Facility Evaluation Report

Licensing Program Analyst (LPA) Leizl de la Cerra conducted an annual required visit of the facility. At 11:00AM Patience Iwikirde, Joy Ouma and Hanns Arinda all DSP (Direct Support Professional) met LPA at the entrance and LPA explained the reason for the visit. Administrator Bernard Isiko, was contacted and arrived thereafter. The facility retains clients placed by NLACRC-North Los Angeles County Regional Center. The facility is a level 3 .

Resident and Staff Records reviews and interviews: From 11:30AM four 3:30PM four (4) out four (4) client records and six (6) out of seven (7) staff records were reviewed to ensure compliance.

LPA reviewed a total of six (6) staff members including the Administrator's file for the criminal background clearance, CPR/First Aid training, and all required and current training and association to the facility.

LPA reviewed four (4) client files that are maintained at the facility. Physician's Report (including TB and Ambulatory Status), Consent For Medical Treatment, Individual Program Plan (IPP), Behavioral Reports, Client Cash Resources, Special Incident Reports, Client Personal Property and Clients Personal Rights observed.

LPA reviewed the record of one (1) client safeguarded cash/P&I and amount was verified.

LPA reviewed medications for one client, C4 to confirm medication is given as prescribed and is documented properly. The facility uses the Medication Administration Record (MAR) log to document medications given. Medications are administered as prescribed by the Physician. Medications are bubbled packed.

Interview of one (1) staff was conducted. Interview of one (1) client was conducted.

At 1:10PM LPA with the assistance of the administrator took a tour of the facility and the following was observed.