Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an annual required visit. LPA met with House Manager Rhys Espinosa and explained the reason for the visit. Shortly after, the administrator Arvin Urbayan arrived and assist with the visit, On today's annual inspection, LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures and observed food supply. Facility has submitted a mitigation plan and was approved on 04/10/21

The facility is a single story home located in the neighborhood area. The facility consists of four clients' bedrooms, two bathrooms, staff office, kitchen, first living room, second living room, dining room, laundry room and basement for storage. Each client bedroom has one bed, closet, drawer, night stand, chair and adequate lighting. The facility also has sufficient linen supply including, mattress pads. All toilets, hand washing and showers are safe, sanitary and in good operation condition . The hot water temperature at the two bathrooms were measured between 115 and 115.7 degrees F. The smoke detectors and carbon monoxide detectors are interconnected and all operational. LPA observed ample food supply of two (2) days of perishables and seven (7) days of non-perishables in the kitchen and the basement. Storage areas for cleaning solutions, toxic, knives, and hazardous items were secured and made inaccessible to clients. There is an outside shaded area including table and chairs for client use, outdoor space is clean and clear of obstructions or clutter.

Facility is currently following COVID 19 recommendations including COVID 19 signs throughout the facility, social distancing between clients and staff, disinfecting products are available around the facility and facility is disinfected more than once per day, restrooms have sufficient soap, paper towels, and signs and PPE supplies are stored for more than 30 days.

No deficiencies were found during this visit. Exit interview was conducted with administrator Arvin Urbayan and a copy of this report was provided.