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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603092
Report Date: 03/20/2025
Date Signed: 05/02/2025 04:40:49 PM

Document Has Been Signed on 05/02/2025 04:40 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:TORRANCE REGENCY SENIOR LIVINGFACILITY NUMBER:
198603092
ADMINISTRATOR/
DIRECTOR:		LAMB, JONNA LFACILITY TYPE:
740
ADDRESS:22929 PETROLEUM AVETELEPHONE:
(424) 263-4823
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY: 6CENSUS: 6DATE:
03/20/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:ADMINISTRATOR JONNA LAMBTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 03/20/2025 at 10:30 AM, Community Care Licensing Division (CCLD) conducted an unannounced annual inspection visit at the Torrance Regency Senior Living Facility. CCLD staff was allowed entry into the facility by Administrator Jonna Lamb. Administrator Lamb asked infection control questions and took CCLD staff temperature prior to entrance into the facility. The facility is licensed to serve (6) non-ambulatory residents 60 years and over of which (5) may be bedridden. Bedrooms approved for bedridden are rooms 2,3,4,5 and 6. Facility is approved hospice waiver for (6) residents.

The facility is a single-story home located in a residential neighborhood and consists of (6) resident bedrooms, (1) staff bedroom, (1) resident bathroom, (1) private bathroom located in room #1, 1 staff bathroom, living room, dining area, staff working area, kitchen, laundry area, de- attached garage and a backyard with a shaded seating area.
Currently, there are six (6) residents residing in the facility.

CCLD staff explained to Administrator Lamb, the purpose of the one-year Annual Inspection visit, and escorted CCLD staff on a tour of the entire inside and outside facility grounds. As part of the inspection, CCLD staff reviewed: Six (6) residents service records, six (6) residents medication administration records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 03/04/2025. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.
NAME OF LICENSING PROGRAM MANAGER: Ulysses Coronel
NAME OF LICENSING PROGRAM ANALYST: Jose Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: TORRANCE REGENCY SENIOR LIVING
FACILITY NUMBER: 198603092
VISIT DATE: 03/20/2025
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CCLD staff observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. CCLD staff observed the following during inspection of resident’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, CCLD staff observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. CCLD staff observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 113 degrees Fahrenheit; bathroom #2 hot water temperature properly measured at 111 degrees Fahrenheit. Kitchen hot water temperature properly measured at 112 degrees Fahrenheit. Facility two (2) Carbon Monoxide and nine (9) Smoke Detectors hard wired operated and connected were tested and are working properly. The facility one (1) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knifes are locked/secured and inaccessible to residents. Medications are centrally stored and in a locked storage cabinet. Facility two (2) first aid kit is fully stocked with manuals was checked and in order. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to residents. Six (6) resident files were reviewed and found to be complete. CCLD staff reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. CCLD staff noted the Administrator Jonna Lamb Certification # 6058068740 expiration date of 12/22/2024 was NOT valid at time of inspection. The facility does not handle residents money/cash resources, and no surety bond is needed. Commercial General Liability Policy #PCI8464378102 policy period from 08/16/2024 to 08/16/2025 underwritten by Primary Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Lamb to email CCLD staff a full copy of the commercial insurance policy including all endorsements no later than 03/30/2025. All the required documents are posted in the facility in a clearly visible area.
NAME OF LICENSING PROGRAM MANAGER: Ulysses Coronel
NAME OF LICENSING PROGRAM ANALYST: Jose Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: TORRANCE REGENCY SENIOR LIVING
FACILITY NUMBER: 198603092
VISIT DATE: 03/20/2025
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During the visit, CCLD staff observed the facility infection control practices. CCLD staff observed screening protocols for visitors, staff, and residents, sanitizing stations (Located in common areas and restrooms). CCLD staff observed staff and residents were NOT wearing face coverings. CCLD staff observed the facility has a 30-day supply of Personal Protective Equipment (PPE). CCLD staff reviewed LIC500, and all staff associated to facility.

CCLD staff advised the Administrator Lamb to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), CCLD staff did not observe any deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Jonna Lamb.
NAME OF LICENSING PROGRAM MANAGER: Ulysses Coronel
NAME OF LICENSING PROGRAM ANALYST: Jose Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
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