Routine inspection·May 15, 2025

On 05/15/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Licensee, Bien Cadungog and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents aged 60 and older. The facility has an approved hospice waiver for three (3) residents. Physical Plant/Structure The facility is a single-story home located in a residential neighborhood. It consists of six (6) resident rooms, three (3) bathrooms, living room, dining room, kitchen, detached garage, staff room, and an outside covered patio with table and chairs. LPA observed all walkways around the facility are clean, clear, and free of debris, hazards, and obstructions. All safety handrails around the facility were observed secured. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected the resident bedrooms and observed them to be clean and in good repair. LPA observed all bedrooms have the required furniture including a bed, dresser, nightstand, chair, and ample storage space for resident’s personal belongings. LPA observed resident beds have the required linens including a mattress cover, fitted sheets, blankets, comforter, and pillows. All beds and bedding were observed in good repair. LPA observed an ample supply of linens in the closet in the hall. LPA observed all rooms have ample lighting. Bathrooms LPA inspected the bathrooms and found them to be within Title 22 regulations. LPA observed the bathrooms to be clean and operational. All showers were observed clean and free of mold and/or mildew. All showers have non-slip mats and shower chairs. LPA observed an ample supply of toiletries for clients and client’s toiletry buckets. LPA observed the bathrooms have secured safety handrails. The water temperature measured 105.1-degrees, 105.6-degrees and 106-degrees Fahrenheit. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliance are operational 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 nonperishable foods properly stored and labeled. LPA observed sharps and knives secured in a locked drawer and are inaccessible to residents. LPA observed all cleaning supplies secured in a locked cabinet and are inaccessible to residents. The water temperature measured 105.3-degrees Fahrenheit. Common Rooms LPA observed a sitting area with a recliner, and two couches. The living room has a large couch and armchair to accommodate all residents. LPA observed the dining room has a large table and chairs to accommodate all residents. LPA observed the facility to be appropriately furnished during time of visit. LPA observed all walkways and hallway in the facility were observed with ample lighting and were clean and clear and free of obstructions and hazards. LPA observed a fireplace that is screened and inaccessible to residents. LPA observed games, activities, and crafts. The facility was maintained at a comfortable temperature. Files LPA observed files secured in a locked cabinet in the kitchen and are inaccessible to residents and guests. LPA reviewed the Administrator and two (2) staff files. LPA observed the staff files have the required documents, certification, and training. The Administrator Certificate is valid till 03/11/2027. LPA reviewed the files for five (5) residents and observed they have the required documents. LPA informed Administrator that licensing fees are due 05/22/2025 and provided the pin for online payment. Medications LPA observed all centrally stored medication secured in a locked cabinet in the kitchen. All medications were observed in their original packaging. LPA reviewed the medication and medication administration records (MAR) for five (5) residents. LPA observed five (5) out of five (5) resident’s medications are consistent with properly documented records. Safety LPA observed all smoke/carbon monoxide detectors are operable. LPA observed two (2) fully charged fire extinguishers in the facility last serviced on 06/24/2024. The last inspection from the Torrance Fire Department was conducted on 06/24/2024. The last emergency drill was conducted on 02/04/2025. LPA observed all doors have an alarm that chime when the doors are opened. All exits are marked with an EXIT sign. LPA reviewed the facility Emergency Disaster Plan (LIC610-D). LPA observed all required licensing postings throughout the facility. The facility has a working landline telephone. LPA inspected the First Aid kits and found it was fully stocked and had the required items including the manual. There are no security bars over the windows. No firearms or ammunition are stored on the premises. Infection Control During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance with a visitor’s log, thermometer, and masks available. Sufficient paper, cleaning, and disinfecting supplies were observed. LPA observed required infection control postings throughout the facility. LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Bien Candungog, and a coy of this report was provided.