Facility Evaluation Report

Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with staff Elvie Balaora and explained the purpose for todays visit. Later Johnette Bellosillo arrive and joined the visit. The facility phone number is 562 804 9803

The facility consist of: Living room, kitchen, dining area, 4 client bedrooms, 1 bedrooms, 2 bathrooms and an attached garage.

LPA conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the kitchen. The water temperature was tested and measured 110.1 degrees F. LPA observed one fire extinguisher in entry way between the kitchen and living.

Administrators certificate for Johnettte B Bellosillo 6023643735, expires on 1/23/25.

There are o deficiencies cited. Exit interview conducted and a copy of the LIC 809C was given to Administrator Johnette Bellosillo.