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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601513
Report Date: 02/21/2023
Date Signed: 02/21/2023 12:27:54 PM

Document Has Been Signed on 02/21/2023 12:27 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
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:OPEN ARMS ADULT RESIDENTIAL FACILITY, LLCFACILITY NUMBER:
198601513
ADMINISTRATOR:ROBBIE M. THOMPSONFACILITY TYPE:
735
ADDRESS:229 SOUTH LOCUST AVENUETELEPHONE:
(310) 346-3447
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 4CENSUS: 4DATE:
02/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Robbie M. Thompson-DirectorTIME COMPLETED:
12:20 PM
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 On 2/21/2023 LPA/Alfonso Iniguez conducted an unannounced inspection at this facility. The purpose of today’s visit was to conduct an Annual Inspection. On today’s visit LPA met with Robbie M. Thompson/Director. Currently, the home has (4) ambulatory clients and (0) non-ambulatory clients. At the moment, there are (0) clients residing in the facility with Restricted Health Care conditions. All clients are between the ages of 18-59. The last fire drill was conducted on: 1/15/2023

LPA/Iniguez conducted a review of client service records, client P & I records, and personnel records. LPA/Iniguez found records are complete and well maintained. LPA/Iniguez conducted a review of Medication Administration Record (MAR) and medications. All medications and records are maintained in compliance with label instructions.

LPA/Iniguez, and Licensee/Thompson, toured the entire facility inside. The home consists of (3) client bedrooms, (2) bathrooms, living room, kitchen, and dining area. All facility rooms are clean and in good repair. LPA/Iniguez observed the following during inspection of client rooms: mattresses and box springs in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA/Iniguez observed fully stocked bedding and towel closet. LPA/Iniguez observed bathrooms were found to be within Title 22 regulations. All bathroom fixtures are clean, in good repair, and working properly. LPA/Iniguez observed sufficient bedding, linens, and toiletries are accessible to clients. Water temperature properly measured at 112.3°F degrees.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: OPEN ARMS ADULT RESIDENTIAL FACILITY, LLC
FACILITY NUMBER: 198601513
VISIT DATE: 02/21/2023
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Food supply was inspected, non- perishable and perishable items are adequately stocked. Facility Carbon Monoxide/Smoke Detectors combo were tested during visit, both alert systems are working properly. The facility Fire Extinguishers are fully charged and accessible. All chemicals and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked cabinet. Facility first aid kit was checked and in order. Outside grounds were observed and no bodies of water and patio were observed. All Exits/ Walkways around the home were free of debris and hazards.

According to the California Code of Regulations (Title 22, Division 6, Chapter 1), LPA/Iniguez did not observe deficiencies; therefore, no citations were issued.



An exit interview was conducted, and a Facility Evaluation Report was provided to Director/Thompson.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
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