Compassionate Elderly Care Management Systems

Type of visit: Required - 1 Year

On 10/08/2025 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Celia Oyibu arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 12:00 PM and the following was noted: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms. The facility is currently occupying six (6) residents. There is a designated staff room. One (1) room and one (1) bathroom is designated for staff use only. The facility has an approved fire clearance for two (2) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver approved for two (2). Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 74°F. LPA observed a fire extinguisher to be located near the kitchen. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the entrance. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. The cleaning solutions/toxins along with the knives/sharps were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Laundry Room: The Laundry room was observed to be located near the kitchen. LPA observed cleaning solutions and toxins stored appropriately within the laundry room and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature of the staff bathroom was not measured within regulations. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed there to be a locked shed. There is no body of water located at the facility. Garage: The garage is located outside in the backyard and can be accessed from inside the designated staff room. The garage was observed to be kept locked and used for storage purposes. Extra refrigerator and freezer with additional food for residents was observed. Medications: The medications along with staff and residents’ files were observed to be kept in a locked filing cabinet located in the hallway’s passageway. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer and tweezer.. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records were not complete and updated. Staff records: LPA conducted a complete file review of two (2) staff records. Staff records appeared to be complete and updated. Let it be noted that this facility will be going through construction/renovations. The renovations will be taking place through the grant funding of Community Care Preservation Project overseen by the Los Angeles County Department of Mental Health (DMH). The Administrator has begun the process with Community Care Licensing Division in developing and submitting their Plan due to all six (6) residents needing to be relocated until renovations have been completed. (Continue to LIC 809-C) The following deficiencies were observed during the day of inspection: -3 of 6 residents missing their Re-Appraisal, 2 out of 6 residents missing their Pre-Appraisal, 2 of 2 residents medications checked were not updated correctly on their medication log. 4 out of 6 residents are noted to be non-ambulatory on their Physician Reports. Citations issued, please refer to 809-D. A $500 immediate civil penalty for a fire clearance violation was assessed. The administrator was notified that additional civil penalties would be issued if the violations are not corrected by the POC due date. There were no other immediate health and safety hazards observed during the day of inspection. Exit interview conducted, Appeal rights given and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 8, 2025

The state marks this report as 10 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with Administrator Celia Oyibu for a One (1) Year Required visit for this facility. LPA arrived and was greeted by staff Cyrus Domah and explained the reason for the visit. Ms. Oyibu arrived approximately ten (10) minutes later. There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection Plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted indoors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. A tour of the physical plant was conducted with the administrator at 9:35 AM. The facility is a single storey building with four (4) bedrooms and two (2) bathrooms currently occupying four (4) residents. One (1) bedroom and one (1) bathroom is designated for staff use. The facility is fire cleared for two (2) non-ambulatory residents, one (1) of which may be bedridden. Hospice waiver for two (2). Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 77°F. The smoke detectors are hardwired and interconnected and observed to be operational. The fire extinguisher is located in the laundry room and was last 08/22/24. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water at the facility. (continued to LIC 809-C) The garage is converted into an additional dwelling unit (ADU) which a family member/staff is currently living. It is also currently being used as frozen food storage. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Fire extinguisher is located at the kitchen and observed to be full and current. Laundry room is located adjacent to the kitchen. Laundry soap, chlorine and other cleaning agents were stored on the cabinet above the washing machine and was observed to be locked and inaccessible to residents. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amount of personal hygiene product which is provided by the licensee. Staff Rooms: Staff room was observed to be locked and inaccessible to residents. No medications are observed in the staff room. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower. The hot water temperature was measured at 118.5°F. Towels and washcloths are not shared. There was enough clean linen available in stock at the cabinet. Medications: LPA observed medication in the cabinet in the hallway in between residents’ room to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. There was a complete first aid kit located in the medication cabinet. Client records: Client records were reviewed. Resident #1 has a Dementia diagnosis but no updated LIC 602 on file. Staff records: LPA conducted a complete file review of staff records. Staff #1 (S1) has no LIC 503 on file. Disaster drill was last conducted on 08/30/24. Required posting are observed to be complete and current and displayed properly at the facility. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Oct 13, 2024