Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with facility director, Eileen Vazuez Correos , who assisted with the visit. The facility is to serve four (4) ambulatory developmentally disabled adults, age 18 through 59 years old. Annual fees are current. LPA discussed with facility director regarding the purpose of today's visit and the inspection.

All current clients were placed by Harbor Regional Center. Administrator certificate is current, expires on 9/16/2024.

During the visit, inspection tool: infection control domain was used, interviews conducted; a tour of the facility was conducted; food supply was reviewed; and medications were reviewed.

This is a single story home located at a residential neighborhood which consists of a front yard, living room, kitchen, dining room, family room, office area, two (2) bathrooms, four (4) bedrooms, and back yard with covered patio . Facility maintains the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms have beds, dresser, and closet space available. Adequate linen and personal hygiene supply are observed. Lamps/lights for each room are available to ensure the safety and comfort of all persons in the facility. Hot water temperature was measured at 118.1 degrees Fahrenheit which was in compliance with Title 22 regulation.

Smoke detectors and carbon monoxide detectors are operable. Medications are centrally stored and locked.