Facility Evaluation Report

On 04/13/23, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Ashley Acosta, Administrator, and the purpose of today’s visit was explained. The facility is licensed to serve for (4) ambulatory (developmentally disabled or Mentally Ill) adults ages 18 through 59. Currently, the home has (3) clients. The clients are South Central Los Angeles Regional Center and Harbor Regional Center clients. None the clients have Restricted Health Care Conditions; and none are utilizing postural supports or protective devices. The facilities annual fees are due on 04/19/23, in the amount of $454.00.

The home consists of 6 bedrooms and 4 bathrooms (3 client bedrooms, 2 full bathrooms, and 3 staff rooms, and 2 staff bathroom). Facility is a two-story house in a residential neighborhood. The facility is a tan stucco structure with a floor plan which includes living room, dining room, kitchen, family den, activity/ theater/ laundry/ storage room.

LPA conducted a records review of 3 client records, 2 staff records, 2 clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed 3 Client Medication Administration Records and did not observe any discrepancies at the time of visit. The last fire/emergency drill was conducted on 03/02/23.