Atkinson Care Home

Type of visit: Required - 1 Year

On 11/20/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above, using the full CARE tool. LPA met with Administrator, Edilberto Bernardino, and the purpose of today’s visit was explained. The facility is licensed to serve 6 non-ambulatory residents aged 60 and above. The facility has an approved hospice waiver for 6 residents. Currently there are five (5) residents residing in the facility. Physical Plant/Structure The facility is a two-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, two (2) resident bathrooms, living room, dining area, kitchen, detached garage. The second floor consists of an office area, staff rest/break room, and bathroom. In the backyard LPA observed two (2) sheds used for storage, a shaded patio with table and chairs available for resident use. LPA observed walkways outside the facility to be clean, clear, and free of debris, hazards, and obstructions. The gate on the side of the facility opens easily from the inside to exit. All ramps have secured safety handrails. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all resident rooms and observed them to be clean and in good repair. All bedrooms had the required furniture including a bed(s), dresser(s), nightstand, chair(s), and ample storage space for resident’s personal belongings. LPA observed the residents’ beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of lines and comforter stocked at the time of visit and were observed in good repair. LPA observed all resident bedrooms had ample lighting. Bathrooms All bathrooms were found to be within Title 22 regulation and were observed clean and operational. LPA observed the shower has a nonskid mat, shower chair, and secure safety handrails. LPA observed an ample supply of towels in good repair. LPA observed baskets and storage space for residents’6 personal hygiene products. LPA observed an ample supply of hygiene products secured in a cabinet in the garage. The water temperature in the bathrooms measured 114.8-degrees and 112.5-degrees Fahrenheit. Kitchen LPA observed the kitchen to be clean and sanitary during the time of visit. All appliances were observed operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery. The department observed a 3-day supply of non-perishable foods and a 7-day supply of perishable foods properly stored, labeled, and dated. LPA observed sharps and knives to be secured in a locked drawer in the kitchen and are inaccessible to residents. LPA observed cleaning supplies secured in the cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 112.6-degrees Fahrenheit. Common Areas During the time of visit the facility was observed appropriately furnished. LPA observed in the living room a large couch and recliners to accommodate all residents. LPA observed games, activities, and puzzles available for resident use. The dining room has a large table to accommodate all residents. All rooms were observed with ample lighting. All walkways and hallways in the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature. Files LPA observed resident and staff files secured in a cabinet in the kitchen. LPA reviewed the files for five (5) residents and observed they had the required documents. LPA reviewed the files for the Administrator and three (3) staff files and observed they had the required documents, training, and certification. The facility has Liability Insurance through Acord valid till 07/01/26. LPA observed Licensing Fees are current. Medications LPA observed all centrally stored medications secured in a locked cabinet in the kitchen. LPA observed all medications were in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for five (5) residents. Five (5) out of five (5) residents’ MARs and medication are consistent with properly documented records. Safety LPA observed a fully charged fire extinguisher in the kitchen last serviced on 04/29/2025. The last emergency drill was conducted on 11/17/25. Smoke detectors and carbon monoxide detectors are operable. The Emergency and Disaster Plan (LIC610E) was last reviewed on 08/01/2025. The last Fire Prevention Inspection was conducted by the Torrance Fire Department in 04/30/2025. The facility has a working landline telephone. LPA observed all required signs and documents posted in a hallway in the facility. LPA inspected the First Aid kit and found it contains the required items and a current manual. Infection Control During the visit, LPA observed the facility's infection control practices. Upon entry, LPA observed a sanitizing station with a visitor log. LPA observed required Infection Control postings throughout the facility. LPA observed a 90-day supply of PPEs stored in the garage. The Residential Infection Control Plan was last updated on 07/25/2025. During today’s visit no deficiencies were observed or cited. An exit interview was conducted with Administrator Edilberto Bernardino, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 20, 2025

