Senior Care Records.

Facility Evaluation Report

Autumn I Adult Residential Facility, Los Angeles07/21/2022Licence 198601220

Capacity6
Census6
Date signed07/21/2022 04:22:55 PM
The inspector’s account

On 07/21/22, Licensing Program Analysts (LPA) Gail Johnson conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA Johnson met with the House Manager Debra Davenport. LPA Johnson explained the purpose of today’s visit. The facility is licensed to operate and care for six (6) developmentally disabled adults ages (18 through 59). Four (4) of their clients may be non-ambulatory. Currently, six (6) clients reside at this facility.

Facility Structure The facility is a one-story structure located in a residential neighborhood. It consists of the following: Four (4) bedrooms for clients, two (2) bathrooms, living area, dining area, kitchen, outdoor table in a shaded covered space with four (4) chairs.

Bedrooms (Client rooms) Presently two (2) clients occupy one bedroom each, and two (2) bedrooms are shared with two (2) clients in each room. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided. Storage for client personal belongings was observed.

Physical Plant LPA Johnson toured the physical plant. There were no bodies of water or obstructions on the premises. 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 measured 105.2 degrees Fahrenheit.

Storage areas for personal hygiene, medications, cleaning supplies, toxins, and sharp objects were stored, locked and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Smoke detectors and carbon monoxide detectors were operable.

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