Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual continuation inspection, focusing on one remaining domain and staff/client interviews. LPA arrived unannounced and met with Program Director Gbenga Sowunmi who assisted with the visit. The facility is licensed to serve 16 ambulatory clients.

This is a 2-story facility located in an industrial area in Downey, Ca. A tour of the facility includes: First Floor: 2 client bedrooms, janitor closet, staff restroom, living room, nurse station, 2 restrooms, 1 shower room, medication room, multi-purpose room, dining room, kitchen, assessment room, storage room (with emergency food supply), program director office, laundry room, control panel room, and an intake room with restroom/shower. Second floor: 6 client bedrooms, administrators office, 3 shower rooms, 3 restrooms, laundry room, clinician station, staff restroom, and janitor closet.

During today’s visit LPA inspected the remaining one domain using the Compliance and Regulatory Enforcement (CARE) tools for which include the following:

Personnel Records-Training : Staff has criminal record clearance, current first aid and CPR, and ongoing training. Staff files are maintained at the facility and kept in the program directors office.

Initial visit on 9/15/23 included the following domains: (no deficiencies were observed during initial visit)

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: LPA toured facility and observed 5 clients’ bedrooms, each room had the required furniture for comfort and safety and had sufficient lighting. No bodies of water were observed at the facility. There