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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320203
Report Date: 10/02/2025
Date Signed: 10/02/2025 12:14:04 PM

Document Has Been Signed on 10/02/2025 12:14 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:ADORABLE REDBEAM HOMEFACILITY NUMBER:
198320203
ADMINISTRATOR/
DIRECTOR:
LINAYAO, KADIGUIA O.FACILITY TYPE:
740
ADDRESS:22521 REDBEAM AVE.TELEPHONE:
(424) 777-8707
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 6CENSUS: 6DATE:
10/02/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:39 AM
MET WITH:Kadiguia LinayaoTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/02/25, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit using the full CAREs tool. LPA met with Administrator Kadiguia Linayao, and the purpose of today's visit was explained. The facility is licensed to serve six (6) non-ambulatory residents over the age of 60, of which one (1) may be bedridden and approved hospice waiver for six (6). The facility currently has six (6) residents, four (4) who are receiving Hospice Care.

Structure/Physical Plant The facility is a single-story structure in a residential neighborhood. It consists of 4 resident bedrooms, 3 bathrooms, kitchen, dining room, sitting area, den, outside shaded patio and attached garage. LPA and Administrator toured the facility. The front and backyard are landscaped and well maintained. LPA observed a table and chairs in the backyard available for resident use. All walkways on the outside of the home were observed clean, clear, and free of obstructions, debris, and hazards. All gates exiting the backyard open easily from the inside. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all residents’ bedrooms. All floors and walls were observed clean and in good repair. All bedrooms were observed to have the required furniture including bed(s), nightstand(s) with lamps, dresser(s), chair(s), and adequate storage space for personal belongings. All beds had the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens in good repair in a closet in the hallway. All bedrooms were observed with ample lighting.

Bathrooms LPA inspected all bathrooms. Bathrooms were found to be within Title 22 regulation and were observed to be clean and operational. All bathrooms have nonskid mats and a shower chair available. The safety grab bars are secured to walls. LPA observed an ample supply of towels and hygiene products

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2025
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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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: ADORABLE REDBEAM HOME
FACILITY NUMBER: 198320203
VISIT DATE: 10/02/2025
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available for residents. The water temperature measured 110.2-degrees, 111.5-degrees, and 112.1-degrees Fahrenheit. LPA observed an ample supply of incontinent care supplies stored in resident
rooms and an additional supply stored in the garage.

Kitchen LPA inspected the kitchen and found it to be clean and sanitary. All appliances were observed to be in good repair. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable. LPA observed an ample supply of cookware, dishware, and cutlery in good repair. All sharps are secured in a locked drawer and are inaccessible to residents. All cleaning supplies are secured in a locked cabinet under the sink and are inaccessible to residents. The water temperature measured 111.4-degrees Fahrenheit.

Common Rooms LPA inspected all common areas; the facility was observed appropriately furnished. The sitting area has two sofas, a table with chairs, and reading material. The den has a couch and recliners to accommodate all residents. Puzzles, games, and activities were observed in the den and dining room. The


dining room has a large table and chairs to accommodate all residents. LPA observed a fireplace that was screened and is inaccessible to residents. All walkways and hallways in the facility were observed to be clean, clear, and free of obstructions and hazards. All rooms were maintained at a comfortable temperature. All rooms, hallways, and walkways were observed to have ample lighting.

Medications LPA reviewed the medications and Medication Administration Record (MAR) for three (3) residents. Three (3) out of three (3) residents’ MARs and medication are consistent with properly documented records. All medications were observed in their original packaging. Centrally stored medications were observed secured in a locked cabinet in the office area.

Safety LPA observed a fully charged fire extinguisher, mounted on the wall at the kitchen entrance, last serviced on 12/09/2024. The last emergency drill was conducted on 09/15/25. Smoke detectors and carbon monoxide detectors are operable. The last Fire Prevention Inspection was conducted by the Torrance Fire Department on 07/21/2025. LPA observed the Emergency Disaster Plan posted behind the front door and was last reviewed and updated on 08/12/2025. The facility has a working landline telephone. LPA observed all required signs and documents posted behind the facility front door. LPA inspected the First Aid kit and found it had the required items.

File Review LPA reviewed five (5) resident files and found they contained the required documents. LPA reviewed the Administrator and three (3) staff files and found they contained the required training, certification, clearance, and documents. The administrator’s Administrator Certificate, number 7024164740,

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

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
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: ADORABLE REDBEAM HOME
FACILITY NUMBER: 198320203
VISIT DATE: 10/02/2025
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is valid till 02/02/27. LPA received a copy of the facility’s Liability Insurance through ACORD valid till 05/01/26. LPA observed the facility’s Licensing Fees are current.

Infection Control During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed all required Infection Control postings throughout the facility. LPA observed a 60-day supply of PPEs stored in the garage.

During today’s visit, LPA did not observe or cite any deficiencies.

An exit interview was conducted with Administrator, Kadiguia Linayao, 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: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC809 (FAS) - (06/04)
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