Routine inspection·April 3, 2026

On 04/03/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Administrator, Irene Formentera, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve 6 non-ambulatory residents aged 60 and over, with an approved hospice waiver for four (4). Physical Plant/Structure The facility is a two-story structure located in a residential neighborhood. The first floor consists of four (4) resident bedrooms, two (2) bathrooms, living room, dining room, kitchen, two (2) car garage, and outside has a shaded area. The second floor consists of five (5) bedrooms, three (3) bathrooms, and a den. On the shaded back patio, LPA observed a table and chairs available for resident use. All walkways outside the facility were observed clean, clear, and free of debris, hazards, and obstructions. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all residents’ rooms and observed them clean and in good repair. LPA observed resident rooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s), and storage space for resident’s personal belongings. LPA observed the beds have the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. LPA observed an ample supply of linens. All bedrooms were observed with ample lighting. Bathrooms LPA inspected the bathrooms and found them to be within Title 22 Regulations. All bathrooms were observed clean and operational. All showers have a non-skid mats, shower chair, and secure safety handrails. LPA observed an ample supply of towels and hygiene products available for residents. The water temperature measured 111.3-degrees and 117.6-degrees Fahrenheit. LPA observed an ample supply of incontinent care supplies stored in resident rooms and an additional supply stored in the garage. Kitchen LPA inspected the kitchen and observed it clean and sanitary. LPA observed an ample supply of dishware, cookware, and cutlery. LPA observed that all appliances are operable . LPA observed a 2-day supply of perishable foods, and a 7-day supply of non-perishable foods, properly stored and labeled. LPA observed 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 112.9-degrees Fahrenheit. Common Areas During the time of visit, LPA observed the facility appropriately furnished. LPA observed the living room has five (5) recliners and a couch to accommodate all residents. LPA observed the dining room has a large table with chairs to accommodate all residents. LPA observed games, reading material, and activities available for resident use. LPA observed all walkways and hallways in the facility are clean, clear and free of hazards and obstructions. All hallways and common rooms were observed with ample lighting. The facility was maintained at a comfortable temperature. LPA observed a fireplace that is screened and inaccessible to residents. Medications LPA observed Centrally Stored Medications secured in a locked cabinet in the dining room and are inaccessible to residents and visitor. LPA observed medications in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for five (5) residents. LPA observed five (5) out of five (5) resident’s medications are consistent with properly documented records. Files LPA observed resident and staff files secured in a cabinet in the dining room and are inaccessible to residents and visitors. LPA reviewed the files for five (5) residents. LPA observed five (5) residents’ files contain the required documents. LPA reviewed the files for the Administrator and three (3) staff. LPA observed four (4) staff files contain the required clearance, documents, and training. The administrator’s Administrator Certificate, number 7030102740, is valid till 01/11/2027. LPA observed all Licensing Fees are current. Safety LPA observed the last Fire Prevention Inspection conducted by the Torrance Fire Department was on 01/05/2026. The last Emergency Drill was conducted on 02/31/2026. LPA observed a fully charged fire extinguisher that was last serviced on 08/22/2025. LPA observed smoke and carbon monoxide detectors are operable. LPA observed all exits are indicated with an EXIT sign. LPA received and reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E) was lasted reviewed on 09/03/2025. LPA inspected the First Aid Kit and observed it has the required items and a current manual. LPA received and reviewed the liability insurance through Acord, policy number 0012885504, that is valid till 03/22/2027. LPA observed all required postings posted in the facility. The facility has a working landline telephone. There are no firearms or ammunition stored on the premises. Infection Control In the entry of the facility, LPA observed a sanitizing station. LPA observed it consist of a Visitor Sign-In Log and hand sanitizer. LPA observed the required infection control signs posted in the hallway in the facility. LPA observed a 30-supply of Personal Protective Equipment (PPE) stored in the garage. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time . An exit interview was conducted with Administrator, Irene Formentera, and a copy of this report was provided.