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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608190
Report Date: 01/15/2025
Date Signed: 01/15/2025 04:43:08 PM

Document Has Been Signed on 01/15/2025 04:43 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/
DIRECTOR:		VILMA GOFACILITY TYPE:
740
ADDRESS:4333 ENORO DRIVETELEPHONE:
(323) 299-1775
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY: 6CENSUS: 3DATE:
01/15/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Chilly NavarroTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On 01/15/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual inspection visit to this facility. LPA was met by staff Michelle Aspiras and the purpose of the visit was explained. Co-Administrator Chilly Navarro later joined LPA Gonzalez for the inspection visit. The facility is licensed to serve four (4) non-ambulatory and two (2) ambulatory residents ages 60 and above. Currently there are three (3) residents in care.

The facility is a single-story structure located in a residential neighborhood and consist of the following: three (3) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, kitchen, dining room and a dining area, office space, a garage with laundry space and indoor/outdoor activity area and backyard.

LPA Gonzalez and Chilly Navarro toured the physical plant inside and out. There were no bodies of water or obstructions on the premises. All rooms were inspected, bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Bathrooms were operational and observed to be within Title 22 regulations. The facility was observed to be appropriately furnished at the time of visit. A comfortable temperature was maintained in the facility.

The kitchen was inspected and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, and hazardous items, were securely locked and inaccessible to residents. A review of Medication Administration Records was maintained in order and accurate.


Continued on LIC809-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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: 01/15/2025
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The facility has a landline telephone on-site in working condition. Smoke detectors and carbon monoxide detectors were operational and working properly. Fire extinguishers were fully charged. A stocked First Aid kit along with manual was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan.


An exit interview was conducted, and a copy of Report and Appeal Rights was provided to Co-Administrator Chilly Navarro.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
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