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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602032
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:05:49 PM

Document Has Been Signed on 01/24/2024 02:05 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:FINEST LIVING GUEST HOME IIFACILITY NUMBER:
198602032
ADMINISTRATOR:MEDINA, MARGARITAFACILITY TYPE:
740
ADDRESS:2104 W. 230TH STREETTELEPHONE:
(310) 533-7343
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 6CENSUS: 6DATE:
01/24/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Teresa GuanlaoTIME COMPLETED:
02:30 PM
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On 01/24/2024 at 11:20 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Continuation Inspection and met with Dina Paras. Administrator Teresa Guanlao joined us later. Six (6) residents and two (2) staff were present during this inspection.

5 staff records were reviewed, 5 out of 5 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. Two staff interviews were conducted.

Two residents were interviewed.

First Aid kit was available. Hot water temperature properly measured at 106 F.

No deficiencies are being cited.

An exit interview was conducted and technical assistance provided.. A copy of this report was discussed and left with the Teresa Guanlao.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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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