Senior Care Records.

Facility Evaluation Report

CN Home #6, Lomita06/09/2023Licence 198320068

Capacity6
Census4
Date signed06/09/2023 12:19:26 PM
The inspector’s account

On 06/09/2023, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with administrator, Mae Maureen Torres, and explained the purpose of today’s visit. The facility is licensed to operate for six (6) developmentally disabled adult clients between the ages of 18 through 59. The facility is approved for 6 non-ambulatory clients. Currently, the home has (4) clients. The clients are Harbor Regional Center clients. Three (3) of the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices. The facilities annual fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) client rooms, two (2) bathrooms, an office, living area, dining area, kitchen, and an activities area. There is an outside shaded area in the backyard with an umbrella and ample seating. The laundry area is in a locked walk-in closet near the kitchen. The garage is attached to the home with access only through the front of the garage. The garage is used for storage only.

LPA conducted a records review of (4) client records, (8) staff records, (4) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) Client Medication Administration Records and did not observe any discrepancies at the time of visit.

LPA and the administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature met Title 22 standards in the bathrooms and kitchen sink and measured 110.8 F to 115.1 F. A comfortable temperature was maintained in the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction