Facility Evaluation Report

Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual inspection visit to the above facility. LPA was met by Angelina Montes, Care giver and later met with Zoei Clarke, Administrator and the purpose of today’s visit was explained.

There are currently (4) South Central LA Regional Center consumers in placement. All (4) clients are ambulatory. (0) non-ambulatory. The facility is a single-story structure with front and side ramps located in a residential neighborhood. It consists of the following: 3 bedrooms, 2 bathrooms, family room/Kitchen, office, living room, dining room, laundry room in the detached 2 car garage.

LPA and Care giver toured the entire facility inside and out. Documents are posted as mandated by the DPH and CCLD. Bedrooms 1 - 4 are occupied by clients and contain the mandated furniture. Bedroom #1 has the bottom 3 broken wood slats of the window shudder and wall scrapped and paint pealing on the south wall of bedroom. There are no staff bedrooms. The (1) bathrooms is clean and operational. Bathroom #2 has a hole in the wall above the sink. Side wall next to bathroom #2 door is scrapped and paint pealing. The bottom kitchen cabinet next to the stove has a handle missing. Staffing & Personnel Records - 4 staff file are current. Clients Rights Information & Client Rec - Incident Reports - 4 client file are current along with medications and P&I . linens and personal hygiene supplies are adequate. Food Service - Ample supply of perishable and nonperishable food. manual. Operational Requirement - shaded area, indoor and outdoor activity area, Physical Plant Environmental - (1) fire extinguishers is fully charged. First Aid kit complete and with The water temperature is at 118.7 degrees. Fahrenheit. A comfortable temperature is maintained in the facility. Smoke detectors and carbon monoxide detector are in compliance and operational. hazardous toxins and/or items are inaccessible to clients. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. Exit, walkways and/or passageways, front yard and back yard are free of debris and/or hazards.