Routine inspection (multi-day)·December 10, 2025

On 12/10/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator, Angelique Gradney. The purpose of the visit was explained, and the LPA was allowed entry to the facility. This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 2 may be bedridden. The facility has a hospice waiver for 6 residents. Bedroom #3 is cleared for 1 bedridden client. A total of 6 residents are currently residing in this facility. The facility paid their Annual Licensing Fees today. Facility Layout: The facility is a two-story house located on a main street. The first floor consists of 3 resident bedrooms; 2 full bathrooms; 1 great room which consists of a kitchen area, dining room area, office space, and living room area; 1 attached garage with a laundry area. The second floor consists of 3 staff bedrooms and 1 full bathroom. Outside, there is a front yard and back yard patio area with shaded seating; and there is a storage room. Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are no security bars or weapons on the premises. Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept inaccessible to residents in care. There is fire extinguisher in the kitchen and it was last serviced on 02/13/2025. Great Room / Community Space: There is a landline telephone, fax machine, and a videoconferencing device in the office area. There are games/activity work (i.e. board games and books) for residents in the living room area. Resident Bedrooms: 3 out of 3 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Bathrooms: Toilets, showers, and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. Medications: were inaccessible to residents in care. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. 6 out of 6 Medication Administration Records (MARs) were reviewed. Nonprescription (PRN) medication was documented but it did not include the resident’s response to the medication. 1 out of 6 residents were being provided with insulin injections by facility staff (this resident is currently taking insulin pills, according to staff resident injected themselves through their assistance). Garage: has a laundry area, staff break room area, and holds extra facility supplies. Supplies such as, blankets, towels, pillowcases, cleaning supplies, incontinent care need supplies, etc. Miscellaneous: Documents are posted as mandated. Last fire drill was conducted on 10/2/2025. The last Annual Fire Inspection by the Torrance Fire Department was conducted on 2/14/2025. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. The facility liability insurance is current. Fumigators come to the facility once a month and provide services. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. Night staff are on call / live in and according to staff they are only paid during the times they work for example if a resident requires assistance than the night staff will assist a resident. 6 resident records were reviewed, 6 out of 6 resident records had required documentation. Physicians Report for the Resident 1 to Resident 6 indicate the following: Resident 1 – Nonambulatory Resident 2 – Severe Cognitive Impairment; Comorbidities; Unstageable heel pressure ulcer; Incontinent; Motor Impairment/Paralysis; Requires Continuous Bed Care; History of Skin Condition or Breakdown; Needs Assistance with Activities of Daily Living (ADL); Nonambulatory Resident 3 – Dementia; Diabetes; Treatment - Insulin PEN; Severe Late Onset Alzheimer’s Dementia; Hearing Loss; Incontinent; Requires Assistance with Repositioning and Transferring; Not able to: bathe self, dress/groom self, manage own toileting needs; Disorientation; Lack of Impulse Control; Expressions of Frustration; Patient bed bound; Not able to Manage own medications; Bedridden Resident 4: Sepsis/UTI; Mild Cognitive Impairment; Confused Disoriented; At Risk if Allowed Direct Access to Personal Grooming and Hygiene Items; Not able to care for own toileting needs Resident Appraisal 10/31/2025: Needs special observation/night supervision Resident 5: Multiple diagnosis; Mild Cognitive Impairment; Bowel & Bladder Impairment; Confused/Disoriented; Sundowning Behavior; Not able to care for Self-Care includes toileting needs and self-grooming Resident 6: Dementia; Hypertension; Incontinent Urinary; Requires Supervision; Motor Impairment/Paralysis - Weakness; Requires Continuous Bed Care; History of Skin Condition or Breakdown; At Risk if Allowed Direct Access to Personal Grooming and Hygiene Items; Not able for Self-Care including toileting, bathing, grooming Technical violations are being provided regarding emergency quarterly drills. Deficiencies are being cited based on observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. Violations regarding PRN medications, injections, and night staff. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator, Angelique Gradney.