Loving Arms Residential Care for Senior I

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced annual inspection of the facility. LPA arrived and met with Administrator Designee Cynthia Pabalan. The purpose of today’s visit was explained. Administrator Nathan Lacson joined the visit shortly after. The facility is licensed to serve 6 elderly residents, non-ambulatory residents, one of which may be bedridden, ages 60 and above. There is hospice waiver for 6. Bedrooms 1,2,3 approved for non-ambulatory and bedroom 4 approved for bedridden. There are currently no bedridden residents. One resident is on hospice. The facility is a single-story home located in a residential area in Norwalk, Ca. A tour of the facility includes: living room, kitchen, dining area, 4 bedrooms (2 double and 2 single), 2 bathrooms (1 bathroom located in client room), front yard, back yard, attached garage with laundry. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today’s visit and the initial visit and observed the following: Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility and a designated Infection Control Lead. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan, Dementia Plan and training, and facility maintains the required current liability insurance. Continued on 809-C Physical Plant & Environment Safety: LPA toured facility. The facility is well maintained and walkways and hallways are free of debris and obstruction. Residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. A deficiency was observed. See 809-D.The required furnishings, light and bed linens were observed. There were extra linens and towels present. The backyard is free of debris/hazards and the outdoor and indoor passageways are free of obstruction. No bodies of water were observed at the facility. A shaded table and chairs were present to allow the residents to enjoy the outdoors. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was measured in both bathrooms and was measured within Title 22 requirements of 105 degrees F- 120 degrees F for both bathrooms. All storage areas for cleaning solutions, toxins, knives, sharps and hazardous items are kept locked and are inaccessible to residents. Smoke detectors are present in each resident room and the living room. All were observed to be operable. A carbon monoxide detector was present and operable. There was a fire extinguisher present that was observed to be fully charged. Staffing: There appears to be sufficient staffing at all times in the facility. The night staff that is trained and able to assist in care and supervision of the residents in the case of an emergency. Personnel Records-Training: Staff files are kept in a secure location. LPA reviewed 5 staff files. Files were reviewed for Criminal Record Clearance, Health Screening, Current First Aid and CPR as well as initial and ongoing training for care of the Elderly. No issues were observed. Administrator’s certificate is current until 09/18/26. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Medical Consent, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 4 Resident Files and a deficiency was observed. See 809-D Administrator advised to document when resident refuses inventory of personal items. Residents Rights-Information: Residents are provided with telephone and internet at the facility. All the required postings were observed. Planned Activities: Facility offers activities like coloring and chair exercises and a central TV viewing area for residents to enjoy together. There is an outdoor furnished patio area available for the residents. Residents are taken outside for walks. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Food was stored separately from cleaners, toxins and poisons. Appliances were observed to be operable and able to properly store and prepare food. A deficiency was noted. See 809-D. Incidental Medical & Dental: Medication is properly labeled and are centrally stored in a locked closet and are in their original containers. LPA reviewed 4 residents’ medications and there were no issues observed. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Emergency food and water were observed. A full First Aid kit and Manual were available. Residents with Special Health Needs: Residents at this facility that require the use of bed rails have the required doctor’s approval. Facility has recommended documents on residents with home health services and have ongoing communication with home health agencies. Facility admits residents with dementia and staff have all required training documented within personnel files. There are currently no bedridden residents. Per California Code of Regulations, Title 22, and California Health and Safety Code, deficiencies observed during today’s visit are documented on the 809(D). Exit interview was held with Administrator Nathan Lacson and a copy of this Licensing report was provided along with Appeal Rights.the state’s words, verbatim · CDSS document, Feb 2, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Elizabeth Irra conducted an annual inspection visit. LPA met with Lourdes Bisnar and discussed the purpose of today’s visit. This facility consists of (4) resident bedrooms, (2) bathrooms (one in bedroom #1), a living room, dining room, kitchen and attached garage. This facility is approved for (5) non-ambulatory and (1) bedridden resident (bedroom #4). This facility is also approved for (6) hospice residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools observed the following: Infection Control: Facility has an Infection Control Policy in place and was observed to be posted. Operational Requirements: Facility is adhering to the operational requirements. Physical Plant & Environment Safety: LPA toured facility grounds. Fire smoke alarms and carbon monoxide detectors (near the dining area) observed. The fire extinguisher is located in the kitchen and was last serviced on 08/14/24. Last drill was conducted on 12/08/24. Bathrooms have non-skid surfaces and grab bars. Staffing: Facility is adhering to staffing requirements. Personnel Records-Training: Staff files are maintained at the facility. LPA reviewed staff files for S-1 through Staff #5 (S-5). Staff have current First Aid/CPR certification. Staff have their Health Screening and Tuberculosis Screening on file. **Refer to LIC 809C for the continuation of this report.** Resident Rights-Information: Resident rights are posted and are included in Resident files. Planned Activities: Activity schedule is posted near the dinning area. This facility also provides internet access to the residents. Food Service: There are sufficient food supplies of 2-day perishable and (1) week of non-perishable items. The food is properly stored in the refrigerator. Posted menu observed. Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents and other vermin. Plates, cups and utensils are kept cleaned and stored properly. Dining areas have adequate seating. Resident Records-Incident Reports: LPA reviewed Resident files for Resident #1 (R-1) through Resident #6 (R-6). Resident files are maintained at the facility. Resident files have the required documents. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent For Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Appraisal/Needs and Services Plan/Assessment Summary, Resident Rights were observed. Disaster Preparedness: The facility has a Disaster Preparedness plan in place and was observed to be posted. Health Related Services/Incidental Medical Services: The medications are stored and locked inside the hallway closet. Medications are administered as prescribed. Exit interview conducted, copy of appeal rights and a copy of this report was provided to Lourdes Bisnar.the state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with Administrator Lourdes Bisnar and explained the purpose for todays visit. The facility phone number is 562 404 8387. The facility consist of four resident bedrooms, two bathrooms(one in bedroom #1), a living room, dining room, kitchen, attached garage/staff room, and a patio located in the back yard. The facility had all postings at the front entrance, bathrooms, and throughout the facility. Hand sanitizing gel and masks were located at the entry of each room. A Pre screening area with PPE supplies was observed upon entry into the facility. LPA conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the kitchen. The water temperature was tested and measured between 105 and 120 degrees F. Administrators certificate for Edjeska Mian N Macandili #6027336740, expired on 07/28/2023. The licensee is waiting on her new certificate to arrive and provided proof. Continued on LIC 809C. Staff person Joan Amoroto was also informed that they can not have an employee working in all the 3 licensed residents at once, they may work 1 staff per residence. The backyards connect and they enter the property from the backyard. 11503, 11507, 11511 are all licensed facility's on the same street. The following citations were cited per the California Code of regulations, Title 22 on the LIC 809D's Appeal rights given Exit interview conductedthe state’s words, verbatim · CDSS document, Feb 22, 2024