Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection on 2/8/24. LPA met with Co-Administrator, Gina Baluyot, and explained the purpose of the visit. The facility is licensed to serve 4 Developmentally disabled adults, ages 18 through 59, of which 2 may be non-ambulatory. There are currently 4 clients residing at the home and receive services from the Eastern Los Angeles Regional Center.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tool during the inspection today. The following were observed:

Infection Control: The staff perform hand hygiene and wear gloves when necessary to assist clients. Staff are continuing to clean and disinfect each day.

Physical Plant & Environment Safety: The facility does not have any pool or bodies of water on the premises. There are 3 client bedrooms, 1 Staff room, 2 bathrooms, living room, dining room, kitchen, administrative area, and attached garage. Each client bedroom has the required furniture and bedding. There are extra hygiene supplies and linen available. There are no items obstructing the hallways or walkways. Facility has interconnected smoke detector in each room and a carbon monoxide detector in the living room. Knives and cleaning solutions are locked in the kitchen area. The hot water temperature in the bathrooms was measured between the required range of 105-120 degrees F.

Operational Requirements: There are currently 4 clients residing at the home. Proper care and supervision is being provided to the clients.

Staffing : There is sufficient staffing at the facility. Per the administrator, there is an awake staff for the overnight shift monitoring the clients.

Personnel Records-Training : Staff files are maintained at the facility. Administrator (Ruperto Baluyot) has submitted documents to renew the administrator's certificate. LPA verified they were received on 8/17/23 and is currently pending review. Staff have current CPR/first aid training and sufficient on-going training that meets the annual requirement. LPA reviewed (5) personnel files. Staff #5 did not have fingerprint clearance nor associated to the facility.