Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was screened and met by Carolina Diaz/ Direct Support Professional I & II (DSP I & II) and explained the purpose of the visit. LPA spoke to the Administrator Shajauna Bradford on the phone and explained the reason for the visit. Administrator stated she will not be able to assist with the inspection in-person but can be contacted by phone to answer questions. Shortly after, Katrina Owens, Direct Support Professional I & II (DSP I & II)/Lead staff arrived and assisted LPA with the inspection. The facility is licensed to care for (3) Developmentally Disabled Adults, ages 18 through 59, ambulatory only and approved delayed egress device. All clients residing at this facility receive case management services provided by South Central Los Angeles 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. There is a visitor screening station at the entrance of the facility. Each client room is designated as a COVID-19 isolation room if needed. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan. Facility has COVID-19 signage posted on the front door. Bathrooms have hand washing signs, soap and paper towels. Staff are adhering to infection control requirements.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance for (3) clients is in place. Surety Bond Insurance is in effect and a copy will be emailed to LPA. Last Fire Drill was conducted on 05/01/2023.

Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains a total of (3) client bedrooms and (1) full bathroom, a living room/activity area, kitchen, dining area, backyard, a nd detached garage. Currently, there are three (3) clients living in the facility. Facility is Level 4. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Bathroom has 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. Backyard was inspected and has a shaded area and sitting area. Detached garage was inspected an d LPA observed the area to be clean and clear. Kitchen knives, sharps objects, cleaning supplies and toxic substances are locked in a kitchen cabinet and inaccessible to clients. There is a fire extinguisher observed to be fully charged and was last serviced on June 16, 2022. 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 within the required 105 - 120 degrees Fahrenheit. Hot water supply measured 107.2 deg F in the kitchen, and 110.7 deg F in bathroom #1.