Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Miriam Acevedo, caregiver for the facility, and explained the purpose of the visit. Administrator Renee Williams and Yolanda Minor arrived shortly thereafter. There are six (6) ambulatory who reside in the home. The facility is vendored through the South Central Los Angeles Regional Center.

The following 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.

· Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility had a completed infection control plan.

· The facility is a two-story home located in a residential neighborhood that is licensed for a capacity of six (6) ambulatory developmentally disabled clients between the ages of 18-60. It consists of three (3) client bedrooms, a staff area, a living room, dining room, a laundry and washing room, a kitchen, two shared client bathrooms Restroom #1 (R1) had a hot water temperature reading measured at 109.4 Degrees F and Restroom #2 (R2) measured at 106.4 Degrees F, a front and back patio area, and a staff room as well. Knives, chemicals, and cleaning supplies are kept locked in a cabinet in the kitchen.

· 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. Fire alarm system is operational. The facility has two (2) fully charged fire extinguishers that are kept in the facility. Cleaning supplies and toxic substances are inaccessible to clients.

· Water temperature readings measured between the required 105 - 120 degrees Fahrenheit.