Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to DSP Nwakozo Okechukwu. House Manager Nsemeke Inyang arrived shortly after. There are six (6) ambulatory only level 3 developmentally disabled adults. The facility is licensed to serve residents 18-59 years old. The facility is vendored by San Gabriel/Pomona Regional Center.

Infection control practices and Personal Protective Equipment (PPEs) were observed. An Infection Control Plan was not reviewed and staff could not find it in the premises.

The facility is a single story home located in a residential neighborhood. It consists of 3 resident bedrooms, 1 staff room, 2 bathrooms, kitchen/dining room, living room, laundry area, outdoor patio, and an attached garage presently being used as an office

The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Electrically hard wired smoke and carbon monoxide detectors were tested and are operational. There are two (2) fire extinguishers in the kitchen.

Water temperature readings did not measure between the required 105 - 120 degrees Fahrenheit. Citation was issued.

****Report narrative continues next page.*****