Facility Evaluation Report

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with Administrator DSP Maryrose Aguirre. Administrator Bernadette Manalo joined the visit a few minutes later. The purpose of today’s visit was explained. The facility is licensed to served (6) developmentally disabled adults ages 18 through 59 years old of which (4) may be non-ambulatory (2) may be ambulatory. Clients are serviced by Frank D. Lanterman Regional Center.

The LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. The visit consisted as follows:

The facility is in a residential area and consists of a single home with a living room, a family room, a dining area, a kitchen, (3) client bedrooms, (2) bathrooms, a staff room, a staff bathroom, a laundry area, a detached garage, a backyard and a front yard.

Client record review consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Personal Rights, and Centrally Store Medication. Client’s P&I money were reviewed for 5 clients. Staff record review consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, Training, First Aid and CPR. Infection control plan and fire emergency and disaster plan were reviewed.