Senior Care Records.

Facility Evaluation Report

Specialized Residential 118th Street, Inglewood04/11/2022Licence 198601785

Capacity3
Census3
Date signed04/11/2022 02:06:14 PM
The inspector’s account

On 4/11/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA spoke with Administrator Sandra Moraga to conduct the covid-19 screener questionnaire and was informed the facility is free of Covid-19. LPA was met by staff and explained the purpose of today’s visit is the annual inspection concentrating on Infection control measures and was allowed entry into the facility. The facility is an Adult Residential Facility ages 18 to 59, licensed for 2 non-ambulatory and 1 ambulatory client. There is currently three (3) clients in placement.

The facility is a single-story home located in a residential neighborhood. The facility consists of three (3) client bedrooms, two (2) bathrooms, living room, office area, dining room, two (2) backyard patio areas, laundry area and attached garage.

LPA and staff toured the physical plant. There were no bodies of water or obstructions on the premises. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational.

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. The kitchen was inspected and there is a 2-day supply of perishable and a 7-day supply of non-perishable food available, maintained properly. Two fully charged fire extinguishers was found hallway off of kitchen and second is in living room.

During the visit, LPA observed the facility infection control practices. LPA observed screening protocol for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, a 30-day supply of Personal Protective Equipment (PPE) is available and sign in and out logs for visitors and staff are present in the facility.

An exit interview was conducted, and a copy of this report was provided to Sandra Moraga.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction