Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos made an unannounced Annual inspection focused on Infection Control. On today’s visit LPA met with Staff Joel Garcia and the purpose of the visit was discussed.

As a part of the inspection, LPA used the inspection tool, reviewed (4) client records, (2) staff files, and (4) client medications. Currently the facility has (4) clients which are ambulatory. The facility is vendorized through Eastern Los Angeles Regional Center. The facility is a single story building located in a residential area and contains the following: dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, locked storage cabinet for sharps, (3) resident rooms, (1) bedroom for live in staff, (2) bathrooms with shower, toilet and washbasin, and space for washer and dryer. Backyard also has a shaded area and seating for client use. There is a detached garage in the backyard kept inaccessible to clients. There is a pool in the backyard fenced in and kept locked and inaccessible to clients. The residence is equipped with central air and heating. Toxins and sharps locked and inaccessible to clients. Bedrooms #1-#3 are equipped with a beds each, a dresser, lamp, chair, overhead lightning and closet space. Bathrooms have a working toilet, wash basin, and showers. Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. Supply of hygiene supplies stored in each client's bedrooms were observed. Fire alarms are interconnected and operational. Required postings observed. Water temperature within required tittle 22 regulations.

Infection control domain completed and there were no deficiencies. An exit interview was conducted. Copy of this report provided to Staff Joel Garcia