Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted an annual inspection with the focus of the infection control domain. LPA arrived unannounced and met with the Administrator, Alex Stott. The purpose of the visit was explained. The license is approved for 3 ambulatory and 3 non-ambulatory clients. The facility is vendorized by the Eastern Los Angeles Regional Center as a level 4B home.

LPA Chan toured the facility with the Administrator and observed the following:

* There is a screening area set up outside the front door to take visitors/staff temperature and to fill out covid-19 questionnaire.

* The home has 6 bedrooms (3 upstairs and 3 downstairs) with private bathrooms in each room. Each client has his/her own room. The rooms are equipped with the required furniture. The home also has a living room, office room, open kitchen with dining area, an exercise area, and a separate laundry room.

* Staff were observed wearing face masks and clients as tolerated.

* Staff disinfect and clean at least 3 times a day. Cleaning supplies are stored and locked in the laundry room cabinets.

* Covid-19 signage are posted at the front entrance and throughout the facility including bathrooms.

* There are sufficient supplies of 2 day perishable and a week of non-perishable items. Per the Administrator, they do grocery shopping twice a week.

* The hot water temperature was tested in each client's bathroom and measured between the required range of 105 - 120 degrees Fahrenheit.

* Medications are centrally stored and locked in the office cabinet. LPA reviewed the medications for all 6 clients and are being administered as prescribed by the physician.

* No client or staff files were reviewed during the visit today.

* Facility is still following Community Care Licensing COVID-19 guidance and their mitigation plan.

There are no deficiencies observed. An exit interview was conducted and a copy of this report and appeal rights were provided.