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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198205318
Report Date: 04/01/2026
Date Signed: 04/01/2026 05:00:00 PM

Document Has Been Signed on 04/01/2026 05:00 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: DATE:
04/01/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:36 PM
MET WITH:Whilma TorresTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 04/01/26, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit at the facility listed above using the full CARE tool. LPA met with Caregiver, Whilma Torres, and the purpose of today’s visit was explained. LPA was granted entry into the facility.
The facility is licensed to serve six (6) non-ambulatory residents of which five may be bedridden with an approved hospice waiver for one (1) resident. During today’s visit there were five (5) residents present.
Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. The facility consists of six (6) bedrooms, 3 and ½ bathrooms, living area, sitting area, dining area, kitchen, laundry room, and detached two (2) car garage. Outside LPA observed a shaded area with a table and chairs for residents. LPA observed all walkways were clean, clear, and free of debris, hazards, and obstructions.
Bedrooms LPA inspected all bedrooms and observed them to be clean and in good repair. All rooms had the required furniture including a bed, dresser, chair, and ample storage space for residents’ personal belongings. LPA observed the beds had the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. LPA observed an ample supply of linens in the closet in the hallway.
Bathroom LPA observed the bathrooms to be clean and operational. LPA observed secure 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 105.7-degrees, 106.3-degrees, 108.4 and 105.8-degrees Fahrenheit.
Common Rooms LPA observed a large couch and three (3) recliners in the living area to accommodate all residents. In the sitting area, LPA observed two (2) recliners. The dining room has a large table with chairs to accommodate all residents. LPAs observed that all walkways and hallways in the facility are clean, clear, and free of obstructions and hazards. All rooms were observed to have ample lighting.
NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/01/2026
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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: AMERICARE ASSISTED LIVING OF WALTERIA
FACILITY NUMBER: 198205318
VISIT DATE: 04/01/2026
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Kitchen LPA observed the kitchen clean and sanitary. LPA observed all appliances to be operational and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery. 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 108.3.2-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 five (5) 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 Administrator Certificate, number 7002310740, is valid till 09/09/2027. LPA reviewed the Liability Insurance through Acord policy number CFP3311780 that is valid till 02/35/2027. LPA observed Licensing Fees are current.
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 five (5) residents. LPA observed five (5) out of five (5) residents’ MARs and medications are consistent with properly documented records.
Safety LPA observed two fully charged fire extinguishers, mounted in the living room and in the kitchen, last serviced on 03/27/25. LPA observed all smoke detectors and carbon monoxide detectors to be operable. The last Fire Prevention 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 items and a current manual. No firearms or ammunition are stored at the facility.
Infection Control LPA observed a sanitizing station at the facility entry. 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 Caregiver, Whilma Torres, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026
LIC809 (FAS) - (06/04)
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