Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Maribel Sebastion (assistant administrator) and explained the purpose for today’s visit, shortly after Administrator Mark De Ocampo arrived to assist with the visit. The facility is licensed to serve (4) Non-Ambulatory Adults, ages 18 through 59, with a Hospice Waiver for (2). Facility currently has 4 Non-Ambulatory clients serviced by 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, dining area, kitchen, staff room, medication room. 4 client bedrooms, 2 client bathrooms, 1 staff bathroom, attached garage (with laundry), front yard and back yard, with 2 locked storage sheds.

LPA used the Compliance & Regulatory Enforcement(CARE) tools for today's visit & observed the following:

Infection Control: The facility maintains the required Infection Control Plan.

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 and are inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged.

Operational Requirements: Staff have proper training to meet the needs of the clients in care. Facility has an activity area furnished for outdoor use.