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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320348
Report Date: 04/17/2026
Date Signed: 04/17/2026 02:47:09 PM

Document Has Been Signed on 04/17/2026 02:47 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:VILLA DEL SOLFACILITY NUMBER:
198320348
ADMINISTRATOR/
DIRECTOR:		COELLO, BESSIE L.FACILITY TYPE:
740
ADDRESS:4834 NARROT ST.TELEPHONE:
(310) 292-8425
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 6CENSUS: 6DATE:
04/17/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:36 AM
MET WITH:Natalia Torres & Daniella CoronadoTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 04/17/2026, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced Annual Inspection at the facility Villa Del Sol and met with Assistant Administrator Natalia Torres and Daniella Coronado.

The facility is licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility is approved to accept and retain six (6) hospice residents. The facility is a single-story home consisting of four (4) resident bedrooms, three (3) bathrooms, a staff office, living room, dining area, kitchen, linen storage, and a detached two-car garage. The outdoor area includes a shaded patio. LPA toured the interior and exterior of the facility. No bodies of water were observed. All walkways, exits, and passageways were observed to be free of obstruction. Bedrooms: LPA inspected all four (4) resident bedrooms. Each room contained the required furnishings, including beds, dressers, lighting, and adequate storage space. Rooms were observed to be clean, orderly, and in good repair. Bathrooms: LPA inspected all bathrooms. Toilets, sinks, and showers were operational. Grab bars were secure. Showers were clean and equipped with non-slip surfaces and shower chairs. Bathrooms were clean and in good repair. During the visit, LPA observed the water temperature to be above the regulatory range. LPA provided technical assistance to the Administrator regarding maintaining water temperature within Title 22 requirements. The Administrator agreed to implement a plan of correction to ensure compliance. Linens & Hygiene: LPA observed beds to have the required linens. An adequate supply of linens, towels, and blankets was available. Kitchen: All appliances were observed to be in working condition. An adequate supply of dishes and cook-ware was present. Knives and sharps were secured and inaccessible to residents. A minimum of two (2) days’ supply of perishable food and seven (7) days’ supply of non-perishable food was observed.

Please see (LIC809-C) for report continuation.

NAME OF LICENSING PROGRAM MANAGER: Ulysses Coronel
NAME OF LICENSING PROGRAM ANALYST: Jose Anguiano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2026
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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: VILLA DEL SOL
FACILITY NUMBER: 198320348
VISIT DATE: 04/17/2026
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Cleaning supplies were locked and inaccessible. Safety: Smoke and carbon monoxide detectors were tested and found to be operational. Two (2) fire extinguishers were present. The first aid kit was complete. All exits were clear. Toxins were secure and inaccessible to residents. Medications: Centrally stored medications were observed and reviewed to be locked, maintained in original containers, and inaccessible to residents. Files: LPA reviewed five (5) resident files and five (5) staff files. All files contained the required documentation. Current liability insurance was reviewed and is on file. Infection Control: The facility has an infection control file folder that was reviewed. PPE supplies were available. Outdoor Area: The grounds were clean and free of hazards. Fees: Annual licensing fees are current.

Based on observations, interviews, and records reviewed, the facility appears to be operating in substantial compliance with Title 22 regulations at this time. No deficiencies were cited. Technical assistance was provided during the visit. An exit interview was conducted with Daniella Coronado, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Ulysses Coronel
NAME OF LICENSING PROGRAM ANALYST: Jose Anguiano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC809 (FAS) - (06/04)
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