Routine inspection·December 19, 2025

On 12/19/2025 at 8:30am, Licensing Program Analyst (LPA) Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Evangeline Agatep, Administrator, 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 one (1) may be bedridden. The facility has an approved hospice waiver for two (2) residents. Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. It consists of the following: five (5) resident bedrooms, two (2) bathrooms, one (1) staff, sitting room, living room, kitchen, dining area, laundry area, two (2) outdoor shaded patio areas, and attached garage. LPA observed tables and chairs in the outside seating areas. LPA observed all walkways around the outside of the facility were observed clean, clear, and free of debris, obstructions, and hazards. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all residents’ bedrooms and observed them to be clean and in good repair. LPA observed bedrooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s) and ample storage space for residents’ personal belongings. LPA observed beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens in good repair. Bathrooms LPA inspected residents’ bathrooms and staff bathroom and observed them to be within Title 22 Regulations. LPA observed the toilet, faucets and showers working properly. LPA observed secured safety handrails and non-skid material in the shower. LPA observed the showers to be clean and free of mildew and/or mold. The water temperature measured 118.6- degrees, 118.7- degrees, and 118.1- degrees Fahrenheit. LPA observed an ample supply of bath towels, toiletries, and personal hygiene supplies in the cabinets. Kitchen LPA inspected the kitchen and observed it clean and sanitary. LPA observed all appliances are operable 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 and labeled. LPA observed knives and sharps secured in a locked drawer in the kitchen and are inaccessible to residents. LPA observed cleaning supplies secured in a locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 119.2- degrees Fahrenheit. Common Rooms During the time of visit, LPA observed the facility to be appropriately furnished. In the sitting room, LPA observed two couches and two chairs to accommodate residents. In the living room, LPA observed recliners to accommodate residents. The dining room has a large table and chairs to accommodate residents. LPA observed an ample supply of games, activities, and reading materials available for residents. The facility was maintained at a comfortable temperature. Files LPA reviewed the files for four (4) residents, LPA observed all files have the required documents. LPA reviewed the files for the Administrator and three (3) staff, LPA observed the staff files have the required documents, training, certification, and clearance. LPA observed the administrators Administrator Certificate #7006550740 is valid till 11/08/2026. During file review LPA observed Licensing Fees are current. Medications LPA observed medications secured in a locked cabinet in the kitchen. LPA observed all medications in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for three (3) residents. LPA observed three (3) out of three (3) residents’ medication is consistent with properly documented records. Safety LPA observed smoke and carbon monoxide detectors are operable. LPA observed a fire extinguisher mounted on the wall in the kitchen that was last serviced on 11/26/2025. The last Emergency Drill was conducted on 12/01/2025. The last Fire Prevention Inspection was conducted by the Torrance Fire Department in April 2025. LPA inspected the First Aid kit and observed it has the required items and a current manual. The facility has a current Emergency and Disaster Plan posted in the facility. LPA received and reviewed the Liability Insurance through Acord that is valid till 03/24/2026. Infection Control LPA observed a sanitizing station at the entrance of the facility. The sanitizing station consists of a Visitor Sign-In Log, hand sanitizer, masks, gloves, and a thermometer to take temperatures. LPA observed a Personal Protective Equipment (PPE) cart next to the sanitizing station. LPA observed a 30-day supply of PPEs stored in the garage. LPA observed an ample supply of cleaning products secured in a cabinet in the garage and an ample supply of paper towels. During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Evangeline Agatep, Administrator, and a copy of this report was provided.