Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Christine Ogbonda, Direct Support Professional I & II (DSP I & II) and explained the purpose of the visit. Licensee/Administrator Nijih Khabeer arrived at 11:30am a nd assisted LPA with the inspection. The facility is licensed to care for (4) Developmentally Disabled Adults, (4) ambulatory, ages 18 through 59. All clients residing at this Specialized facility receive case management services provided by South Central LA Regional Center . The facility is a level 4I. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The staff stated that they use disposable gloves to clean and disinfect the high touched surfaces in the common areas. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan. Bathrooms have hand washing signs and hand soap. Paper towels are provided to clients on a per use basis, but not kept in the bathrooms for safety reasons. Staff are adhering to infection control requirements.

Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains a total of (3) client bedrooms, (2) bathrooms, a living room, den used as activity area and office area, kitchen, dining area, backyard with shaded area, and detached garage. Currently, there are three (3) clients living in the facility. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Bathrooms have non-skid materials and contained hygiene supplies including liquid soap, and toilet paper. There is a fire place in the den that is covered and inaccessible to clients. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area and sitting area. Laundry area is in the kitchen. There are cameras without audio in the front/back yards and common areas inside the home. There is (1) fire extinguisher mounted on the wall in the kitchen which is operable and was serviced on 12/07/2023. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Readings were 113.3 deg. F in bathroom #1 and 110.1 deg. F in bathroom #2.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance is in place. Liability Insurance policy in the amount of $1,000,000.00 each occurrence and $3,000,000.00 in the total annual aggregate is valid and expires on 07/27/2024. Surety Bond in the amount of $1000 is in effect. Last Fire Drill was conducted on 07/27/2023. Administrator agreed to conduct a fire/emergency drill no later than Fri., 01/12/2024 and will start conducting the training on a quarterly basis as required by CCL.