Facility Evaluation Report

Powelson Home IV, Canoga Park12/10/2024Licence 197606438

Capacity4
Census4
Date signed12/10/2024 06:27:41 PM
The inspector’s account

A Required One (1) year visit is conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Ruth Ramos and purpose of the visit stated. This is a North Los Angeles Regional Center (NLARC) vendored facility Level II.

A tour of the physical plant was conducted at 3:42 PM and the following was noted:

The front main door is the only entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation Plan and Infection Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted indoors. 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 backyard. The facility has sufficient stock of PPE in the storage.

The facility has four (4) private client bedrooms and two (2) bathrooms. Additional one (1) bedroom is designated for staff use. There is no body of water in the facility.

Fire extinguisher - The fire extinguisher is located in the kitchen. Extinguisher was observed to be operable and last bought on 07/14/24. Smoke alarms were hardwired and inter connected, tested and observed to be operational. There is a carbon monoxide installed at the facility. Temperature of facility wall thermostat was set at 74°F and observed to be within the required range.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction