Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by DSP staff Olayinka Apetuje and explained the purpose of the visit. Administrator Adeshola Stewart-Abe was notified. Administrator has taken R#3 to day program and will arrive afterwards, LPA Vaid conducted a physical tour of the facility with Staff Apetuje. There are three (3) ambulatory developmentally disabled clients who reside in the home. The facility is an Adult Residential Facility (ARF) vendored by the South Central Los Angeles Regional Center.

12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical and Dental, Disaster Preparedness, and Emergency Intervention.

I nfection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor sign-in station at the entrance of the facility. The facility does have an Infection Control Plan and the administrator explained that she will send it to LPA following the inspection.

Physical Plant/Environment Safety : The facility is a single-story home located in a residential neighborhood that is licensed for four clients between the ages of 18 - 59. It consists of 3 client bedrooms, an office, a living room, dining room, a kitchen, 2 (two) bathrooms of which the non-private restroom and private restroom in the shared bedroom were tested and water temperature is within 105 degrees F to 120 degrees F, and a backyard area with covered area,At 9 free of obstacles and debris. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Smoke and carbon monoxide detectors are operational. The facility has one (1) fully charged fire extinguisher that is kept in the kitchen of the house. Cleaning supplies and toxic substances are inaccessible to clients.