Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced annual visit and was greeted by the Administrator. The facility is licensed as an adult residential facility to serve four ambulatory clients. The Administrator confirmed there are no clients living in the facility and they are waiting for clients from the North Los Angeles County Regional Center (NLACRC). Administrator stated they are now vendor through NLACRC and are awaiting for a liaison.

LPA and the administrator began the tour of the facility at 9:30 a.m. LPA observed the following:

Upon entry LPA observed required posting along a wall of the facility.

Bedrooms: There are four (4) client bedrooms for single use. LPA observed bedrooms to be properly furnished with a bed, linens, night stand, chair, chest of drawers, closet, and adequate lighting.

Bathroom: There are two (2) client bathrooms one (1) is located in a client's bedroom for private use. The bathrooms contained hand soap, paper towels, toilet paper and trash bins.

Hallway Closets: LPA observed two (2) closets locked that contained a first aid kit, PPE supplies, toiletries, and cleaning chemicals. According to the administrator this is were the medications and facility records will be stored.

Common Areas: These include the living area and dining area . LPA observed dining and living room furniture in good repair. Dinning and living room furniture sits the capacity of the facility. The fire extinguisher is located in the living area and was observed fully charged with a serviced date of 04/28/2023.

Kitchen: LPA observed a seven day supply of non-perishable food and a two day supply of perishable foods; properly stored. LPA observed a locked toolbox where sharps are stored.