Facility Evaluation Report, 07/14/2023 — Francisquito Homes, La Puente CA

Licensing Program Analyst (LPA) Wong conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met Administrator Cynthia Tuason and explained the reason of the visit and assisted with the visit. The facility is approved for serve Developmentally Disabled Adults 18-59 years old and ambulatory only. The facility is licensed as a level 4C vendored by San Gabriel Pomona Regional Center.

The following twelve (12) tool domains were observed and reviewed: Infection Control, Physical Plant/Environmental Safety, Operational Requirements, Staffing, Personal Records-Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incidental Medical Services, Disaster Preparedness and Emergency Intervention.

1. Infection Control: I nfection c ontrol practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing and self symptom check of staff and visitors. The facility has an Infection Control Plan and COVID-19 mitigation plan in place.

2. Physical Plant & Environmental Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, dining area, kitchen, small staff office, four clients bedrooms and two bathrooms, staff break room, storage room and a detached garage. Bedroom#1 and #4 have two beds, two chairs, night stands, drawer, required beddings and furniture and sufficient lighting and closet space. Bedroom#2 and #3 have one bed, one chair, one night stand, drawers, required bedding and furniture and sufficient lighting and closet space. The two bathrooms are clean, sanitary and in a good working condition. The hot water temperature tested in two bathrooms are between 111.3 and 112.6 degrees F which are within the Title 22 regulations. The passageway, walkway and patio are free of obstruction. There's extra linen stored in the hallway closet and extra personal hygiene products are stored in the storage room. The facility has night light in the hallway. The facility also has telephone services in the premises.