Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Jasfer Cruz - Administrator and explained the reason for the visit. The facility is licensed to serve four non-ambulatory clients ages 18-59. Facility currently has 3 non-ambulatory and 1 ambulatory clients serviced by South Central Los Angeles Regional Center.

The facility is in a residential area and it is a one story family home. A tour of the single-story facility included the office room, kitchen, dining area, living room, 4 client bedrooms, 1 client bathroom, 1 staff restroom, front yard, backyard, and attached garage.

LPA Mora conducted the tour with Jasfer Cruz and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen and refrigerator in the garage. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked in the staff restroom cabinet. The First Aid kit is kept locked in the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway cabinet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a cabinet in the living room. Client and staff files are kept locked in the office area. All bedrooms have all required furniture, lighting, and bedding. The client bathroom was observed with grab bars and shower mats. The water temperature was tested in the client bathroom and staff restroom and measured at 145.7.2 degrees F and 147.9 degrees F, which is not within the required 105-120 degrees F. A fire extinguisher was observed in the living room and it is fully charged. Smoke detectors and carbon monoxides were observed throughout the facility and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.