Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced visit for an Annual Inspection. LPA met with Leslie Ramirez – Program Manager, and the purpose for the visit was explained. The facility is licensed to serve 30 Adults ages 18, which (10) may be non-ambulatory.

This is a single- story facility located in Bellflower, Ca. A tour of the facility includes: Lobby with Client Lockers, Storage Room, Locked Management Office (where files and PRN medications are kept), Art Room, Computer Lab, Fitness Room, Leisure Room (and Kitchen), Conference Room, Program Coordinator Office, Staff Break Room, Staff Office, Relaxation Room, Cleaning Supplies/Laundry Room, Additional Storage Room and Mens/Womens restroom with stalls.

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

Infection Control: Facility maintain the required Infection Control Plan.

Physical Plant & Environment Safety: Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed and are fully charged. No bodies of water were observed at the facility. The hot water temperature was tested in the kitchen and measured within the required range of 105-120 degrees. All storage areas for cleaning solutions, toxins, poisons and hazardous items are stored in a secured/locked storage closet and inaccessible to clients. Clients have a water station available in the kitchen and clients are provided water bottles. The facility appears to be clean safe and sanitary.

Operational Requirements: The facility has the appropriate fire clearance. Staff are knowledgeable on their reporting requirements. (Continued on 809-C)