Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced annual required 1-year visit, with the primary focus on infection control measures and the use of the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. LPA Bunker met with Administrator Mary and Kehonor Benson and explained the purpose of today's annual inspection. LPA verified that the facility has an approved Mitigation Plan Report and an approved Infection Control Report. There are currently two (3) South Central Los Angeles Regional Center consumers in placement. The facility’s annual fees are current.

The following 12 Domains will be observed and reviewed: Infection Control, Physical Plant & Environmental Safety, Operational Requirements, Staffing, Personnel Records-Training, Client Rights-Information, Client Records-Incident Reports, Food Service, Health-Related Services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections."

LPA Bunker and Administrator conducted a tour of the facility, which is a single-story family home located in a residential neighborhood. The home includes a living room, dining area, kitchen, office, three bedrooms, two bathrooms, a laundry room, and an indoor/outdoor activity area. There is a shaded outdoor space furnished with patio furniture, including tables and chairs.

LPA Bunker observed the facility’s infection control practices, which included screening protocols for residents and visitors, the availability of hand sanitizer, a visitor log, and the use of thermometers at the facility entrance. See continued LIC809-C page 2