Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Annual Required Visit on 06/27/2024. 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 and was explained the purpose of the visit. There are six (6) level 4 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.

· Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility had a completed infection control plan.

· LPA conducted a tour of the facility with S1 and observed the following: The facility is a single-story house located in a residential area and consists of three (3) client bedrooms, two (2) bathrooms, kitchen, dining room, den/TV room, living room, front yard, backyard, and shed.

· All passageways, walkways, driveway, steps and patio are free from obstructions. The front, back and side areas of the house are free of hazards.

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

· Fire extinguisher was observed on hallway last reviewed 05/29/2024.

· Smoke/carbon monoxide detectors are tested and in working condition.