Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA met with Henry Lara/Administrator, Lourdes Almeida/Assistant Administrator and explained the purpose of the visit. At 11:45am Claudia Lujan/Senior Admin. arrived with the facility files. The facility is licensed to care for Developmentally Disabled Adults, ages 18 through 59, (4) ambulatory only. All clients residing at this facility receive case management services provided by South Central LA Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has submitted an Infection Control Plan. Facility does have COVID-19 signage still posted in the facility. Bathrooms have soap and paper towels. Staff are performing hand hygiene and adhering to infection control requirements.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. Surety Bond Insurance (Western Surety Insurance Company) is valid and in effect . Fire clearance was approved for four (4) ambulatory clients only. Fire Drill and Earthquake drill was conducted 3/07/2023. Outdoor/backyard activity area provides a shaded area and furnished for outdoor use.

Physical Plant and Environmental: The facility is a single storey home located in a residential neighborhood, contains a total of (3) client bedrooms and (2) full bathrooms, a living room, activity area, kitchen, dining area, backyard, and attached garage. Currently, there are four (4) clients living in the facility. Facility is Level 4F. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. Bathrooms have non-skid materials and contained hygiene supplies including liquid soap, paper towels, and toilet paper. Exit doors are free of any obstruction and there are no pools or large bodies of water. Attached garage stores PPE supplies and extra refrigerator/freezer to keep additional food supplies. Kitchen knives, sharps objects, cleaning supplies and toxic substances are locked in a cabinet located in the kitchen and inaccessible to clients. There is one (1) fire extinguisher observed to be fully charged and was last serviced on 6/22/2023. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. There are no cameras in the facility. Water temperature readings measured at 114.4 in bathroom #1 and 118.1 in bathroom #2 and were within the required 105 - 120 degrees Fahrenheit.