Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 06/24/2023 at 8:34 Am. LPA was met by Staff #1 (S1) and explained the purpose of the visit. S1 assisted in tour of facility. Administrator Shajuana Bradford arrived shortly after to the facility. There are six (6) level 4I developmentally disabled clients in the home. The facility is licensed for clients 18-59 years old. The facility has a fire clearance approved for six (6) ambulatory. All clients receive services from South Central Los Angeles Regional Center. LPA requested and obtained a copy of Personnel Report, and Resident Roster.

LPA OBSERVATIONS: Tour began at 9:00 am and was led by Administrator Bradford. The facility is a single-story building located in a residential area with three (3) client bedrooms, two (2) bathrooms, kitchen, dining room, den/TV room, living room, front yard, backyard, and shed.

· Front Yard: Was clean and well maintained. No hazards were observed.

· Kitchen: LPA observed kitchen to be clean and appliances appeared to be in working order. LPA observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA observed knives and sharps located in top kitchen cabinet, to be inaccessible to 6 (six) out of 6 (six) clients in care. LPA observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to 6 (six) out of 6 (six) clients in care. Kitchen sink water temperature was measured at 112.8 degrees F.

· Dining Room/Living room/Den: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed plenty of seating and lighting. Den/TV room contained plenty of seating and LPA Ramirez observed clients watching TV during visit.

· Linen Closet: Contained plenty linens, towels, and hygiene products.

· Client Rooms 1 - 3: Bedrooms 1 - 2 contained the required furnishings, lighting and linens. Bedrooms were observed to be clean with plenty of closet space. LPA Ramirez attempted to gain entry into client bedroom #3, client #6 (C6) denied LPA Ramirez and staff entry. Staff attempted to coach C6 into allowing LPA Ramirez into room but, C6 refused and due to personal rights, LPA Ramirez and staff obliged.