Senior Care Records.

Facility Evaluation Report

Three C'S Care Home, North Hollywood06/16/2025Licence 197609097

Capacity6
Census4
Date signed06/16/2025 06:11:33 PM
Name of licensing program analystChristine Yee
Name of licensing program managerKristin Heffernan
The inspector’s account

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Milagros Lopez, Administrator. The reason for today's visit was provided.

The facility is a single storey family home consisting of a living room, dining room, kitchen, three bedrooms, a private bathroom, a common bathroom and a detached garage. The facility is fire cleared for five(5) non-ambulatory and one(1) bedridden. Bedroom #3 is designated for bedridden use.

The following was observed during today's visit:

The living room and dining room was furnished with the appropriate furniture for 6 residents.

The kitchen was equipped with a stove, microwave, a dishwasher and a refrigerator. Also observed were various appliances such as rice cooker, air fryer and water cooler. Located inside the kitchen is the laundry closet that houses the washer and dryer. The only fire extinguisher purchased on 3/1/25 is also mounted in the kitchen. Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days was observed on the premises. Knives and the sharps container are locked in a kitchen drawer, Medications are stored in a locked kitchen cabinet, cleansing solutions are stored in a locked cabinet under the kitchen sink.

All 3 resident bedrooms was furnished with 2 beds, 2 night stands, 2 lamps, 2 folding chairs, a shared set of drawers and a built in closet. The appropriate bed linens were observed on all the beds except for the hospital bed in bedroom #3. Per the Administrator, the resident does not want a flat sheet or blanket

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