Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced visit at the facility for the purpose of conducting the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA Konishi met with Administrator Archimedes Lopez and explained the purpose for the visit.

This home is licensed to serve three (3) Developmentally Disabled Adults, (3) non-Ambulatory adults ages 18 through 59 and vendor is Harbor Regional Center. There were three (3) clients in care during the time of this visit.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical Services, Disaster Preparedness, and Emergency Intervention.

During the visit LPA observed the following:

Infection Control: The facility has an infection control plan in place and the staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan. Facility has COVID-19 signage posted throughout the facility. Bathrooms have hand washing signs, soap, and paper towels. Facility Administrator is adhering to infection control requirements.

Operational Requirements: Facility Administrator is adhering to operational requirements. Facility ensures the clients are given the opportunity to attend and participate in community activities.