<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603581
Report Date: 01/27/2025
Date Signed: 01/27/2025 12:30:04 PM

Document Has Been Signed on 01/27/2025 12:30 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ALL WE NEED IS LOVE RESIDENTIAL CAREFACILITY NUMBER:
198603581
ADMINISTRATOR/
DIRECTOR:
MIRABUENO, BUENOMIRFACILITY TYPE:
740
ADDRESS:5340 KIRTLAND AVETELEPHONE:
(312) 646-9252
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY: 6CENSUS: 5DATE:
01/27/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Staff Mary Joy DeGuzmanTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit using the CARE Tool. LPA met with Mary Joy DeGuzman (Caregiver) and explained the reason for the visit. The facility is licensed to serve 6 non-ambulatory residents, of which 1 may be bedridden, in the age range of 60 and over. Facility is approved for 6 hospice waivers.
Shortly thereafter Administrator Buenomir Mirabueno arrived.

A tour of the single-story facility included the 4 resident bedrooms, 1 staff room, 2 bathrooms, living room, kitchen, laundry room, attached garage, front yard and back yard. LPA Trueman conducted the tour with Mary Joy DeGuzman and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Kitchen appliances are clean and were operating at the time of the visit. Sharps were observed locked in the medication cabinet. Chemical and cleaning solutions are kept locked in the laundry room and bathrooms. The First Aid kit is kept locked in the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway closet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a kitchen cabinet. All bedrooms have all required furniture, lighting, and bedding. The bathrooms are clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. The showers have non-skid materials. Auditory devices were seen on all exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in both bathrooms and measured at 113 F. degrees which is within the required 105-120 degrees F. Fire extinguishers were observed in the kitchen and garage, and are fully charged. Smoke detectors and carbon monoxides were observed throughout the facility and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. Fireplace has a screen cover. Resident and staff files are kept locked in a living room cabinet.

LPA reviewed medication for 3 of the residents and observed that medications were given as prescribed. LPA reviewed files for all 5 of the residents and observed no deficiencies. LPA reviewed 4 staff files and observed no deficiencies. LPA interviewed 2 staff and 2 residents.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview conducted.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1