Facility Evaluation Report

An unannounced Required One (1) year visit was conducted on this day by Licensing Program Analyst (LPA) Gary Tan. LPA initially met with staff Reuel Tumaliuan who called the administrator Clifton Von Buck. Purpose of the visit is stated. This is a North Los Angeles Regional Center vendored facility Level III. Mr. Von Buck designated Mr. Tumaliuan to sign the report.

LPA conducted physical plant tour inside and out at 12:48 PM. During the tour, LPA observed that the facility has four (4) bedrooms and three (3) bathrooms. One (1) bedroom and one (1) bathroom is designated for staff use. The swimming pool was appropriately fenced, no water and had not been used and observed to be locked during visit.

The front main door is the only entrance being utilized at the facility. 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 of Covid 19 prevention protocol signs were inside 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.

Bedrooms were toured and observed to be clean and appropriately furnished,

Bathrooms were observed to be clean, sanitary and with necessary supplies. Hot water temperature measured at a range of 115.1 °F to 116.8 °F.