Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Kristy Jones (Licensee/Applicant) and Kene Counts (Administrator) for a Pre-licensing inspection at 12:50 pm.

The home will be vendored by North Los Angeles Regional Center. The home will serve four (4) level 4 intellectually disabled adults. Clients will be all ambulatory. The facility has five (5) bedrooms and two (2) and a half bathrooms designated for a capacity of four (4) clients. One(1) bedroom is designated for staff only, and the office will be locked at all times. Staff will be awake at night.

The physical plant was toured inside and out at 1:10 pm.

Common Area: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The facility maintains a comfortable temperature at 70 degrees F, which meet regulations. The air conditioner is operational. No firearms observed or will be maintained on the premises. The smoke alarm and dual carbon monoxide detectors were operational and tested at 1:22 pm. Fire extinguishers appear to be full, but receipt or serviced date was not available. The Licensee stated she will provide the receipt and place it on all fire extinguishers..

Resident room s: Rooms available are all private. LPA observed rooms to have bedding sheets, pillowcase, blankets which are in good condition. The mattress pads were not placed on the beds yet, and the plastic needs to be removed from all mattresses. There is at least one chair, a night stand, and sufficient lighting for each client. The mattresses and bedsprings were also checked for condition. Window covering and window screens are in good repair. Room #4 needs a screen. Room #5 designated for the office has a balcony, but the office is to be locked at all times. CONTINUED...