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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881300
Report Date: 04/28/2022
Date Signed: 04/28/2022 12:05:01 PM

Document Has Been Signed on 04/28/2022 12:05 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME:ALL ABOUT CARING HOME 1FACILITY NUMBER:
331881300
ADMINISTRATOR:CANTORIA, ROBERT C.FACILITY TYPE:
740
ADDRESS:2606 CORONA AVE.TELEPHONE:
(310) 500-7223
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY: 6CENSUS: 0DATE:
04/28/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Robert C. Cantoria -AdministratorTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Bernadette Allen conducted an announced visit to the pending facility for the purpose of a pre-licensing inspection. LPA met with Robert C. Cantoria.

The pending application is for two (4) non-ambulatory clients in a Residential Facility Care Elderly. LPA Allen toured the facility inside and out. The following was observed, reviewed, and inspected: There are four (4) client bedrooms and three (3) bathrooms. There are no bodies of water. The physical plant, in general, was in good repair. The buildings and grounds were free of hazards. Outdoor and indoor passageways were kept free of obstruction. The outside of the facility had a shaded area without seating for residents. LPA observed a chase cabinet with magnetic locks for medications to be stored. The facility has a designated area for client files, staff files, and P& I funds. LPA measured hot water temperature at 108.8 degrees F. smoke alarms, and carbon monoxide detectors are in working conditions.

The following needs to correct prior to being licensed:

1) LPA did not observe the emergency disaster plan, exit plan, personal rights, or complaint procedures posted. Emergency phone numbers and Exit Plan: Let-Us-No poster, and client’s rights. The applicant shall ensure these postings are placed in a prominent area.

2) LPA did not observe the 7 days supply of non-perishable food at time of visit or emergency kits.

4)LPA did not observe clearing solutions, poisons in locked stored area.

5) LPA did not observe non-slip mats protection in bathtubs/showers.

6) LPA did not observe night lights in hallways outside non-private bathrooms.

7) LPA did not observe additional paper towels, toilet paper or cleaning supplies

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: ALL ABOUT CARING HOME 1
FACILITY NUMBER: 331881300
VISIT DATE: 04/28/2022
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8) LPA did not observe the required bedding for the client bedrooms. The applicant shall obtain two (2) sets of the required linen/supplies.

9) LPA did not observe sufficient supply of clean linen, including blankets, bedspreads, top and bottom sheets, pillows, pillowcases, bath, hand, and wash towels to permit changing weekly or more often as needed.

10) LPA did not observe activity supplies /equipment variety of reading materials such as magazines, newspapers.

11) LPA did not observe an operating facility telephone at the time of visit.

12) LPA did not observe Menu for residents

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
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