Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA was allowed entry into this home by Fionola Cabero Direct S upport Professional/DSP and discussed the purpose of today's visit. The facility cares for Developmentally Disabled Adults, age range from 18 through 59, (6) ambulatory only. The facility is serviced by South Central Los Angeles Regional Center. The current census is (5), LPA observed the facility plant, COVID-19 procedures, reviewed clients' medications, and observed food supply. This single-story home contains three (3) clients bedrooms, one (1) staff bedroom, two (2) bathrooms, a living room, kitchen, dining area, backyard, and detached garage. Administrator Gamal Tawfik arrived at 11:00am and assisted LPA Pena with the inspection.

LPA along with the Administrator toured the facility with the staff and observed/inspected the following:

The facility had a universal entrance screening area including a sign-in sheet, thermometer, and hand sanitizer.

Staff screened and took the temperature of LPA upon arrival.

COVID-19 signage was placed in several areas including entrance and common areas .

LPA observed (1) staff wearing a mask. LPA prompted the other staff member to wear a face covering/mask.

Facility has 30 days supply of face masks, hand sanitizers and gowns, but not disposable gloves. PPE supplies is insufficient.

There are 3 bedrooms designated for clients and 1 for live-in staff. Client rooms are equipped with the required furnishings.

KITCHEN: Knives and medications are locked in the cabinet.

Cleaning solutions are stored and locked under the kitchen sink.

Sufficient food supply of 2-day perishable but not 7-day nonperishable were observed.

LAUN DRY ROOM: it is clean, located in the detached garage, and has cleaning supplies inaccessible to residents

The fire extinguisher was last inspected on 3/15/2022. LPA Pena reminded the Administrator Gamal Tawfik to have it inspected prior to the last inspection date.

Hot water temperature was measured in the kitchen and the bathrooms and were within the required range of 105-120 degree Fahrenheit.

The backyard has a shaded area with tables and chairs for clients use.

There are no obstructions to the passageways or bodies of water at the facility.

Medications were reviewed for all (5) clients and did not observe any discrepancies.

Staff and clients files were not reviewed during today's visit.

Deficiencies were cited, exit interview conducted, and copy of the report and appeals rights were provided to the Administrator, Gamal F. Tawfik.