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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608190
Report Date: 02/03/2024
Date Signed: 02/03/2024 12:29:00 PM


Document Has Been Signed on 02/03/2024 12:29 PM - 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 ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245



FACILITY NAME:ENORO HOME CARE SERVICESFACILITY NUMBER:
197608190
ADMINISTRATOR:VILMA GOFACILITY TYPE:
740
ADDRESS:4333 ENORO DRIVETELEPHONE:
(323) 299-1775
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:6CENSUS: 4DATE:
02/03/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:16 AM
MET WITH:Chilly NavarroTIME COMPLETED:
12:30 PM
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On 02/3/2024, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced visit to this facility to conduct a Required 1 Year inspection, with a primary focus on infection control. LPA was met by staff member Julius Sotelo and later joined by Chilly Novarro, Co-Administrator. The facility is licensed to serve (2) Non-Ambulatory and (4) Ambulatory residents (ages 60 and above). Currently there are four clients.

The facility is a single-story building located in a residential neighborhood and consist of common living spaces, 3 resident bedrooms, 3 bathrooms, kitchen, dining room and a dining area in the kitchen, office space, a garage equipped with laundry and indoor/outdoor activity area and backyard. The facility is clean, sanitary, and in good repair. Protective devices are in place to include non-slip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstruction. All window screens are clean and in good repair. The facility temperature is maintained at a comfortable level at 68. Fireplaces and open-faced heaters are inaccessible to clients.

See LIC 809-C
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2024
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 ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ENORO HOME CARE SERVICES
FACILITY NUMBER: 197608190
VISIT DATE: 02/03/2024
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LPA and Co-Administrator toured the physical plant. The pool is securely gated and there are no firearms/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were clean and operational. The hot water temperature measured at 111.5F degrees. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguishers were charged, smoke detectors and Carbon Monoxide were operable.
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 staff were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).

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

During today’s visit there was no deficiency observed. A copy of the report was provided to Co-Administrator Chilly Navarro
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2024
LIC809 (FAS) - (06/04)
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