Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Mark De Ocampo (administrator) and explained the purpose for today’s visit. The facility is licensed to serve 4 Non-Ambulatory Clients ages 18-59 years. The facility currently has 4 clients serviced through Harbor Regional Center.

The facility is a single-story home located in a residential area in Bellflower, Ca. A tour of the facility includes: living room, kitchen, 4 bedrooms, 2 bathrooms, detached garage for storage with full bath (there is live in staff unit behind garage), front yard and back yard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

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 maintained at the facility.

Physical Plant & Environment Safety: LPA toured facility, clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The backyard is free of debris/hazards and 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 for clients. The hot water temperature was tested in the client bathrooms and was within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items have a secure location, however, during tour LPA observed cleaning supplies stored in an unlocked cabinet both on back porch and in client bathroom (large bath with storage cabinet), LPA also observed kitchen knives to ve in an unlocked kitchen drawer, details will be cited on the 809-D . Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged.