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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602239
Report Date: 08/01/2023
Date Signed: 08/09/2023 03:26:39 PM


Document Has Been Signed on 08/09/2023 03:26 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:STERLING SENIOR LIVINGFACILITY NUMBER:
198602239
ADMINISTRATOR:KELLOGG, MICHELLEFACILITY TYPE:
740
ADDRESS:2210 W 234TH STREETTELEPHONE:
(310) 325-2275
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:6CENSUS: DATE:
08/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Kian PascualTIME COMPLETED:
01:00 PM
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On 08/1/23, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. LPA met with House Manager Ricardo Bernal and Administrator Assistant Kian Pascual and explained the purpose of today's visit.

LPA Shirley, Ricky and Kian toured the inside and outside grounds of the facility. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings were observed. Walls and floors were in good repair. The hallways were well lit to the client rooms. Resident bathrooms were checked, sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, grab bars were secure, the shower was free of mold/mildew. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 112.3 F.

A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguisher was charged, smoke detectors and carbon Monoxide were operable. LPA checked first aid kit; and found that it was compliant with a manual.

There are no bodies of water or firearms on the premises. There were no deficiencies observed during today’s visit. Exit interview held and a copy of the report was provided to the Administrator Assistant, Kian Pascual.
SUPERVISOR'S NAME: Stephanie CifuentesTELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Felisa ShirleyTELEPHONE: 323-981-1755
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2023
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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