Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required-1 year visit. LPA met with Administrator John Nguyen. LPA explained the purpose of today's visit. There are (22) 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 (58) clients from Eastern Los Angeles Regional Center, (2) clients from Frank D. Lanterman Regional Center and (5) from San Gabriel Pomona Regional Center. Not all are at facility at once.

This facility consists of: One sensory motor room (detached building), (6) bathrooms, (5) activity rooms, (2) designated rooms for clients experiencing symptoms (waiting 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 still undergoing construction, and facility will need to formally notify the department.

· The day program does utilize sharp scissors but are locked and inaccessible 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 measured between 109.4 – 121.4 degrees F, which is not within range.

· The fire extinguishers were inspected and fully charged.

· The day program has the smoke/carbon monoxide detectors and were tested and operational.

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

· First Aid kit contains the required items.