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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198205318
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:03:02 PM

Document Has Been Signed on 03/21/2025 01:03 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:AMERICARE ASSISTED LIVING OF WALTERIAFACILITY NUMBER:
198205318
ADMINISTRATOR/
DIRECTOR:		MARLOWE ANTHONY JOAQUINFACILITY TYPE:
740
ADDRESS:2638 PACIFIC COAST HIGHWAYTELEPHONE:
(310) 326-1838
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 6CENSUS: 6DATE:
03/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Whilma Torres TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 03/21/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted and unannounced annual visit at the facility listed above using the full CARE tool. LPA met with Caregiver, Whilma Torres and was later joined by Administrator, Leia Joaquin, and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents which five may be bedridden with an approved hospice waiver for one (1) resident. During today’s visit there were six (6) residents present.
Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The facility consists of six (6) bedrooms, 3 and ½ bathrooms, 2 living room areas, dining area, kitchen, laundry room, and detached two (2) car garage. Outside LPA observed a shaded area with table and chairs for residents. LPA observed all walkways to be clean, clear, and free of debris, hazards, and obstructions.
Bedrooms LPA inspected all bedrooms and observed rooms to be clean and in good repair. All rooms had the required furniture including a bed, dresser, chair, and ample storage space for resident’s personal belongings. LPA observed the beds had the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of linens in the closet in the hallway.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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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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: AMERICARE ASSISTED LIVING OF WALTERIA
FACILITY NUMBER: 198205318
VISIT DATE: 03/21/2025
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Bathroom LPA observed the bathrooms to be clean and operational. LPA observed secured safety handrails, a shower chair, and non-skid mat. LPA observed an ample supply of towels in the hall closet. LPA observed an ample supply of hygiene products in the hall closet. The water temperature in the bathrooms measured 109.7-degrees, 112.3-degrees, 112.4 and 112.8-degrees Fahrenheit.
Common Rooms LPA observed couches and recliners in the living areas to accommodate all residents. LPA observed a large dining table and with chairs to accommodate all residents. LPAs observed all walkway and hallways in the facility to be clean, clear, and free of obstructions and debris. All rooms and hallways were observed to have ample lighting.
Kitchen LPA observed all appliances to be operational and in good repair. LPA observed an ample supply of cookware, dishware, and cutleries. LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored, labeled, and dated. The water temperature measured 111.2-degrees Fahrenheit. All cleaning supplies are secured in a locked cabinet under the kitchen sink and are inaccessible to residents. All knives and sharps are secured in a locked drawer in the kitchen and are inaccessible to residents.
Files LPA reviewed the files for six (6) residents and found they contained the required documents. LPA reviewed the files for the Administrator and three (3) staff and found they contained the required documents, training, and certification. The Administrator’s Certificate is valid till 09/09/2025. LPA reviewed the Liability Insurance through Acord policy number PC187489965-03 that is valid till 12/09/2025. LPA observed Licensing Fees are current.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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: AMERICARE ASSISTED LIVING OF WALTERIA
FACILITY NUMBER: 198205318
VISIT DATE: 03/21/2025
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Medications LPA observed centrally stored medication secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed medications in their original containers. LPA reviewed residents Medication Administration Records (MARs) and medications for six (6) residents. LPA observed six (6) out of six (6) resident’s MARs and medications are consistent with properly documented records.
Safety LPA observed two fully charged fire extinguisher, mounted in the living room and in the kitchen, last serviced on 03/27/24. LPA observed all smoke detectors and carbon monoxide detectors to be operable. The last fire inspection was conducted on 02/07/25 by the Torrance Fire Department. LPA observed all required documents posted throughout the facility. LPA inspected the First Aid kit and found it contained the required item and an updated manual. No firearms or ammunition are stored at the facility.
Infection Control LPA observed a sanitizing station at the facility entry. Visitors are screened before entering and sign-in on the visitor log. LPA observed PPE’s, hand sanitizer, and thermometer on the sanitizing station. LPA observed a 30-day supply of PPEs at the facility. LPA observed all required Infection Control Signs posted throughout the facility.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies therefore no citations were issued at this time.

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

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

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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