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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670135
Report Date: 01/18/2023
Date Signed: 01/18/2023 10:03:05 AM

Document Has Been Signed on 01/18/2023 10:03 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:TAYLOR'S RESIDENTIAL CAREFACILITY NUMBER:
191670135
ADMINISTRATOR:TAYLOR, DELETHAFACILITY TYPE:
735
ADDRESS:1037 EAST GLADWICKTELEPHONE:
(310) 638-8887
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 6CENSUS: 4DATE:
01/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Ana OrtegaTIME COMPLETED:
11:00 AM
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On 01/18/2023 at 08:55 am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced required annual visit with a primary focus on Infectious Control measures using the new CARE inspection tool. The facility is licensed to serve six (6) clients with developmental disabilities. Currently, the facility has four (4) clients, none were present during today’s visit. The facilities annual fees are current.

As part of the inspection, my primary focus was on infection control. LPA observed the facility’s infection control practices: LPA observed a sanitizing station at the facility entrance, where my temperature was taken. PPE supplies are readily available to staff and residents, and additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were also observed. The facility has the mandated COVID infection control posters.


LPA Scott and Ana Ortega, caregiver, toured the facility. All four (4) rooms were inspected. 2 rooms are shared, and 2 rooms are single occupancy. Beds and bedding 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. LPA Scott further observed the facility to be clean and appropriately furnished at the time of visit. Bathrooms were observed to be clean and operational. LPA observed that the fire extinguisher was fully charged and there were no bodies of water on the premises. All windows and window screens were in good condition. The water temperature was within guidelines and measured 119.5 degrees f. Smoke/Carbon monoxide detectors were operable.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: TAYLOR'S RESIDENTIAL CARE
FACILITY NUMBER: 191670135
VISIT DATE: 01/18/2023
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Furniture in the living room observed to be in decent condition. There are security bars on some windows and no weapons on the premises. Both client bathrooms were checked, toilets and water faucets worked properly. A comfortable temperature was maintained in the facility. The kitchen area was checked and in compliance with title 22. Perishable and non-perishables food supply was adequate at time of visit. All disinfectants, toxins, knives,staff/resident files, and cleaning solutions were locked and inaccessible to residents.

During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations (Located in common areas and restrooms). LPA observed that staff were wearing face coverings and had the required postings posted throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).

LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance.

During today’s visit there were no deficiencies cited.

An exit interview was conducted, and a copy of the facility evaluation report was provided to caregiver, Ana Ortega.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
LIC809 (FAS) - (06/04)
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