Facility Evaluation Report, 12/18/2023 — Siesta Care Home, La Puente CA

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit utilizing the Infection Control Tool. LPA met with House Manager Telebrico Leilani who assisted with the visit. LPA explained the reason for the visit. The physical plant was inspected along with COVID-19 procedures, medications, food supply, and clients and staff records. Facility submitted infection control plan to CDSS. The facility is licensed to serve developmentally disable clients between the ages 18 to 59 and receive services from San Gabriel /Pomona regional Center. However, there are 3 residents over the age of 60, which exceeds 50% of census. The licensee must request an exception in order to accept or retain the individual. All four (4) clients were at the Day program at the time of visit.

This is a single story home located in a residential neighborhood. It consists of the following: 4 client bedrooms, 2 staff rooms, 1 full client bathroom, and 1 1/2 client bathroom, 1 full staff bathroom, living/dining room area, kitchen, detached garage , garage closet room, backyard, and front yard with patio furniture. The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Linens and personal hygiene supplies are stored in hallway closet. Laundry area was observed in the garage.

The bathrooms are clean and have the required grab bars and non-skid mat. The water temperature was tested 112.6 degrees which is within the required 105 - 120 degrees. LPA observed that trash bins in clients bathrooms didn't have a covers/lids. Facility has sufficient perishable and non-perishable food. All the appliances in the kitchen are clean and working properly. Sharps and cleaning supplies were stored in a locked room that is attached to the garage and inaccessible to clients. The common areas such as living room, dining room are clean and have the required furniture. LPA observed the centrally stored medication area to be locked and inaccessible to clients.