Facility Evaluation Report

Licensing Program Analyst (LPA) Tao, conducted an unannounced annual inspection. The facility is licensed to serve three (3) ambulatory Developmentally Disabled Ambulatory clients, (age 18-59) with restricted health condition. Client census is three (3). LPA was allowed entry by Keith Pollard, staff. Administrator, Celeste Orellana, came and joined the visit 15 minutes later. Harbor Regional Center (HRC) in Torrance provides case management service to client residing in this home. The annual fee is paid. LPA discussed the purpose of today's visit.

During the visit, the following domain of the new inspection tool was used: infection control domain; a tour of the facility conducted; food supply was reviewed; and medications were reviewed.

Administrator, Celeste Orellana, assisted LPA with the visit. LPA toured the facility inside and outside. The home is located in a residential neighborhood within the city of Bellflower and is a one-story building which consists of three (3) client bedrooms, two (2) bathrooms, dining area, laundry area, living room, kitchen, attached garage, and patio with shaded area. Administrator certificate is current and expires on 8/10/2022.

Bedrooms were spacious which had the required furniture, easily accommodate the clients' furnishings, had appropriate linens and in good condition. Client bedrooms had beds, dressers, chairs and closet space available. Bathrooms are clean and operational.

Smoke detectors are combined with carbon monoxide devices. They are operable. Fire extinguishers’ last service was 1/20/2021 and they were fully charged. Fire drill was conducted on August 3, 2021. The first aid kit was fully stocked with a manual. Hot water temperature measured at 112.1 degrees Fahrenheit.