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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602032
Report Date: 01/16/2025
Date Signed: 01/16/2025 12:12:11 PM

Document Has Been Signed on 01/16/2025 12:12 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:FINEST LIVING GUEST HOME IIFACILITY NUMBER:
198602032
ADMINISTRATOR/
DIRECTOR:		MEDINA, MARGARITAFACILITY TYPE:
740
ADDRESS:2104 W. 230TH STREETTELEPHONE:
(310) 533-7343
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 6CENSUS: 6DATE:
01/16/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Teresa GuanlaoTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 01/16/2025, the department conducted an unannounced annual visit using the full CAREs tool. The department met with Administrator, Teresa Guanlao, and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents ages 60 and above, with an approved hospice waiver of six (6). There are currently six (6) residents residing in the facility.
Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, two (2) bathrooms, living area, dining area, kitchen, and outside area with a covered patio. The covered patio has a table and chairs available for resident use. The department observed all walkways around the outside of the facility was observed clean, clear, and free of debris, hazards, and obstructions. All ramps have secured handrails. The department did not observe any bodies of water on the premises.
Bedrooms The department inspected all resident bedrooms and observed them to be clean and in good repair. The department observed bedrooms have the required furniture including bed(s), dresser(s), nightstand(s), chair(s), and ample storage space for resident’s personal belongings. The department observed resident beds have the required linens including a mattress cover, fitted sheets, blanket,
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: FINEST LIVING GUEST HOME II
FACILITY NUMBER: 198602032
VISIT DATE: 01/16/2025
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comforter, and pillows. The department observed an ample supply of bed linen, blankets, and comforters, stored in the closet in the dining area. Resident bedrooms were observed with ample lighting.
Bathrooms The department inspected the two (2) bathrooms and observed them to be within Title 22 regulations and are clean and operational. The department observed shower chairs and non-skid mats in the shower. The safety handrails are secured. The department observed an ample supply of hygiene products for residents secured and inaccessible to residents. The department observed an ample supply of towel, hand towels, and wash clothes in good repair. The water temperature measured 105.8-degrees and 106.1-degrees Fahrenheit.
Kitchen The department inspected the kitchen and found it to be clean and sanitary. The department observed all appliances were operable and in good repair. The department observed an ample supply of cookware, dishware, and cutleries. The department observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. The department observed cleaning supplies secured in a locked cabinet under the kitchen sink. The department observed sharps and knives secured in a locked drawer in the kitchen. The water temperature measured 105.4-degree Fahrenheit.
Common Areas The department inspected all common areas in the facility. The department observed the facility to be appropriately furnished during the time of visit. The living room has two (2) couches and two (2) recliners to accommodate all residents. The department observed a fireplace screened and inaccessible to
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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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: FINEST LIVING GUEST HOME II
FACILITY NUMBER: 198602032
VISIT DATE: 01/16/2025
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residents. The department observed games and activities in the living room available for residents. The dining room has a table and chairs to accommodate residents. The department observed all rooms and hallways have ample lighting. All hallways and walkways inside the facility were observed clean, clear, and free of hazards or obstructions. The facility was maintained at a comfortable temperature. Safety The department observed smoke detectors and carbon monoxide were operable. The department observed a fully charged fire extinguisher last serviced on 07/25/24. A Fire Prevention Inspection was last conducted on 04/01/24, by the Torrance Fire Department. The last emergency drill was conducted on 01/10/25. The facility has a working telephone. The department reviewed and received a copy of liability insurance through Acord that is valid till 07/07/25. The department inspected the First Aid Kit and found it contained the required items and a current manual. There are no firearms or ammunition stored on the premises.
Files The department reviewed four (4) resident files and found they contained the required documents. The department reviewed the Administrator and two (2) staff files and found they contained the required documents, training, and certification. The department reviewed the training logs and in-service logs for the staff. During record review, the department observed licensing fees are current. The department observed all mandated signs and documents posted throughout the facility.
Medication The department observed all Centrally Stored Medications secured in a locked closet in the hall. All medications were observed in their original packaging. The department reviewed the medication and Medication Administration Record
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: FINEST LIVING GUEST HOME II
FACILITY NUMBER: 198602032
VISIT DATE: 01/16/2025
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(MAR) for four (4) residents. The department observed four (4) out of four (4) resident’s MARs and medication are consistent with properly documented records.
Infection Control During the visit, the department observed the facility infection control practices. The department observed a sanitizing station and visitor log upon entry. The department observed it has hand sanitizer, masks, gloves, and a thermometer available. The department observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated infection control signs were posted throughout the facility.

The department did not observe or cite any deficiencies.

An exit interview was conducted with Administrator, Teresa Guanlao, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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