Senior Care Records.

Facility Evaluation Report

California Mentor - 256th Home, Lomita06/16/2023Licence 198601604

Capacity4
Census3
Date signed06/16/2023 02:29:39 PM
The inspector’s account

On 06/16/2023, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with Keisha Lamar, Program Supervisor, and explained the purpose of today’s visit. The facility is licensed to operate for four (4) non-ambulatory developmentally disabled clients of between the ages of 18 through 59. Currently, the home has (3) clients. The clients are Harbor Regional Center clients. One of three of the clients have a Restricted Health Care Condition and none are utilizing postural supports or protective devices. The facilities annual fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, two (2) bathrooms, a living area, a dining area, and kitchen. There is an outside patio area with ample seating and an umbrella used for shade. The laundry area is a room with a door and locked cabinets. There is a detached garage used for storage only.

LPA conducted a records review of (3) client records, (11) staff records, (3) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (3) Client Medication Administration Records and did not observe any discrepancies at the time of visit.

LPA and Xiomara Vanegas, DSP, toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature met Title 22 standards and measured at 116.9 F. A comfortable temperature was maintained in the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction