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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608279
Report Date: 11/18/2023
Date Signed: 11/18/2023 12:22:40 PM

Document Has Been Signed on 11/18/2023 12:22 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:UTMOST LIVING CARE INC.FACILITY NUMBER:
197608279
ADMINISTRATOR:TERESA GUANLAOFACILITY TYPE:
740
ADDRESS:6750 ABBOTSWOODTELEPHONE:
(310) 525-4112
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY: 6CENSUS: 5DATE:
11/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:TERESA GUANLAOTIME COMPLETED:
12:30 PM
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On 11/18/23, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced Annual required visit to the above facility using the Care Inspection Tools. LPA was met by Teresa Guanlao. Administrator and the purpose of today’s visit was explained.

There are currently (5) residents in the facility. (1) resident is ambulatory, (4) are non-ambulatory, (0) bedridden. The facility is a single-story structure located in a residential neighborhood. It consists of (4) bedrooms, (2-1/2) full bathrooms, shaded back yard, front yard, laundry room and a detached 2 garage.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated. Bedrooms 1-4 are occupied by residents and contain the mandated furniture. The (1-1/2) bathrooms have grab bars and non-skid mats and are clean and operational; smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to residents. Residents file along with medications are current. Ample supply of perishable and nonperishable food. The hot water temperature is (112. 9F) degrees Fahrenheit. Linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents, (1) fire extinguisher is fully charged. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry & visitors and temperatures are logged and checked, sanitizer/soap, paper towels, in all the bathrooms and additional sanitation supplies are stored in the garage. LPA observed staff wearing masks. PPE's are enough for 30 days. The last fire drill was on 11/03/2023. The administrator certificate expired on 12/06/2023.

Exit interview conducted a copy of the report was provided to administrator Teresa Guanlao.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2023
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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