Facility Evaluation Report

Licensing Program Analyst (LPA) Wong conducted an unannounced annual inspection at the facility. LPA met with Karina De La Rosa (Director) and explained the purpose of the visit. The facility is licensed to serve sixty (60) Developmentally Disabled - 54 Ambulatory and 6 Non-Ambulatory Clients.

LPA utilized the Compliance and Regulatory Enforcement (CARE) Tools which contain the following domains: Infection Control, Physical Plant & Environment Safety, Operational Requirements, Staffing, Personnel Reports-Training, Client Rights - Information, Client Records-Incident Report, Food Services, Health Related Services, Incidental Medical Services, Disaster Preparedness, Emergency Intervention.

1. Infection Control: Facility has an updated infection control plan in place. Facility continues to practice the infection control in the facility. Facility also has sufficient PPE supplies in the facility.

2. Physical Plant and Environmental Safety: The facility is included Client's lockers, media room, four administrative office, reception, conference room, break room for staff, game room, two office supplies room, quiet room, art room, kitchen, janitor room, three unisex bathrooms and one men bathroom, gym room, computer room and regional director office. LPA inspected the bathrooms and they are clean, sanitary and in good working condition. The hot water temperature were tested between 107.9 and 108.5 degrees F which are within the Title 22 regulation. All the cleaning supplies and chemicals are stored and locked in the janitor room. All the sharp knives and utensils are stored and locked in the program director office. The passageway and walkway are free of obstruction. The facility had a fire inspection with the city on 10/31/23 and everything is going well. The facility has a quite room for clients to rest if they do not feel good.

3. Operational Requirement: The facility is approved to serve 54 ambulatory and 6 non-ambulatory clients and currently the facility has 6 non-ambulatory clients in the facility which is within the fire clearance limit.

4. Staffing: The facility has sufficient staffing in the facility to provide care and supervision to clients in care. The staffing ratio which Regional Center required is 1:3 or 2: 6 and the facility does have the required staffing ratio.