Inspector’s narrative
What the inspector wrote
On 09/05/25, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Administrator, Bessie Coello, 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 over the age of 60. The facility has an approved hospice waiver for four (4).
Physical Plant/Structure
The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, 2 bathrooms, living room, dining room, kitchen, laundry area, detached garage, and outside shaded patio area. On the outside patio, LPA observed a table with umbrella and chairs available for resident use. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, and hazards. LPA did not observe any bodies of water on the premises.
Bedrooms
LPA inspected all residents’ rooms and observed the walls and floors to be in good repair. LPA observed all resident rooms had the required furniture including a bed, dresser, nightstand, chair, storage space for personal belonging, and ample lighting. LPA observed all beds had the required linens including a mattress cover, fitted sheet, blanket, comforter, and pillows. Beds and bedding were observed in good condition. LPA observed an ample supply of bed linens, and comforters at the time of visit.
Bathrooms
LPA inspected the facility bathrooms and found them to be within Title 22 regulations. All bathrooms were observed clean and operational. LPA observed storage area for personal hygiene products. LPA observed an ample supply of towels and personal hygiene products available for residents. All showers had non-slip material, shower chairs and secured safety handrails. The water temperature measured 108.3-degrees and 109.1-degrees Fahrenheit.
Kitchen
LPA inspected the kitchen and observed it to be clean and sanitary. LPA observed all appliances to be operable and in good repair. LPA observed an ample supply of dishware, cookware, and cutlery. LPA
observed a 3- day supply of perishable foods, and a 7- day supply of non-perishable foods properly stored, dated, and labeled. The water temperature measured 109.9- degrees Fahrenheit. All sharps are secured in a locked cabinet and are inaccessible to residents. All cleaning supplies are secured in a locked cabinet under the kitchen sink and are inaccessible to residents.
Common Rooms
LPA observed the facility to be appropriately furnished during the time of visit. The facility has a living room with recliners to accommodate residents. The dining room has a large table to accommodate residents for meals. LPA observed all walkways and hallways to be clean, clear, and free of hazards and obstructions. All rooms were observed with ample lighting. The facility was kept at a comfortable temperature.
Safety
LPA observed a fully charged fire extinguisher located in the kitchen, last serviced on 08/21/25. All smoke and carbon monoxide detectors are operable. The last emergency drill was conducted on 07/29/25. The last Fire Prevention Inspection was completed by the Torrance Fire Department on 03/28/25. All exits are indicated with an EXIT sign. The facility sketch is posted at the entrance of the facility. The facility’s Emergency and Disaster Plan is posted and was last updated on 10/01/2024. LPA observed all required documents posted in the facility. The facility has a working landline telephone. There are no firearms or ammunition stored at the facility.
File Review
LPA reviewed the files for the six (6) residents and observed they had the required documents. LPA reviewed the administrator and four (4) staff files and found they contained the required documents, certification, and training. LPA reviewed the Liability Insurance through Acord valid through 11/03/25. The administrator’s Administrator Certificate is valid through 01/04/27. During facility file review, LPA observed licensing fees were current.
Medication
LPA observed all Centrally Stored Medications secured in a locked cabinet, in the laundry room, and are inaccessible to residents. All medications were observed in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for the three (3) residents. Three (3) out of three (3) residents’ MARs and medication are consistent with properly documented records.
Infection Control
Upon entry, LPA observed a sanitizing station and visitor sign-in log. LPA observed on the table there is hand sanitizer and masks available. Upon entry, LPA was screened for Covid-19 symptoms and temperature was taken and recorded. LPA observed all staff wearing face masks. LPA observed all required Infection Control signs posted in the facility. LPA observed a 30-day supply of Personal Protective Equipment (PPE). LPA observed a PPE cart in the entrance of facility and in the bathroom.
LPA did not observe or cite any deficiencies.
An exit interview was conducted with Administrator, Bessie Coello, and a copy of this report was provided.