Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required unannounced annual inspection. LPA met with Sofia Rodriguez and Claudia Lujan Acosta (Administrator) who later assisted with the visit, the reason for today’s visit was explained. The facility is licensed to serve 4 ambulatory only clients ages 18-59. Facility currently has 4 ambulatory clients serviced by South Central Los Angeles Regional Center.

The facility is a single-story home located in a residential area in Huntington Park, Ca. A tour of the facility includes: living room, dining room, kitchen, laundry area, 1 bathroom, 3 client bedrooms, basement, detached garage, front yard and back yard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: Smoke detectors and carbon monoxide detectors are operable and in compliance. Bathrooms are clean and operational. Client bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available to the clients. The hot water temperature was tested in client bathroom and measured at 111.2 degrees F which is within the required range of 105-120 degrees F. Storage areas for cleaning solutions, toxins, knives, and hazardous items were observed to be in a locked area inaccessible to clients. The fire extinguisher in hallway was observed and is fully charged.

Operational Requirements: The facility maintains the required fire clearance and plan of operation on file. Facility conducts emergency/fire/earthquake drills regularly, last drill was conducted on 10/2/23. The facility ensures that clients are given the opportunity to participate in community activities and there is a shaded area that is equipped for outdoor use. (Continued on 809-C)