Routine inspection·May 30, 2025

On 05/20/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced required Annual Visit using the CARE Inspection Tool. LPA met with Administrator, Arlene Feliciano, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) non-ambulatory residents ages 60 and above, with an approved hospice waiver for one (1) resident. There are currently five (5) residents residing in the facility, one (1) resident is receiving hospice care. Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. It consists of the following: five (5) resident rooms, a staff room, two (2) bathrooms, living area, dining area, kitchen, attached garage, and an outside shaded patio area. All walkways around the outside of facility were observed clean, clear, and free of hazards, obstructions, and debris. All safety handrails on the ramps and stairs are securely fastened. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all bedroom and found them to be clean and in good repair. LPA observed all bedrooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s), ample storage space for resident’s personal belongings, and ample lighting. LPA observed all bed have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens in good repair, stored in a cabinet in the hallway. Bathrooms LPA inspected all bathrooms and found them to be within Title 22 regulation and were operable. Showers were observed clean, clear and free of mildew and/or mold. The bathrooms have secured safety handrails. LPA observed showers have shower chairs and nonskid mats. LPA observed an ample supply of hygiene products for residents inaccessible to residents. LPA observed an ample supply of towels in good repair. The water temperature measured 105.9-degree and 107.5-degrees Fahrenheit. Common Rooms LPA observed in the living room a large and small couch available for resident use. LPA observed a sitting area with a large couch. LPA observed games and activities in a cabinet under the television. LPA observed the dining room has a large table with chairs to accommodate all residents. LPA observed the facility appropriately furnished during the time of visit. The facility was maintained at a comfortable temperature. LPA observed a fireplace that is screened and inaccessible to residents. All walkways and hallways inside the facility were observed clean, clear, and free of hazards and obstructions. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances were operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutleries. LPA observed a 3-day supply of perishable foods, and a 7-day supply of non-perishable foods properly packaged, labeled and dated. LPA observed sharps and knives secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed cleaning supplies secured in a locked cabinet and are inaccessible to residents. The water temperature measured 106.7-degrees Fahrenheit. Medications LPA observed medications secured in a locked cabinet in the kitchen. LPA observed medications in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for five (5) residents and observed five out of five resident’s medications are consistent with properly documented records. Files LPA reviewed the files for five (5) residents and observed five (5) out of five (5) residents records contain the required documents. LPA reviewed the files for the Administrator, and two (2) staff and found they contained the required documents, certification, and training. The Administrator Certificate is valid till 04/03/2026. LPA informed Administrator Licensing Fees are due on 06/13/2025 and provided the PIN. Safety LPA observed smoke and carbon monoxide detectors to be operable. LPA observed two (2) fully charged fire extinguishers purchased on 04/25/2025. The last fire inspection by the Torrance Fire Department was conducted on 04/22/2025. The last emergency drill was conducted on 03/10/2025. The Emergency and Disaster Plan (LIC610) was last updated on 05/25/2025. LPA inspected the First Aid kit and observed it had the required items and a manual. All exits are marked with an EXIT sign. All doors exiting the facility have an alarm that sounds when the doors are open. LPA reviewed the Liability insurance through Kinsale Insurance Company that is valid till 12/29/2025. The facility has a working landline telephone. LPA observed all required postings posted in the facility. Infection Control During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Arlene Feliciano and a copy of this report was provided.