Inspector’s narrative
What the inspector wrote
On 01/06/2026 at 8:15am, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Required 1-year Annual Visit to the facility listed above. LPA met with Administrator May Drapeau, 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 over the age of 60, three (3) of which may be bedridden, and an approved hospice waiver for two (2) residents.
Physical Plant/Structure
The facility is a single-story structure in a residential neighborhood. The facility consists of four (4) bedrooms, two (2) full bathrooms and ½ bathroom, kitchen, dining room, living room, office/receiving area, attached garage, front and backyard. The backyard has a shaded patio with table and chairs. The front and backyard are well maintained. All walkways outside were observed clean, clear, and free of obstructions, debris, and hazards. Gates on the side of the home open easily from the inside to exit. There were no bodies of water observed on the premises.
Bedrooms
LPA inspected all residents’ bedrooms and observed them to be clean and in good repair. LPA observed all bedrooms have the required furniture including a bed(s), dresser(s), nightstand(s) with lamp(s), chair(s), and ample storge space for resident 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 garage. Bedrooms were observed with ample lighting.
Bathrooms
LPA inspected all bathrooms and observed them to be within Title 22 regulations. All bathrooms were observed to be clean and operable. All showers had secured safety handrails, nonskid mats, and shower chairs available. The water temperature measured 108.7-degrees, 109-degrees, and 112.8-degrees Fahrenheit. LPA observed hygiene products secured in a cabinet in the garage. LPA observed an ample supply of towels in a cabinet in the garage.
Kitchen
LPA inspected the kitchen and found it to be clean and sanitary. LPA observed an ample supply of cookware, dishware, and cutlery in good repair. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods properly stored, labeled and dated. LPA observed all sharps and knives secured in a locked drawer and are inaccessible to residents. LPA observed all cleaning supplies secured in a locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 108.9-degrees Fahrenheit.
Common Areas
LPA inspected all common areas. The dining room has a large table with chairs to accommodate all residents. The living room has two (2) couches and four (4) recliners to accommodate residents. LPA observed a fireplace that is screened, and inaccessible to residents. LPA observed games, puzzles, books, and reading material available for residents in the living room. LPA observed a desk and two (2) couches in the receiving area. All rooms were observed with ample lighting. All walkways and hallways were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature.
Medications
LPA observed Centrally Stored Medications secured in a locked cabinet in the receiving/office area and are inaccessible to residents. LPA observed Centrally Stored Medications in their original packaging. LPA reviewed the medications for five (5) residents. LPA observed five (5) out of five (5) residents’ medications is consistent with properly documented records.
Files
LPA observed staff and resident files secured in a locked cabinet in the receiving/office area that are inaccessible to residents and visitors. LPA reviewed five (5) resident files and observed they have the required documents. LPA reviewed the files for the administrator and three (3) staff and observed they have the required documents, certification, clearance, and training. The administrator’s Administrator Certificate 7004394740 is valid till 06/27/2026. LPA reviewed the facility’s liability insurance through Acord valid till 09/12/2026.
Safety
LPA observed three (3) fully charged fire extinguishers. One extinguisher is mounted in the kitchen, one is mounted in the garage, and the third is mounted in the hallway near the bedrooms. The smoke detectors are hardwired and fully operational. LPA observed four (4) carbon monoxide detectors that are operational. All rooms have a facility sketch that shows emergency exits. LPA observed the last emergency drill was conducted on 12/01/2025. The last fire prevention inspection was conducted by the Torrance Fire Department on 08/14/2024. The Emergency and Disaster Plan was last reviewed on 12/01/2025. All doors exiting the facility have a sensor that alerts staff when a door is opened. LPA observed all exits are indicated with an EXIT sign. LPA inspected the First Aid Kit and found it contained all the required items and a current
manual. The facility has a working landline telephone. LPA observed all required state posting throughout the facility. There are no firearms or ammunition stored at the facility.
Infection Control
During today’s visit, LPA observed the facility’s infection control practices. At the entrance there are sanitizing stations that has hand sanitizer, masks, and a visitor log. LPA observed Infection Control signs posted throughout the facility. LPA observed a 30-day supply of PPEs stored in the garage.
During today’s visit, LPA did not observe or cite any deficiencies.
An exit interview was conducted with Administrator May Drapeau, and a copy of this report was provided.