Inspector’s narrative
What the inspector wrote
On 04/01/26, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit at the facility listed above using the full CARE tool. LPA met with Caregiver, Whilma Torres, 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 of which five may be bedridden with an approved hospice waiver for one (1) resident. During today’s visit there were five (5) residents present.
Physical Plant/Structure
The facility is a single-story structure in a residential neighborhood. The facility consists of six (6) bedrooms, 3 and ½ bathrooms, living area, sitting area, dining area, kitchen, laundry room, and detached two (2) car garage. Outside LPA observed a shaded area with a table and chairs for residents. LPA observed all walkways were clean, clear, and free of debris, hazards, and obstructions.
Bedrooms
LPA inspected all bedrooms and observed them to be clean and in good repair. All rooms had the required furniture including a bed, dresser, chair, and ample storage space for residents’ personal belongings. LPA observed the beds had the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. LPA observed an ample supply of linens in the closet in the hallway.
Bathroom
LPA observed the bathrooms to be clean and operational. LPA observed secure safety handrails, a shower chair, and non-skid mat. LPA observed an ample supply of towels in the hall closet. LPA observed an ample supply of hygiene products in the hall closet. The water temperature in the bathrooms measured 105.7-degrees, 106.3-degrees, 108.4 and 105.8-degrees Fahrenheit.
Common Rooms
LPA observed a large couch and three (3) recliners in the living area to accommodate all residents. In the sitting area, LPA observed two (2) recliners. The dining room has a large table with chairs to accommodate all residents. LPAs observed that all walkways and hallways in the facility are clean, clear, and free of obstructions and hazards. All rooms were observed to have ample lighting.
Kitchen
LPA observed the kitchen clean and sanitary. LPA observed all appliances to be operational and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery. LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored, labeled, and dated. The water temperature measured 108.3.2-degrees Fahrenheit. All cleaning supplies are secured in a locked cabinet under the kitchen sink and are inaccessible to residents. All knives and sharps are secured in a locked drawer in the kitchen and are inaccessible to residents.
Files
LPA reviewed the files for five (5) residents and found they contained the required documents. LPA reviewed the files for the Administrator and three (3) staff and found they contained the required documents, training, and certification. The administrator’s Administrator Certificate, number 7002310740, is valid till 09/09/2027. LPA reviewed the Liability Insurance through Acord policy number CFP3311780 that is valid till 02/35/2027. LPA observed Licensing Fees are current.
Medications
LPA observed centrally stored medication secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed medications in their original containers. LPA reviewed residents Medication Administration Records (MARs) and medications for five (5) residents. LPA observed five (5) out of five (5) residents’ MARs and medications are consistent with properly documented records.
Safety
LPA observed two fully charged fire extinguishers, mounted in the living room and in the kitchen, last serviced on 03/27/25. LPA observed all smoke detectors and carbon monoxide detectors to be operable. The last Fire Prevention Inspection was conducted on 02/07/25 by the Torrance Fire Department. LPA observed all required documents posted throughout the facility. LPA inspected the First Aid kit and found it contained the required items and a current manual. No firearms or ammunition are stored at the facility.
Infection Control
LPA observed a sanitizing station at the facility entry. LPA observed PPE’s, hand sanitizer, and thermometer on the sanitizing station. LPA observed a 30-day supply of PPEs at the facility. LPA observed all required Infection Control Signs posted throughout the facility.
According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies therefore no citations were issued at this time.
An exit interview was conducted with Caregiver, Whilma Torres, and a copy of this report was provided.