Facility Evaluation Report

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with DSP Melissa Wong. Licensee Adeshola Stewart-Abe joined the visit a few minutes later. The purpose of today’s visit was explained. The facility is licensed to serve four (4) adults 18 through 59 years old, ambulatory only. Clients are serviced by South Central Los Angeles 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 is a one-story family home. There are three (3) client bedrooms, two (2) bathrooms, living room, dining room, kitchen, laundry area, front yard, back yard, shed in backyard, and detached garage. There were no body of water observed in the property.

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 2 clients. C2 was missing admission agreement and TB status; deficiencies noted. Staff record review consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, Training, First Aid and CPR. LPA reviewed infection control plan, Surety Bond, Insurance, and Emergency and disaster plan.