Charvers Residence

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Bennette Pena conducted an announced Pre-Licensing facility Evaluation visit. LPA met with Lorraine Lopez, Applicant/Administrator and Claudia Murillo, House Manager who assisted LPA with the visit. The facility is in a residential neighborhood in the city of West Covina. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and the following are observed: Physical Plant & Environment Safety: The facility is a single story house and located in a residential area.This single-story home contains six (6) bedrooms, three (3) bathrooms, a living room, family/TV room, kitchen, dining room, breakfast nook, backyard with swimming pool and gazebo, and attached garage. The hot water temperature in (2) bathrooms were tested and did not meet the required 105-120 deg F. Bathroom #1 was measured at 92.4 deg F and bathroom #2 measured at 84.6 deg F after checking it 3x. Bedrooms are large enough to allow for easy passage and comfortable for usage of beds and other required items of furniture. LPA observed low beds in bedrooms #1, 4 and 6. Cleaning solutions, laundry soap and disinfectants are stored in a locked portable cart. Sufficient supply of linens available to permit weekly changing are available. Sufficient personal hygiene supply available. The signal systems in all exit points are operating properly. The laundry machines are operable and located inside the home. Smoke detectors/carbon monoxide detectors were tested and operable. Fire extinguishers are observed in the home and garage which were serviced on 12/04/2025. Knives and sharps were locked and stored in a metal box. Kitchen cabinets, refrigerator/freezer, oven, microwave, dishwasher are in working condition, clean and sanitary. The home has a video camera monitor system in the common areas, no audio. Doors, exits, hallways, and passageways were clear and free of obstruction. LPA observed a spa/pool in the backyard that is gated. Operational Requirements: The Infection Control Plan has been submitted to CCL and the CAB Analyst. Fire clearance granted. Bedroom #6 is approved for bedridden, all other bedrooms are approved for non ambulatory. No delayed egress was approved at this time. Applicant stated that she will not handle resident's cash resources. Telephone is easily accessible and available for residents' use. ***CONTINUED ON LIC 809-C***** Staffing: The administrator has a valid administrator certificate, expiring on 11/13/2027. Personnel Record/Staff Training: All staff files will be maintained in the facility and will be locked in a cabinet. Resident Records/Incident Reports: All residents files will be maintained in the facility and will be locked in the kitchen cabinet. Resident Rights-Information: The home has adequate furnishings and equipment to meet the residents' needs. LPA observed the Theft and Loss policy, Visitation policy, Personal rights, Non-discrimination notice, Long Term Care Ombudsman and labor information posted in the home. Food Service: Meals will be stored and prepared in a safe manner, necessary to meet the needs of residents. Toxic substances are stored in a locked portable cart. Food storage and preparation areas, which include pantries, cupboards, drawers and counters were observed to be clean and appropriate for food preparation. Appliances such as a microwave, refrigerator and stove were observed to be clean and operating properly. The refrigerator was observed to be at 45 degrees Fahrenheit and the freezer at 0 degrees Fahrenheit. Residents with Special Health Needs: The facility is approved for (1) bedridden resident. The facility has operating signal system in exit points. Planned Activities: The facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. Incidental Medical and Dental: The facility has a complete first aid kit with updated first aid manual. All the residents medications will be stored and locked in the kitchen cabinet. Facility has a safe container to dispose syringes and needles. List of emergency contacts such as Police, Fire Dept. or paramedic unit was completed and posted near the entrance. Disaster Preparedness: The home has a complete Emergency and Disaster Preparedness Plan that includes, EVAC Procedures, Transportation arrangements, Location of all utility shut-off valves and instructions for use. There is a contact information list of local emergency response personnel, local emergency contact name posted and visible to staff and residents. Component III was also completed at the time of the visit and all required documents for Licensing were discussed. Facility did not meet the physical plant requirements/ inspection as required per California Code of Regulations Title 22 Division 6. The following corrections need to be made prior to clearing the physical plant: Hot water temperature needs to be adjusted and must meet the Title 22 Regulations requirements of hot water reading to be between 105-120 deg F. Secure the fireplace in the family/TV room. LPA will notify the assigned Centralized Applications Bureau (CAB) Analyst of the pre-licensing facility evaluation visit report, as well as the items needing corrections. Exit interview conducted and a copy of this report has been furnished to the applicant/administrator Lorraine Lopez. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Feb 20, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.