Facility Evaluation Report

On 07/22/25, at 9:00am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit following an inspection by the Los Angeles Fire Department (LAFD) on 07/17/25. LPA Saucedo met with Resident Care Director Mary Jane Reyes. The LAFD found five (5) violations during there inspection:

-Systems out of service-Provide a fire watch due to deficient and/or out of service fire protection system.

-Authority to require fire watch- Ordered to require and implement a Fire Watch.

-Responsibility for instruction-Provide instructions to personnel performing Fire Watch.

-Log book-Provide and maintain Fire Watch log book.

-Specific duty requirements-Assigned Fire Watch personnel shall be thoroughly familiar with area patrolling, patrol area each 30-minutes.

As of immediately, the facility needs to be on Fire Watch until the Reg 4 Generator test has passed. This is an immediate health and safety violation, placing hundreds of residents in serious and immediate danger.

An exit interview was conducted, citation(s) were issued, appeal rights were provided, and a copy of this report was given to the resident care director.