Facility Evaluation Report

Licensing Program Analyst (LPA)Christine Wong conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with staff Ynez Mercado and explained the reason of the visit. Shortly after, the assistant administrator Mark De Ocampo and Jorgellean Catuano arrived and assisted with the visit. The facility is approved to serve developmentally disabled for age range 18 though 59. 4 non-ambulatory. The facility is licensed as a Level 4I Specialized home vendored by Harbor Regional Center.

The following twelve (12) tool domains were observed and reviewed: Infection Control, Physical Plant/Environmental Safety, Operational Requirements, Staffing, Personal Records-Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incidental Medical Services, Disaster Preparedness and Emergency Intervention.

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing, visitor screening and wearing mask. The facility has an Infection Control Plan and COVID-19 mitigation plan in place.

2. Physical Plant and Environmental Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes four clients bedrooms, two clients bathrooms, living room, dining area, kitchen and detached garage. Each client bedroom has one bed (half rail bed), one chair, night stand, required furniture and beddings and sufficient lighting and closet space. The two clients bathrooms are clean, sanitary and in a working condition. Bathroom#2 is accommodated for wheelchair clients. The hot water in two client bathrooms were tested between 116.6 and 117.3 degrees F which are within the Title 22 regulation. All the appliances in the living room and kitchen are working properly. The sharp knives are locked in the lock box in the kitchen cabinet. The cleaning supplies and chemicals are locked in the cabinet in the bathroom#2. (See LIC809 for continuation)