Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Case Manager Dorisel Elicanal and Administrator Rommel Dungca who later assisted with the visit. The purpose for today’s visit was explained.

The 2-Story facility is located in Los Angeles CA, and licensed to serve 30 Ambulatory and 16 Non-Ambulatory clients ages 18-59 (16 may be bedridden on first floor only).

A tour of the facility includes: First Floor: front desk office, lobby, living room, dining area, patio, kitchen with pantry, laundry room, 1 visitor restroom, 2 staff office, laundry room, medication room, 2 storage closets, elevator and 8 shared client bedrooms with shared bathrooms. Second Floor: Elevator, storage closet, staff lounge “resting room”, 1 staff bathroom, laundry closet, 2 offices used as storage rooms, 1 staff office, and 15 shared client bedrooms with shared bathrooms.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility has a valid Infection Control Plan and have sufficient PPE supplies.

Physical Plant & Environment Safety: LPA toured 6 clients’ bedrooms and closet/drawer space to accommodate each client comfortably was available. Hygiene products are readily available for clients in care. The hot water temperature was measured throughout the facilities client bathrooms and were within the required range of 105-120 degrees. All storage areas for cleaning solutions, toxins, knives, and hazardous items are centrally stored and kept locked and inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. There is an emergency sprinkler system throughout the facility. The fire extinguishers were observed and are fully charged.