Facility Evaluation Report

On 11/06/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with the licensee Patrick Figueroa. LPA explained the purpose of today’s visit. The facility is licensed to operate for four (4) adults of which one (1) may be non-ambulatory ages 18 through 59 years of age. The clients are Harbor Regional Center consumers.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client's rooms, two (1) common bathrooms, one (1) staff room, a living area, a dining area, a kitchen, and outside patio area.

LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 109.4 degrees F. A comfortable temperature of 73 degrees was maintained in the facility.

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Fire extinguishers were fully charged, and smoke detectors and carbon monoxide were operable. A review of Medication Records Administration (MAR) and Fire Drills were observed to be maintained in order and accurate. The last fire drill was on 11/01/22. The facility has a working landline telephone. The First Aid Kit is maintained and in good condition. An analysis of the personnel files of staff members and the client's service records. The staff all had current First Aid/CPR certificates. Administrator's certificates were current at the facility. (Evaluation Report Continues on LIC 809-C)