Senior Care Records.

Facility Evaluation Report

Home 2 U 3, Los Angeles09/27/2022Licence 198601364

Capacity4
Census4
Date signed09/30/2022 11:18:09 AM
The inspector’s account

Licensing Program Analyst Pamela Bunker conducted an unannounced required annual visit. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA was properly screened for COVID-19 symptoms and temperature was checked.

LPA Bunker met with Lydia Gamboa. LPA Bunker informed staff that the purpose of today's visit is to conduct an annual inspection of the facility, review the physical plant, medications, food service, staff, and client records, and verify that the administrator is present at the property 20+ hours per week. LPA Bunker verified all current staff fingerprints cleared/associated with the facility. The facility annual fees are current. There are currently four (4) South Central Los Angeles Regional Center (SCLARC) consumers in placement. LPA Bunker verified that the facility has an approved mitigation plan report. The facility staff and clients are COVID-19 vaccinated and boosted. The facility's annual fees are current.

Staff Lydia Gamboa and LPA Bunker made a complete tour of the facility. The facility is a single-story family home located in a residential neighborhood. The facility consisted of the following: Living room, dining room, kitchen, laundry room, 5 client bedrooms, 2 bathrooms, attached garage, shaded area, and indoor/outdoor activity areas. Bedrooms #1 thru #5 are designated as the client's bedrooms.

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