Facility Evaluation Report

On 5/10/22 at 11:54 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met S1 and explained the reason for the visit. LPA and S1 toured the facility together. Administrator Zuleyma Osorio arrived at 1:01 p.m.,and assisted with the rest of the visit.

Facility is licensed to serve 4 clients between the ages 18-59. 4 of which shall be non- ambulatory of which 1 may be bedridden. The facility is a single-story building in a residential area, with a commercial kitchen, dining room, living room, 4 bedrooms, 2 bathroom, office space, backyard with ample shaded area and a garage. All clients receive case management services provided by Frank D. Lanterman Regional Center. Restricted health condition care plan has been reviewed for R1. Fire extinguisher observed in office space and in dinning room. There are smoke detectors/ Carbon monoxide located throughout the facility, tested and operational.

LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply, staff files, and resident medications.