Senior Care Records.

Facility Evaluation Report

Toluca Lake Manor Senior Assisted Living LLC, Toluca Lake08/05/2024Licence 197607575

Capacity6
Census4
Date signed08/05/2024 03:58:55 PM
The inspector’s account

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 10:22 AM. LPA was greeted by Facility staff who contacted the facility administrator Mariana Romano. Facility administrator arrived to the facility at approximately 10:28 AM Entrance interview conducted.

Beginning at 10:28 AM, the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. A camera was observed in the Living room. The LPA observed the fire extinguisher to be fully charged and serviced on 03/08/2024. At 10:30 a.m. LPA observed an unlocked cabinet that contained a prescription Ipratropium bromide and albuterol sulfate inhaler box. Smoke detectors and carbon monoxide detectors were tested at 01:01 p.m. and were functional at the time of the visit.

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food and emergency water. The LPA observed one designated drawer where knives and sharps are stored locked and inaccessible to residents. At 10:45 a.m. LPA observed expired condiments located in the refrigerator.

BATHROOMS : There are two (2) bathrooms for resident use. Bathrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed next to all toilets and in all showers and all were properly secured. The water temperature was measured between 105.4 and 106.7 degrees Fahrenheit, which is in compliance with regulation. Report Continued on LIC 809-C

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