Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required unannounced annual inspection. Upon arrival at 1:15pm there was no one at the facility, LPA called Licensee Pedro Travieso who arranged for staff to meet LPA at facility. At 1:52 LPA met with Claudia Lujan Acosta (Senior Administrator) and explained the reason for the visit. The facility is licensed to serve 4 ambulatory only clients ages 18-59. There are currently 4 ambulatory clients serviced by South Central Los Angeles Regional Center residing at the facility.

The facility is a single-story home located in a residential area in Bell, CA. A tour of the facility includes: kitchen, dining room, living room, 3 bedrooms, 1 full bathroom, 1 ½ bathroom, backyard with shaded area and a detached garage.

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: Smoke detectors and carbon monoxide detectors are operable and in compliance. Bathrooms are clean and operational. Client bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available to the clients. The hot water temperature was tested in both bathrooms and measured between 116.9-117.3 degrees F which is within the required range of 105-120 degrees F. Storage areas for cleaning solutions, toxins, knives, and hazardous items were observed to be in a locked area inaccessible to clients. The fire extinguishers were observed and are fully charged.

Operational Requirements: The facility maintains the required fire clearance and plan of operation on file. Facility conducts emergency/fire/earthquake drills quarterly, last drill was conducted on 8/10/23. The facility ensures that clients are given the opportunity to participate in community activities and there is a shaded area that is equipped for outdoor use. (Continued on 809-C)