Facility Evaluation Report

On 08/07/24, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Vicki Simpson, Administrator, and the purpose of today’s visit was explained. The facility is licensed to operate for (4) ambulatory, (Developmentally Disabled Adults) ages 18 through 59. Currently, the home has (1) client. The client is a South-Central Los Angeles Regional Center client. The client does not have Restricted Health Care Conditions and is not utilizing postural supports or protective devices. The facilities annual fees are due on 08/24/24 for $454.00.

The facility is a two-story home located in a residential neighborhood. The property consists of the following: 2 client bedrooms, (downstairs), staff bedroom (downstairs), guest room (upstairs), three (3) bathrooms (one bathroom located in staff room and one bathroom located in guest room), living room, kitchen, dining area, attached garage, front porch, laundry room, indoor patio, and backyard.

LPA conducted a records review of (1) client record, (2) staff records, (1) client Personal & Incidental Record 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 . LPAs reviewed (1) Client Medication Administration Records and did not observe any discrepancies at the time of visit.

LPA toured the physical plant with the administrator. 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 resident personal belongings is available. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature measured 114.6 F. An emergency/fire drill was completed on 07/01/2024. A comfortable temperature was maintained in the facility.