Facility Evaluation Report

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with Administrator Antonio Santos. Licensee Daysi Lizano joined the visit a few minutes later. The purpose of today’s visit was explained. The facility is licensed to serve four (4) ambulatory developmentally disabled adults, ages of 18-59. Clients are serviced by South Central Los Angeles Regional Center.

The LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. The visit consisted as follows:

The facility is in a residential area and is made up of two (2) client bedrooms and one (1) staff bedroom, a full bathroom for client use and one (1) staff bathroom, living room, a den, laundry room, front and backyard, and an attached car garage. There were no body of water observed in the property.

Client record review consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Personal Rights, and Centrally Store Medication. Client’s P&I money were reviewed for 2 clients. Staff record review consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, Training, First Aid and CPR.