Facility Evaluation Report, 10/30/2024 — Easterseals Southern California-kallin Residence, Long Beach CA

On 10/30/2024 at 8:58am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the (Kimya Oliver, Director/;Active Administrator) and the purpose of today’s visit was explained. The facility is licensed to operate for (3) non-ambulatory, of which (3) maybe bedridden adults ages 18 through 59. Currently, the home has (3) clients. The clients are Harbor Regional Center clients. One (1) of the clients have Restricted Health Care Conditions and one of the residents are utilizing postural supports/protective devices.

The facility is a one (1) story home located in a residential neighborhood. The property consists of the following: 3 client bedrooms, 2 common bathrooms, staff office, living room, kitchen, dining room, wash room with a washer and dryer, an attached garage which houses an additional refrigerator and an outdoor shaded area.

LPA conducted a records review of (3) client records, (4) 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 observed any discrepancies at the time of visit.

At 9:30am LPA Zina Brown and Kimya Oliver toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed , plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured between 105-120F ( Bathroom #109.5 F & Bathroom #2 107.6 F).