Facility Evaluation Report

Licensing Program Analysts (LPAs) Daniel Konishi and Gabriela Castro conducted an unannounced Annual/Required inspection and met with Caregiver, Connie Duldulao and explained the purpose of the visit. Staff #1 (S1) helped assist with the visit. Administrator, Maria Tangonan arrived shortly after and LPAs explained the purpose of the visit. The facility is licensed for the age range 60 and over to serve six (6) non-ambulatory, of which one (1) may be bedridden. Bedridden in bedroom #2. Hospice Waiver for six (6).

LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit, today’s visit and the initial visit and observed the following:

Infection control practices and Personal Protective Equipment (PPEs) were observed. LPAs observed that the facility has an infection control plan in place.

Fire clearance was approved by LA County Fire Department for the age range 60 and over to serve six (6) non-ambulatory, of which one (1) may be bedridden. Bedridden in bedroom #2. Hospice Waiver for six (6).. Liability Insurance is valid and currently on file.