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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320502
Report Date: 10/02/2024
Date Signed: 10/02/2024 01:27:31 PM

Document Has Been Signed on 10/02/2024 01:27 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:EMMANUEL'S PARADISE FOR THE ELDERLYFACILITY NUMBER:
198320502
ADMINISTRATOR/
DIRECTOR:		EDUN, THERESAFACILITY TYPE:
740
ADDRESS:2737 WEST 154TH STREETTELEPHONE:
(310) 484-4003
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 6CENSUS: 0DATE:
10/02/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Theresa EdunTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 10/2/2024, Licensing Program Analyst’s (LPA’s) Yolanda Rosser and Licensing Program Manager/ Eva Alvarez conducted All fire extinguishers were charged and operable an Announced Pre-Licensing visit. LPA Rosser met with and toured the facility with Licensee Theresa Edun. The facility plans to support individuals who are 60 years of age and above. The facility has a fire clearance for (6) non-ambulatory individuals. The facility is located in a residential neighborhood

The facility is a single-story with four bedrooms and 2 restrooms. LPA Rosser observed the following during a tour of the facility: living room, activity room, dining room, and kitchen. The areas inspected have the required furnishings, lighting, and storage. The required perishable and non-perishable food supply was observed. LPA Rosser toured the detached garage and observed a washer/dryer. The patio area is located in the backyard and is shaded. The front yard landscape is clean and gated. The walkways around the facility are free of obstructions.

LPA Rosser conducted a test of the smoke and carbon monoxide detectors and found them to be functioning properly. LPA Rosser conducted a test of the water temperature in the bathrooms and kitchen. The water temperature registered at 106-108 °F. LPA Rosser observed inaccessible storage areas for medications, sharp objects, and chemicals. All fire extinguishers were charged and operable.

During this visit LPA Rosser found no corrections are needed. The Component III was completed during this visit.

An exit interview was conducted, and a copy of this report was provided to Licensee/Theresa Edun.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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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