Facility Evaluation Report

An unannounced Required One (1) year visit was conducted on this day by Licensing Program Analyst (LPA) Gary Tan. LPA initially met with staff Alexander Calinog who called the administrator Abraham Valdez and designated Mr. Calinog to sign the report. Purpose of the visit is stated. This is a Lanterman Regional Center vendored facility Level III.

LPA conducted physical plant tour inside and out at 3:40 PM. During the tour, LPA observed that the facility has five (5) bedrooms and two (2) bathrooms. One (1) bedroom is designated for staff use. There is no body of water in the facility.

The front door is the main entrance being utilized at the facility, there is also a door for visitors and deliveries at the kitchen near the garage. There is a sign on the front and side door that everyone entering at the facility must wear mask. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the front yard. The facility has sufficient stock of PPE in the storage

Bedrooms were toured and observed to be clean and appropriately furnished.

Bathrooms were observed to be clean, sanitary and with necessary supplies. Hot water temperature measured at a range of 110. 5°F to 118. 4°F . (continued on LIC 809-C)