items including a bed, dresser, chair, nightstand, and storage space for resident’s personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blankets, comforter, and pillows. LPA observed an ample supply of bed linens in good repair. All bedrooms were observed with adequate lighting. Bathrooms LPA inspected all bathrooms and observed them to be within Title 22 regulations and were clean and operational. LPA observed all safety handrails are secured, and showers have nonskid mats and shower chairs. LPA observed an ample supply of bath towels stocked during the time of the visit. LPA observed an ample supply of hygiene products stored and inaccessible to residents. The water temperature measured 105.6-degrees and 105.7-degrees Fahrenheit. Kitchen LPA inspected the kitchen and observed it to be clean and sanitary. All appliances are operable and in good repair. LPA observed an ample supply of cookware, dining ware, and cutleries in good repair. LPA observed a 3-day supply of perishable foods, and a 7-day supply of non-perishable foods properly stored. LPA observed cleaning supplies secured in a cabinet under the kitchen sink and are inaccessible to residents. Sharps and knives are secured in a locked drawer and are in accessible to residents. The water temperature measured 106.4-degrees Fahrenheit. Common Areas LPA observed the dining room has a large table with chairs to accommodate all residents. LPA observed in the living room are two (2) large couches and two (2) chairs available for resident use. The facility was observed to be sanitary and appropriately furnished at the time of visit. LPA observed reading material, games, and activities available for residents. LPA observed the fireplace is screened and inaccessible to residents. All walkways and hallways in the facility were observed clean, clear, and free of obstructions and hazards. All rooms and hallways were observed with ample lighting. The facility was maintained at a comfortable temperature. Medications LPA observed medications secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed medication in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for four (4) residents. LPA observed four (4) out of four (4) resident’s medications are consistent with properly documented records. Files LPA observed resident files are secured in locked cabinet and are inaccessible to residents and visitor. LPa reviewed the files for four (4) residents. LPA observed four (4) out of four (4) residents files contain the required documents. LPA reviewed the files for the Administrator and two (2) caregivers. LPA observed they had the required documents, certification, and training. The Administrator’s certificate is valid till 03/11/2027. LPA observed during file review the facilities Licensing Fees are current. Safety LPA observed smoke and carbon monoxide detectors are operable. LPA observed two (2) fully charged fire extinguishers lasted serviced on 10/22/2024. The last fire prevention was conducted by the Torrance Fire Department on 02/11/2025. The last emergency drill was conducted 04/11/2025. LPA reviewed the facility’s liability insurance through South Bay Acceptance Corporation that is valid till 09/19/2025. LPA reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E) that was last updated on 03/01/2025. 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 and dining room 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. LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Bienvenido Cadungog, and a copy of this report was provided.