Wesley Health Centers-Skid Row Res Care Facility

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Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. Upon arrival, LPA met with Assistant Administrator Indu Amarasinghe. The reason for the visit was explained. The facility is licensed to serve forty-eight (48) non ambulatory residents who are ages 60 and above. Annual fees are current. The facility is a three-story building located in skid row area in downtown LA. On the first floor, it consisted of an activity or group room for residents, dining area, one (1) resident bathroom, three (3) staff rooms, one (1) staff break room, one (1) staff bathroom, laundry room with multiple washers and dryers, an industrial kitchen and a medication room. On the second floor, it consisted of twelve (12) shared resident bedrooms, residents’ group room, nurse station, one (1) big bathroom with multiple stalls and showers, cleaning supply room, four (4) linen closets, and emergency food supply room. On the third floor, it consisted of twelve (12) shared resident bedrooms, one (1) residents’ group room, nurse station, one (1) big residents’ bathroom with multiple stalls and showers, office, cleaning supply room, and four (4) linen closets. The following CARE tool domains were reviewed during this visit: Infection Control: Sufficient PPE supplies and an Infection Control Plan maintained at the facility were observed and in compliance. (-Continued on the LIC809-C) Physical Plant & Environment Safety: Physical plant tour was conducted. Residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The hallways and passageways were free of obstruction and debris/hazards. Hygiene products were readily available for residents. All storage areas for cleaning solutions, toxins, knives, and hazardous items were kept in a locked cabinet and were inaccessible to residents. Water temperature was tested and the temperatures were between 115.5 to 117.5 degrees F., which is in compliance with regulations. Smoke detectors and carbon monoxide detectors were operable and monitored by a fire prevention company. Fire extinguishers were observed and fully charged. Operational Requirements and Disaster Preparedness: Facility has an activity area furnished for outdoor use. Facility maintains documentation of the required emergency drills. Fire drills were conducted quarterly. The last fire drill was on 04/29/26. Staffing and Personnel Records- Training: There appears to be sufficient staffing at all times in the facility. Staff files were reviewed and in compliance. Administrator certificate is current with the expiration date of 03/23/28. Resident Rights-Information and resident Records-Incident Reports: Facility provided telephone landline and internet for the residents. Resident rights posters and reporting posters were displayed within the facility. Food Service: The kitchen was observed to be clean. Two (2) days of perishables and one week (7) days of non-perishables food supply were observed. Health Related Service: Medication was properly labeled, centrally stored, and in their original containers. Incidental Medical & Dental and Emergency Intervention: Staff designated to administer medication have the proper training on file. Residents at this facility do not need the use of restraints or de-escalation techniques. (-Continued on the LIC809-C) Exit: No deficiencies were noted during this visit per California Code of Regulations, Title 22, Division 6. Exit interview was conducted with Assistant Administrator Indu Amarasinghe and LIC 809s were provided.the state’s words, verbatim · CDSS document, Jun 9, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christian Gutierrez conducted a pre-licensing visit. LPA met with Donahu Vanderhider. An initial application was submitted to Community Care Licensing Department (CCLD) for a Residential Care Facility for the Elderly (RCFE) to serve 48 non- ambulatory residents age range 60 and over. The fire clearance has been approved for 48 non-ambulatory. Fire clearance was approved for address 601 E 5th St, Los Angeles, CA 90013 however when LPA arrived, she was informed that the address has changed to 444 S Crocker St, Los Angeles, CA 90013. RO will follow up with CAB. The physical plant was toured with the applicant. Component III was conducted. The facility is in industrial area and is a three-story building. First floor consists of three (3) staff rooms, staff break room, one (1) staff bathroom, laundry room with multiple washers and dryers, group room for residents, dining area, resident bathrooms, industrial kitchen and medication room. LPA conducted the tour and observed the following: Smoke/fire detectors were observed in common areas. The facility first floor has two (2) bathrooms and were clean and sanitary. There is multiple fire extinguisher located on first floor. All appliances in kitchen were observed to be clean and operational. The sharp knives are located in the kitchen inaccessible to residents. Cleaning supplies and chemicals are stored in a locked cabinet. Medications are locked in medication room. All files will be kept in office. Group room has two computers for residents and lots of game boards and activities. The facility does not have a pool or any large bodies of water. There are cameras only in common areas inside the facility. Next door there is an outdoor area with a dog park that residents can go to. SEE 809C Second floor consists of eleven (11) shared resident bedrooms, group room, nurse station, bathroom with multiple stalls and eight showers, cleaning supply room, linen closets, and emergency food supply room. LPA conducted the tour and observed the following: Smoke/fire detectors were observed in common areas and in each resident’s bedroom. Residents’ bedrooms were observed to have required furniture such as bed frames, dressers, chairs, lamps, and sufficient closet space. The required bedding was also observed. The facility has one (1) bathroom on this floor with multiple stalls and showers it was clean and sanitary and had required grab bars and grip matts. The water temperate was tested and measured within the required 105-120 degrees. There is multiple fire extinguisher on this floor. Cleaning supplies and chemicals are stored in a locked room. LPA observed extra linen and hygiene supplies. There are cameras only in common areas. LPA observed a working telephone on this floor accessible to residents on this floor. Third floor consists of thirteen (13) shared resident bedrooms, group room, nurse station, bathroom with multiple stalls and eight showers, cleaning supply room, and linen closets. LPA conducted the tour and observed the following: Smoke/fire detectors were observed in common areas and in each resident’s bedroom. Residents’ bedrooms were observed to have required furniture such as bed frames, dressers, chairs, lamps, and sufficient closet space. The required bedding was also observed. The facility has one (1) bathroom on this floor with multiple stalls and showers it was clean and sanitary and had required grab bars and grip matts. The water temperate was tested and measured within the required 105-120 degrees. There is multiple fire extinguisher on this floor. Cleaning supplies and chemicals are stored in a locked room. LPA observed extra linen and hygiene supplies. There are cameras only in common areas. LPA observed working telephones accessible to residents on this floor. No records were reviewed since the facility has never been licensed. Per California Code of Regulations, Title 22, the facility meets the physical plant requirements. Component III was conducted with applicant. Exit interview held and a copy of the report was provided to applicant.the state’s words, verbatim · CDSS document, May 6, 2025

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE - CCE Application Type: INTL Capacity: 48 Census : 0 Method: Telephone call with CAB COMP II Participants: Alvaro Ballesteros (Licensee), Donahue Vanderhider (Administrator), & Tammy Edwards,(Analyst). Licensee & administrator participated in COMP II via Telephone call with CAB Analyst. Identification of licensee/administrator was verified by confirming driver’s license numbers. During COMP II, licensee/administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator were advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed licensee's/administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 3, 2024