Facility Evaluation Report

The facility is approved for 4 Developmentally Disabled Adults, ages 18-59 and ambulatory only. Currently there are 3 clients in care. This facility is a single-story home located in a residential area. There are 2 client bedrooms, 2 staff bedrooms, 2 bathrooms, living room, dining room, kitchen, laundry space, and a detached garage. The following was observed:

1. Infection Control : Infection control practices and Personal Protective Equipment (PPEs) were observed. Facility is disinfecting throughout the day.

Facility is in good repair inside and outside. Living room and dining room have sufficient lighting and sitting space. Kitchen was observed clean. Medication cabinet is in the kitchen and locked. Cleaning supplies are under the kitchen's sink and kept lock. There are sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables. Thermometer was observed in the freezer at 0 degrees F. Refrigerator does have a thermometer and showed 39.7 degrees which is within range. Laundry area is in the hallway. Client's bedrooms (2) were observed and have sufficient lighting, the required furniture and bedding supplies. Bathrooms (2) were observed in working condition and water temperature was tested between 119.8 – 120.0 degrees F., which is within the required 105-120 degrees F. Backyard has a shaded sitting area. Smoke/Carbon monoxide detector were observed, tested, and in working condition. Fire extinguisher was last checked on 7/15/23.

3. Operational Requirements: The Program Design was reviewed. Fire clearance was approved by LA County Fire Department for three (4) ambulatory clients. Care and supervision to meet the clients’ needs was observed.

4) Staffing: A total of (4) staff members provide care and supervision to the clients.