Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Annual Required / Infection Control Visit to the above facility. LPA was met by Administrator Christopher Garcia and the purpose of today’s visit was explained.

The facility is licensed to serve 6 developmentally disabled clients (age 18-59) and is approved for 6 ambulatory. Currently, there are 5 clients in placement, and all clients are ambulatory. The facility has four bedrooms: Four client bedrooms and one staff room, three bathrooms, living room, Kitchen, and Dining area.

LPA and Administrator Garcia toured the entire facility inside and out. Documents are posted as mandated. Client bedrooms contain the mandated furniture. The bathrooms are clean and operational. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to residents. Medications and files are current and kept in a locked cabinet. Food supply was adequate for 2-day perishable and 7-day non-perishable. Hot water temperature is 105 degrees Fahrenheit, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to clients, Exit, walkways and/or passageways, are free of debris and/or hazards. The facility is in good repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry, visitors are logged and temperature checked, sanitizer/soap located throughout the facility and additional sanitation supplies are stored in the facility. LPA observed staff and residents wearing masks and keeping 6 ft distance from one another. Client rooms will be converted to isolation rooms (if needed) and required postings placed throughout the facility. The clients temperature's are checked and logged once a day. PPE's are enough for 30 days.

According to the California Code of Regulations (Title 22, Division 6, Chapter 6), LPA did not observe any deficiencies, therefore no citations were issued at this time.

An exit interview conducted with Administrator Christopher Garcia. Administrator and copy of report provided.