197609594-3-20-2025-31-AS-ADUA-DEXUC9-20250320152733

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197609594
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:27:43 PM

Document Has Been Signed on 03/20/2025 03:27 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	SPARR HEIGHTS ESTATES SENIOR LIVING		FACILITY NUMBER:	197609594
ADMINISTRATOR/ DIRECTOR:	LEWIS, ERNEST		FACILITY TYPE:	740
ADDRESS:	2640 HONOLULU AVE		TELEPHONE:	(818) 248-6737
CITY:	MONTROSE	STATE: CA	ZIP CODE:	91020
CAPACITY: 131	TOTAL ENROLLED CHILDREN: 0	CENSUS: 68	DATE:	03/20/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:29 AM
MET WITH:	Denise Gotto		TIME VISIT/ INSPECTION COMPLETED:	03:35 PM

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Licensing Program Analyst (LPA) Abeye Duguma met with the Executive Director, Denise Gotto, for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 10:00 AM and the following was noted:

The facility is fire cleared for one hundred twenty (120) non-ambulatory of which twenty (20) may be bedridden. The facility is currently occupying sixty-eight (68) residents.

There is a main entrance being utilized at the facility with sign-in sheets. Each residents' room has a full bathroom. LPA inspected seven (07) rooms at random and all rooms were observed to be adequately furnished with appropriate lighting system and enough clean linen available. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at an average 109.6°F. Towels and washcloths are not shared.

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins are locked away.

Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents.
(continued on LIC 809-C)

Naira Margaryan	TELEPHONE: (818) 596-4368
Abeye Duguma	TELEPHONE: (818) 669-6814
	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: SPARR HEIGHTS ESTATES SENIOR LIVING	FACILITY NUMBER: 197609594
	VISIT DATE: 03/20/2025

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The living and dining room are neat and clean. The facility maintains a comfortable temperature at 73°F but each resident has their own thermostat and can control the temperature in their rooms. The smoke and carbon monoxide detectors are hardwired, interconnected and centralized. A signal is dispatched to the Los Angeles Fire Department automatically and the system is tested monthly. Fire extinguishers are located throughout the facility, observed to be fully charged and last inspected 01/17/2025.

LPA observed medication carts to be locked and inaccessible to residents. Facility maintains a complete first aid kit.

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC809 (FAS) - (06/04)

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