198320250-5-1-2026-11-AS-WGIS-DTP2MD-20260501173058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198320250
Report Date: 05/01/2026
Date Signed: 05/01/2026 05:31:05 PM

Document Has Been Signed on 05/01/2026 05:31 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME:	OAKMONT OF TORRANCE		FACILITY NUMBER:	198320250
ADMINISTRATOR/ DIRECTOR:	JUDITH UY-VILLARUZ		FACILITY TYPE:	740
ADDRESS:	3620 LOMITA BLVD		TELEPHONE:	(424) 376-3300
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY: 126; 126		CENSUS: 88	DATE:	05/01/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Olga Rayo		TIME VISIT/ INSPECTION COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 05/01/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Olga Rayo, Executive Director, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve 126 non-ambulatory residents aged 60 and over, eight (8) of which may be bedridden on the first floor only. The facility has an approved Hospice Waiver for fifteen (15). The facility is approved for Delayed Egress for the Memory Care and Transitional Unit. Physical Plant/Structure The facility is a three (3) story structure in a commercial area. The basement consists of a parking, Wellness Center, Salon, Media Center, Exercise Room, staff offices, and a laundry room. The first floor consists of resident apartments, two (2) living areas, library, bistro area, bar, dining room, kitchen, laundry room, three (3) restrooms, and storage rooms. On the second floor are resident apartments, storage rooms, and a restroom. Apartments LPA inspected eight (8) resident apartments, rooms 103,109, 118, 127, 202, 212, 220, and 233. Residents have the option to furnish the apartment with their personal furniture, or the facility has furniture available for resident use. LPA observed resident apartments have the required furniture including a bed, dresser, nightstand, and storage space for resident’s personal belongings. Resident beds were observed with the required linens including a mattress cover, fitted sheets, flat sheet, blanket, comforter, and pillow. Residents have the option to use their personal linen, or the facility has linens available for resident use. LPA observed an ample supply of linens in a closet in the hallway. LPA observed resident apartments have ample lighting. All walkways and hallways in resident apartments were observed clean, clear, and free of hazards and obstructions. Bathrooms LPA inspected eight (8) bathrooms in resident’s apartments and all common restrooms. LPA observed bathrooms meet Title 22 Regulations and are operable. LPA observed showers clean and free of mold and/or mildew. LPA observed showers have secured safety handrails, nonskid mats, and shower chairs. LPA observed resident’s bathrooms with an ample supply of hygiene products. Residents have the option to supply their own hygiene products, or the facility has a supply available in a closet in the hallway.

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: OAKMONT OF TORRANCE	FACILITY NUMBER: 198320250
	VISIT DATE: 05/01/2026

NARRATIVE

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The water temperature in bathrooms measured between 105-degrees and 120-degrees Fahrenheit.
Kitchen LPA inspected the industrial kitchen. LPA observed the kitchen clean and sanitary during the visit. LPA observed a three (3) day supply of perishable foods and a seven (7) day of non-perishable foods. LPA observed an ample supply of cookware, dishware, and cutlery. LPA observed a seven (7) day supply of emergency food stored in a storage closet. LPA observed a diet board in the kitchen with residents special diets and allergies. LPA observed a menu posted outside the dining room and inside the dining room.
Common Areas During the time of visit, LPA observed the facility appropriately furnished. LPA observed in common sitting areas there are couches and chairs available. In the library, LPA observed a table with chairs, a poker table with chairs available for residents use. Three (3) of the common rooms have a gas fireplace that are screened and inaccessible to residents. LPA observed an ample supply of games, activities, crafts, and reading material.
Medications LPA observed Centrally Stored Medications secured in locked medication carts in the locked medication rooms. LPA observed medications in their original packaging. LPA reviewed the Centrally Stored Medications and electronic Medication Administration Record (eMAR) for eight (8) residents. LPA observed eight (8) out of eight (8) residents medication are consistent with properly documented records.
Files LPA reviewed files for eight (8) residents and observed they have the required documents. LPA reviewed the files for the Administrator and seven (7) staff. LPA observed staff files have the required documents, certification, clearance, and training. LPA observed the administrator’s Administrator Certificate, number 7008195740, is valid till 05/15/2027. LPA observed Licensing Fees are current.
Safety LPA observed smoke and carbon monoxide detectors are operable. LPA observed fire extinguishers are fully charged and were last serviced on . The last Fire Prevention Inspection was conducted by the Fire Safety Services on 02/06/2026. The last Emergency Drill was conducted on 04/29/2026. LPA received and reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E), last reviewed 01/27/2026. LPA received and reviewed the Liability Insurance through Acord valid till 03/01/2027. LPA observed an ample supply of First Aid supplies in the medication rooms. LPA tested call buttons in apartments inspected and observed they are operable and responded to in a timely manner. LPA observed required postings throughout the facility
Infection Control Upon entry, LPA observed a Visitor Log and a sanitizing station. LPA observed sanitizing stations in common areas and restrooms. LPA observed an ample supply of cleaning supplies, hand soap, hand sanitizer, and paper towels. LPA observed infections control signs posted throughout the facility.
According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe or cite any deficiencies. An exit interview was conducted with Olga Rayo, Executive Director, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026

LIC809 (FAS) - (06/04)

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