Atwater Village South

Type of visit: Required - 1 Year

On 08/21/26, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an unannounced annual inspection visit. LPA met the with Administrator Jocelyn Espiritu, and reason for the visit was discussed. Facility is licensed as a single-story residence. Total capacity for six (6) non-ambulatory; one may be bedridden. Hospice waiver for four (4). Facility has four (4) total resident bedrooms; two private, and two shared. Facility has two (2) bathrooms. At 10:45 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: PHYSICAL PLANT was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Required signage posted throughout the facility. Room temperature is comfortable; thermostat displays a setting of 74.0°F., within the required range. Rear glass doors allow exiting to back yard. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 7/01/2026. FIRE DETECTION/SUPPRESSION SYSTEM present at facility. Multiple combination smoke\ carbon monoxide alarm detectors are installed, hardwired and interconnected. Detectors were tested and function properly. Two (2) fire extinguishers were observed; located near the front entrance and rear exit. Extinguishers indicate a full charge; last inspection service date: 02/06/2026. [LIC 809C]-Continued- MEDICATIONS: are stored in secured med cart in the kitchen area; inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is fully stocked and includes manual. KITCHEN area is clean and non-cluttered. LPA observed refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in lower cabinets, locked and inaccessible to residents. Plates, cups, utensils, and two day supply of perishable food is properly stored and labeled. A seven day supply of nonperishable food is located in kitchen area pantry. Dish Soap, cleaning solutions, and toxins are stored in locked lower cabinet underneath the kitchen sink. BEDROOMS: Resident bedrooms #2 and #3 are private. Resident bedrooms #1 and #4 are shared. All bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. BATHROOMS were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 108°F., within the required range. OUTDOORS: (backyard) area observed to have a shaded patio, with tables with sufficient seating for the residents. Patio furniture was observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. COMMON AREAS: Entry and exit doors have a functional auditory alert when the doors open. Dining room is furnished with table large enough to accommodate residents, staff, and visitors. Dining room is furnished with television, stored games, reading materials. Furniture and fixtures are clean and in good condition. Facility telephone was operational at time of visit. LAUNDRY: LPA observed the laundry room located in a kitchen area enclosure and inaccessible to residents. Laundry area is clean and clear from obstruction. Detergents, cleaning supplies, and other toxins, are securely stored and inaccessible to residents. [LIC 809C]-Continued- RESIDENT RECORDS are stored in secure and locked file cabinet in kitchen area and inaccessible to residents. Five (5) records were reviewed for current IPP and/or Needs and Services plans, physician report, admission agreements, and all required documents. Resident records appeared to be complete. STAFF RECORDS are stored in secure and locked file cabinet in kitchen area and are inaccessible to residents. Four (4) records were checked for criminal record clearances\associations to this facility, and all required documents. Staff records appear to be complete. No immediate health and safety hazards observed during today's inspection. Exit interview conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Aug 21, 2026

Type of visit: Required - 1 Year

On Thursday, 07/17/25, 9:45 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an unannounced annual inspection visit. LPA met with Administrator Jocelyn Espiritu, and reason for the visit was discussed. Facility is licensed as a single-story residence. Total capacity for six (6) non-ambulatory; one may be bedridden. Hospice waiver for four (4). Facility has four (4) total resident bedrooms; two private, and two shared. Facility has two (2) bathrooms. At 10:00 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: PHYSICAL PLANT was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 76.0°F., within the required range. Rear glass doors allow exiting to back yard. The facility maintains a Mitigation and Infection Control plan. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 7/01/2025. [LIC 809C]-Continued KITCHEN area is clean and clear of clutter. LPA observed refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in lower cabinets, locked and inaccessible to residents. Plates, cups, utensils, and two day supply of perishable food is properly stored and labeled. A seven day supply of nonperishable food is located in kitchen area pantry. Dish Soap, cleaning solutions, and toxins are stored in locked lower cabinet underneath the kitchen sink. FIRE DETECTION/SUPPRESSION SYSTEM present at facility. Multiple combination smoke\ carbon monoxide alarm detectors are installed, hardwired and interconnected. Smoke and Carbon monoxide detectors were tested and function properly. Two (2) fire extinguishers were observed; located near the front entrance and rear exit. Extinguishers indicate a full charge; last inspection service date: 03/11/2025. BEDROOMS: Resident bedrooms #2 and #3 are private. Resident bedrooms #1 and #4 are shared. All bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. BATHROOMS were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 117°F. Within the required range. OUTDOORS: (backyard) area observed to have a shaded patio, with tables with sufficient seating for the residents. Patio furniture was observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. COMMON AREAS: Entry and exit doors have a functional auditory alert when the doors open. Dining room is furnished with table large enough to accommodate residents, staff, and visitors. Dining room furnishing with sitting area, television, stored games, reading materials. Furniture and fixtures are clean and in good condition. Facility telephone was operational at time of visit. RESIDENT RECORDS are stored in secure and locked file cabinet in kitchen area and inaccessible to residents. Records were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appear to be complete and current. [LIC 809C]-Continued STAFF RECORDS are stored in secure and locked file cabinet in kitchen area and are inaccessible to residents. Records were checked for criminal record clearances\associations to this facility. Staff records appear to be complete and current. MEDICATIONS: are stored in locked and secured medications cart located in the kitchen area; inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is complete. No immediate health and safety hazards observed during today's inspection. Exit interview conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Christopher Espiritu for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 1:00 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (04) bedrooms and two (02) bathrooms. The facility is fire cleared for six (06) non-ambulatory, of which one (01) may be bedridden, and a hospice waiver for four (04). The facility is currently occupying six (06) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 73°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the front entrance, observed to be fully charged and last inspected on 11/20/2023. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117.8°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Sep 15, 2024