Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required-1 year visit. . LPA met with Sheryl Barnardo who allowed entry and Administrator John Nguyen arrived a short time later. LPA explained the purpose of today's visit. There are (4) clients on-site. (54) are community based. This program provides services for developmentally disabled clients (ages 18-59) from various Regional Centers. Currently, there are (47) clients from Eastern Los Angeles Regional Center, (2) clients from Frank D. Lanterman Regional Center and (5) from San Gabriel Pomona Regional Center.

This facility consists of: One sensory motor room (detached building), (5) bathrooms, (2) activity room, (2) designated rooms for clients experiencing symptoms (awaiting for pick up) and administrative offices.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical Services, Disaster Preparedness, and Emergency Intervention.

There are no obstructions to the walkways nor any bodies of water.

The facility is undergoing construction and facility will need to formally notify the department.

* The day program does utilize sharp scissors and are accessible to clients.

* Hand sanitizers are readily available around the facility and adequate PPE supplies were observed.

* LPA Lopez observed disinfectants, cleaning solutions, locked and inaccessible to clients.

* The hot water temperature is measured between 98.0 148.1 - degrees F, which is not within range.

* The fire extinguishers were inspected and fully charged.

* The day program has the smoke/carbon monoxide detectors in each room.

* Clients bring their own food to day program; staff warm up food in microwave.

* First Aid kit contains the required items.

* The day program does not administer medication to clients.

* Day program has a total of (14) transportation vehicles.

Deficiencies was cited on LIC 809D. Exit interview conducted and a copy of this report and appeal rights were given.