Facility Evaluation Report

On 6/2/23 at 12:30 p.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to De Leon Home- Billy. Upon arrival LPA was greeted by House Manger (HM) Angel Duran who contacted the Administrator, Carrie Carothers, at 12:35 p.m. to assist with today's visit. This home is licensed to serve (2) non-Ambulatory and (2) Ambulatory developmentally disabled adults. The is a level 4I home and the vendor is Harbor Regional Center. There were (3) clients in care during the time of this visit. The last emergency disaster/fire drill was conducted on 5/1/2023. The Administrator Certificate expires on 11/08/2023 #6008460735. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (2) staff files, (3) client files, medications, medication administration records for (3) clients and P&I. LPA (1) interviewed staff and due to all clients limited communication LPA could not proceed with client interviews. LPA attempted to interview 1 client.

This home contains 4 bedrooms,1 staff bedroom, 1 bathroom, 1 staff bathroom, 2 living room, kitchen, dining room and a detached garage. LPA toured the physical plant and observed all (4) client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 110.3*F-113.1*F. The smoke detectors were battery operated and individually tested and observed to be working properly.