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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603622
Report Date: 02/04/2025
Date Signed: 02/05/2025 02:33:49 PM

Document Has Been Signed on 02/05/2025 02:33 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:LOVING ARMS RESIDENTIAL CARE FOR SENIOR IIFACILITY NUMBER:
198603622
ADMINISTRATOR/
DIRECTOR:		BISNAR, LOURDESFACILITY TYPE:
740
ADDRESS:11507 THOMAS PLACETELEPHONE:
(562) 864-6308
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 6CENSUS: 3DATE:
02/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Lourdes BisnarTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 Year visit at the facility and met with Administrator Lourdes Bisnar. The facility is licensed to serve 6 residents ages 60 and above. Bedrooms 1,2,3 approved for non ambulatory and bedroom 4 approved for bedridden. There is a hospice waiver for 6 residents.

LPA Wesley conducted a complete tour of the facility and utilized the Compliance and Regulatory Enforcement (CARE) tools for the todays visit. LPA observed the supply of food, Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA Wesley observed the fire extinguisher in the kitchen area to be fully charged and serviced. The water temperature was tested and measured 105.1 degrees F. The Last fire drill was conducted on 12/04/24. LPA Wesley interviewed 1 resident and 3 staff. The smoke detectors/carbon monoxide detector are operable. The Liability insurance is current expires on 04/26/25. The Administrators certificate for Lourdes Bisnar Certificate 7005767740 expires 8/9/26.

There are no deficiencies cited per the California Code of Regulations, Title 22.

Exit interview conducted, and a copy of the report was given to Lourdes Bisnar.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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