Routine inspection·October 2, 2025

On 10/02/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above using the full CAREs Tool. LPA met with Administrator Angelyn De Leon, 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 ages 60 and above, of which one (1) may be bedridden with an approved hospice waiver for six (6). The facility currently has five (5) residents, and one (1) is receiving hospice services. Structure/Physical Plant The facility is a single-story structure in a residential neighborhood. The facility consists of four (4) bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached garage, front and backyard. The backyard has a shaded patio with a table, chairs and activities. The front and backyard are landscaped and in good repair. All ramps have secured safety handrails. All walkways outside were observed clean, clear, and free of obstructions, debris, and hazards. There are no bodies of water on the premises. Bedrooms LPA inspected all residents’ bedrooms. LPA observed all bedrooms have the required furniture including bed(s), dresser(s), nightstand(s) with a lamp, chair(s), and ample storage space for residents use. All beds had the required linens, including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens stored in a cabinet in the hallway and an additional supply in the residents’ closets. All bedrooms were observed to be in good repair. Bathrooms LPA inspected all resident bathrooms. All bathrooms were found to be within Title 22 regulations. All bathrooms were observed to be operable. The showers were observed clean, and clear of mold or mildew. All showers have secured safety handrails, non-skid mats, and shower chairs available. The water temperature measured 115.6-degrees and 116.1-degrees Fahrenheit. LPA observed hygiene products secured in a cabinet under the sink and are inaccessible to residents. An additional supply was observed secured in a cabinet in the garage. LPA observed an ample supply of towels in a cabinet in the hallway and an additional supply stored in each resident’s closet. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances were operable and in good working repair. LPA observed an ample supply of dishware, cookware, and cutlery in good repair. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods properly packaged, labeled, and dated. All knives and sharps are secured in a locked drawer in the kitchen and are inaccessible to residents. The water temperature measured 114.7-degrees Fahrenheit. LPA observed the menu posted in the kitchen. Common Rooms LPA inspected all common areas. The facility was observed appropriately furnished during time of visit. The dining room has a large table with chairs to accommodate all residents. The living room has a couch and chairs to accommodate residents. LPA observed a fireplace that is screened, locked, and inaccessible to residents. LPA observed games, puzzles, activities, books, and magazines available for residents. All rooms were observed to have ample lighting. All walkways inside the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature. Medications LPA observed all Centrally Stored Medications secured in a locked cabinet in the dining room and are inaccessible to residents. All Centrally Stored Medication were observed in their original packaging. LPA reviewed the Medication Administration Record (MAR) and medications for three (3) residents. LPA observed three (3) out of three (3) resident’s medications are consistent with properly documented records. Safety LPA observed two (2) fully charged fire extinguishers lasted serviced on 03/06/25. One extinguisher was mounted in the kitchen, and the other was mounted in the garage. The smoke/carbon monoxide detectors are hardwired and fully operational. The last Fire Prevention Inspection was conducted by the Torrance Fire Department on 04/10/2025. The last Emergency Drill was conducted on 07/28/2025. All rooms have an emergency exit sketch posted with the exit route marked. LPA reviewed the facility’s liability insurance through Acord that is valid till 09/18/2026. LPA inspected the First Aid Kit and found it contained all the required items and manual. The door leading to the hallway where the bedrooms are located and the door to room 2 (bedridden room), are fire doors wired to the smoke detector system and if they are set off the doors close automatically. The facility has an alarm system that informs staff when a door is opened and identifies which door was opened. The facility has a working landline telephone. LPA observed all required state posting throughout the facility. Files LPA reviewed the files for five (5) residents and observed they have the required documents. LPA reviewed the files for the Administrator and three (3) staff and observed they contained the required d ocuments, clearance, certification, and training. The administrator’s Administrator Certificate, number 7014407740, is valid till 03/20/2026. LPA observed Licensing Fees are current. Infection Control During today’s visit, LPA observed the facilities infection control practices. At the entrance and throughout the facility, there are sanitizing stations. LPA observed all staff wearing face masks. LPA reviewed the visitor sign-in logs where temperatures are recorded. LPA observed Infection Control signs posted throughout the facility. LPA observed a 30-day supply of PPEs stored in the garage. LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Angelyn De Leon, and a copy of this report was provided.