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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603930
Report Date: 07/07/2026
Date Signed: 07/07/2026 02:44:15 PM

Document Has Been Signed on 07/07/2026 02:44 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:EVER CITY CARE HOMESFACILITY NUMBER:
198603930
ADMINISTRATOR/
DIRECTOR:		LOPEZ, NOELFACILITY TYPE:
740
ADDRESS:10802 ANDY STTELEPHONE:
(562) 800-3882
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY: 6CENSUS: 0DATE:
07/07/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:56 AM
MET WITH:Administrator Noel LopezTIME VISIT/
INSPECTION COMPLETED:
02:58 PM
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On 7/7/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted a pre-licensing inspection today. LPA met with, Noel Lopez Administrator, and the reason for the visit was explained. LPA inspected the prospective facility using the Compliance and Regulatory Enforcement (CARE) tool and completed the Component III portion of the pre-licensing process during today’s visit.

The facility was approved by the Fire Department for a total capacity of six (6) residents, age range 60 and over, of which six (6) may be non-ambulatory. The single-story building is in a residential area of Cerritos.

The facility consists of the following: Living room, dining area, kitchen, office area, four (4) resident bedrooms, two (2) full bathrooms, attached garage, laundry area, front and backyard.

The following was observed during today's inspection:

The building and grounds are free of hazards and both inside and outside of the facility are clean and in good repair. No pools or other bodies of water were observed. Furniture throughout the facility is in good repair and sufficient seating is available for prospective residents. The facility has fire extinguishers in the kitchen, garage and the hallway charged and operable. Carbon monoxide detectors were tested and were working properly. Facility is also equipped with interconnected, combination smoke detectors which were also tested and working properly.

***Continues on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2026
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: EVER CITY CARE HOMES
FACILITY NUMBER: 198603930
VISIT DATE: 07/07/2026
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Medication will be centrally stored in a locked hallway cabinet. Facility telephone was tested and services are running. First-Aid kit and manual are readily available for use and kit was observed to have the required tools.

The kitchen was inspected and kitchen appliances were observed to be working properly. Cleaning items will be kept locked underneath the kitchen sink and inaccessible to residents. Knives/sharps will also be kept locked in a kitchen drawer.

Four (4) resident bedrooms were inspected and have the required furniture and bedding. Hallways and bedrooms have appropriate lighting.

The (2) bathrooms were inspected and observed clean, sanitary and stocked with personal hygiene items. Extra towels, bedding and hygiene products are kept in the garage. Water temperature was tested in all (2) bathrooms and measured within the required 111.4 – 114.4 degrees F range.

The front and backyard are kept clean, and passageways, exits and ramps are free of debris and obstruction. A shaded area was observed in the back yard, and patio furniture is kept in good repair. Garage was observed clean and laundry appliances are operational and in good repair.

Facility has a current Infection Control and Emergency Disaster Plan in place. Also observed posted: Visitation Rights, Personal Rights, Activity Calendar, "Let- Us-No (PUB 475) poster and Facility Sketch/emergency evacuation route. Per the Administrator, staff and resident records will be maintained at the facility.

Facility Administrator showed proof of one mattress for bedroom #1 being delivered tomorrow 7/8/2026. The Administrator will send photo proof of the bed set up in bedroom #1 before approval.

Pre-licensing is complete and there are no deficiencies. Exit interview was held and a copy of this report was provided to Noel Lopez, Administrator.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026
LIC809 (FAS) - (06/04)
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