Routine inspection·July 2, 2025

On 7/2/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Luther Waters /DSP. LPA explained the purpose of today’s visit. The facility is licensed to serve six (6) residents aged 60 and above of which (2) can be non-ambulatory. Hospice waiver approved for a maximum of (2) hospice residents. Currently there are (1) residents in care. The clients are from South Central Los Angeles Regional Center. (0) Restricted Health Care Conditions, and (0) utilizes postural support or protective devices. Staff to client ratio is (1:1). The facility is a one-story home located in a residential neighborhood. The property consists of the following: 2 client bedrooms, 2 bathrooms, a living room, kitchen, detached garage, and an outdoor patio area inaccessible to clients. LPA Iniguez and the DSP toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (2) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature properly measured between 105F° and 120F°. The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 6/2/25. A review of (1) residents' service files and (1) staff personnel files was conducted. LPA reviewed (1) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of the surety bond will be emailed to LPA. Facility Annual Fess current. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -No Medical assessment on file for (R#1). -No TB test on file for (R#1). Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Luther Waters/DSP.