Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. At 11:00 am LPA spoke with Program Manager-Letica Woods and explained the purpose of the visit. The Program Manager is unable to visit the facility but she designated Zinnia San Pedro-LVN/DSP I and II to sign the report. The facility is licensed for four (4) non-ambulatory adults, one (1) of whom may be bedridden. Current census is three (3) ambulatory clients. The program is vendorized through the Frank D. Lanterman Regional Center. The facility is a home located in a residential area, it consists of four (4) client bedrooms, two (2) bathrooms, living room, dining room, kitchen, laundry area and a detached garage.

At 11:50am, LPA toured the facility and observed the following:

Required postings were observed in the office area, immediately to the right side of the entry door. Facility has several exit doors; the front entry is the main exit door and the secondary exit is located in the dining room. There are two fire extinguishers, one in the dining room, one in the office area. Both fire extinguishers were serviced on 01/20/2025. Facility conducts monthly fire and safety drills, the last safety drill was conducted on 04/03/2025. The physical plant appeared clean, sanitary and comfortable with no visible immediate hazards.

Common Areas: Include a living room and a dining room. The dining room is furnished with a table and six chairs. The living room has sofas, appropriate for the number of clients. Television set was observed in the living room, along with cabinets containing art supplies and games. The dual smoke alarms and carbon monoxide detectors are interconnected. At 11:55 am the smoke/carbon monoxide alarms were tested and observed to function properly.