Facility Evaluation Report

A Required Annual visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Annie Calderon and explained the reason for the visit. This is a North Los Angeles Regional Center (NLARC) vendored facility level 2.

At 12:45 PM, A tour of the physical plant was assessed and the following was noted:

The only entrance being utilized is the main front door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted inside and outside of the facility. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the front and backyard. The facility has sufficient stock of PPE in the storage.

The facility has four (4) private client bedrooms and two (2) bathrooms. There is one (1) additional bedroom designated for staff use and another room used as an office. There is no body of water in the facility.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at 108.1°F and within the required range.

Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of clutter during today's visit. (continued on LIC 809-C)