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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602007
Report Date: 09/29/2023
Date Signed: 10/03/2023 08:34:45 AM

Document Has Been Signed on 10/03/2023 08:34 AM - 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ALKEN CAREFACILITY NUMBER:
198602007
ADMINISTRATOR:RUALO, MARIA THERESA C.FACILITY TYPE:
735
ADDRESS:13649 FLATBUSH AVENUETELEPHONE:
(562) 929-7382
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 4CENSUS: 4DATE:
09/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Maria Theresa RualoTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with Administrator Maria C Rualo and explained the purpose for todays visit. The facility phone number is 562 929 7382.

The facility consist of 4 bedrooms, 2 bathrooms, living room, dining room, kitchen, laundry area in the garage and an indoor/outdoor activity area.

The facility had all postings at the front entrance, bathrooms, and throughout the facility. A Pre screening area with PPE supplies was observed upon entry into the facility.

LPA conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the kitchen. The water temperature was tested and measured 119 degrees F. LPA Wesley received a copy of the facility infection control plan at the time of visit.

Administrators certificate for Maria C Rualo #6019511735, expires on 07/27/24.

There were no deficiencies cited.

Exit interview conducted.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2023
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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