Type of visit: Required - 1 Year

On 12/03/24, the department conducted an unannounced annual visit to the facility listed above. LPA met with Administrator, Edilberto Bernardino, and the purpose of today’s visit was explained. The facility is licensed to serve 6 non-ambulatory residents aged 60 and above. The facility has an approved hospice waiver for 6 residents. Currently there are five (5) residents residing in the facility. Physical Plant/Structure The facility is a two-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, two (2) resident bathrooms, living room, dining area, kitchen, detached garage. The second floor consist of an office area, staff rest/break room, and bathroom. In the backyard the department observed two (2) sheds used for storage, a shaded patio with table and chairs. The department observed walkways outside the facility to be clean, clear, and free of debris, hazards, and obstructions. The gate on the side of the facility opens easily from the inside to exit. All ramps had secured safety handrails. The department did not observe any bodies of water on the premises. Bedrooms The department inspected all resident rooms and observed them to be clean and in good repair. All bedrooms had the required furniture including a bed(s), dresser(s), nightstand, chair(s), and ample storage space for resident’s (1) Continued on LIC809-C personal belongings. The department observed the resident beds had the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. The department observed an ample supply of lines and comforter stocked at the time of visit and were observed in good repair. The department observed all resident bedrooms had ample lighting. Bathrooms All bathrooms were found to be within Title 22 regulation and were observed clean and operational. The department observed the shower has a nonskid mat and secured safety handrails. The department observed an ample supply of towels in good repair. The department observed baskets and storage space for residents’ personal hygiene products. The department observed an ample supply of hygiene products secured in a cabinet in the garage. The water temperature in the bathrooms measured 115.1-degrees and 116.7-degrees Fahrenheit. Kitchen The department observed the kitchen to be clean and sanitary during the time of visit. All appliances were observed operable and in good repair. The department observed an ample supply of cookware, dishware, and cutleries. The department observed a 3-day supply of non-perishable foods and a 7-day supply of perishable foods. The department observed sharps and knives to be secured in a locked drawer in the kitchen and are inaccessible to residents. The department observed cleaning supplies secured in the cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 114.8-degrees Fahrenheit. (2) Continued on LIC809-C Common Areas During the time of visit the facility was observed appropriately furnished. The department observed in the living room a large couch and recliners to accommodate all residents. The department observed games, activities, and puzzles available for resident use. The dining room has a large table to accommodate all residents. All rooms were observed with ample lighting. All walkways and hallways in the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature. Files The department observed resident and staff files secured in a cabinet in the kitchen. The department reviewed the files for five (5) residents and observed they had the required documents. The department reviewed the files for the Administrator and three (3) staff files and observed they had the required documents, training, and certification. The facility has Liability Insurance through Acord valid till 07/01/25. Medications The department observed all centrally stored medications secured in a locked cabinet in the kitchen. The department observed all medications were in their original packaging. The department reviewed the medications and Medication Administration Record (MAR) for five (5) residents. Five (5) out of five (5) resident’s MARs and medication are consistent with properly documented records. Safety The department observed a fully charged fire extinguisher in the kitchen last serviced on 10/30/23. The last emergency drill was conducted on 11/07/24. Smoke detectors and carbon monoxide detectors are operable. The facility has a (3) Continued on LIC809-C working landline telephone. The department observed all required signs and documents posted in a hallway in the facility. The department inspected the First Aid kit and found it contains the required items and a current manual. Infection Control During the visit, the department observed the facility's infection control practices. Upon entry, the department observed a sanitizing station with a visitor log. The department observed required Infection Control postings throughout the facility. The department observed a 90-day supply of PPEs stored in the garage. During today’s visit, the department did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Edilberto Bernardino, and a copy of this report was provided. (4)the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Required - 1 Year

On 10/21/2023 at 8:45 am Licensing Program Analyst (LPA) David España conducted an unannounced 1-year Annual visit to the facility. Upon arriving at the facility, LPA met with Licensee Muqueet “MD” Dadahboy, who assisted with the visit. The purpose of today’s visit was discussed. Upon arrival at the facility, LPA conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA was granted access and allowed to enter the facility to conduct inspections. LPA and Licensee toured the physical plant. The facility is located in a residential area. During today’s visit, LPA observed the following: The Residential Care Facilities for the Elderly (RCFE) facility is licensed to operate for six (6) non-ambulatory residents age 60 and above of which six (6) can be hospice residents. The facility is two-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, two (2) resident bathrooms, one (1) living area, one (1) dining area, one (1) kitchen, and one (1) outside patio area including two (2) shed for storage and one (1) table with four (4) chairs with shade. The second story of the facility is not accessible to residents and consists of one (1) office space with one (1) restroom and one (1) staff rest/break room with a restroom. There is a total of two (2) refrigerators and two (2) freezers, and the washer and dryer are located in the detached garage also used for storage. There were no bodies of water or obstructions on the premises. There are ramps leading to the backyard for each resident room to exit the front yard. The front yard consists of a white gate separating the sidewalk and the property and a small waterfall on the left side of the house in the corner. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105.0 F to 120.0 F (i.e., 114.5 F) in the bathrooms and kitchen sink.A comfortable temperature was maintained in the facility. Evaluation Report Continues on LIC 809-C LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days were observed. Freezers and refrigerators are maintaining temperatures. Medication is labeled and inaccessible to clients in dining room cabinet. There is a fully charged fire extinguisher in the kitchen, smoke detectors and carbon monoxide were operable. Medications were stored in a locked cabinet in the kitchen. During the visit, LPA observed the facility infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. No deficiencies were cited during this inspection visit. However, one (1) technical violation and one (1) technical assistance were issued. Technical Violation Staffing - Technical Violation: 1569.618(c)(3) Technical Assistance Resident Rights/Information - Technical Assistance: 87468(c)(2)(A) - An exit interview was conducted, and a copy of this report and appeals rights was provided to Licensee, Muqueet “MD” Dadahboy.the state’s words, verbatim · CDSS document, Oct 21, 2023

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.