Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit for an Annual Inspection. Upon arrival, LPA met with Ana Aguirre (Director) who assisted with the visit. The purpose of the visit was explained upon arrival. The facility is licensed to serve licensed to serve a total of fifty (50) chronically Ill ambulatory and non-ambulatory, adults ages 18-59, children may be present as part of a family unit.

This is a 3-story facility in Los Angeles, CA. consists of: first floor: staff offices; staff lobby, staff break room, multipurpose room, conference room, industrial kitchen, dining area, 3 common restrooms. Second and third floor: 16 client apartments, medication room, Two (2) laundry rooms, storage rooms, Administrator Office, and common restrooms. One washer stopped working this weekend and the facility has scheduled service to repair the washing machine. The facility has three (3) other washing machines that clients may use.

The facility has a sprinkle fire system throughout. Outdoor shaded playground was observed.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. The facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: There are 16 Client Apartments that have their own bedroom, kitchen, bathroom and living room. All client units/apartments had the required furniture for comfort and safety and had sufficient lighting. All outdoor passages were free of obstruction. Bathrooms were clean, toilets and water faucets worked properly. Water temperature was measured at 126.5 -130.1 units were outside of the required range of 105-120 Degrees F. Client bath towels, toiletries and personal hygiene supplies were adequately available. All storage areas for cleaning solutions, toxins, knives, and hazardous items are locked in the facility storage rooms. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed to be fully charged.