Facility Evaluation Report
Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Myro Abunda and explained the reason of the visit.
The facility is licensed to served 4 ambulatory and 2 non-ambulatory developmentally disabled clients ages 18-59 years old. The facility is located in a residential area and consist of a single home with a living room, a dining room, a kitchen, a laundry area, 3 client bedrooms, 2 bathrooms, 1 staff room a front yard, and backyard.
LPA conducted a tour of the facility with Myro Abunda and observed the following:
Facility is in clean and in good repair indoor and outdoor. Living room and dining are furnished. Kitchen was observed clean. Sharps, medication, and cleaning supplies were observed locked. Food supplies were observed sufficient for at least 2 days of perishables and 7 days of non-perishables. Laundry area was observed in good repair. Three client bedrooms were observed in good repair, with the required furniture, bedding supplies, and sufficient lighting. Two bathrooms were observed clean and in good repair, water temperature was tested between 117.5-118.7 degrees F., which is within the required 105-120 degrees F. Backyard was observed to provide a covered seating area. All passageways were clear of obstruction and debris. No large bodies of water were observed. A fire extinguisher was observed mounted in the kitchen wall. Carbon Monoxide/Smog detectors were observed, tested, and in working condition.
LPA reviewed files, medication, and P&I for 4 clients. P&I ledger was not updated and money did not match the ledger for 3 clients. Staff files were reviewed for 5 staff. Staff #4(S4) did not have a copy of health screening.
Administrator certificate was observed for Memer Dellosa #6021049735 exp. date: 10/18/24. Renewal documents were submitted to the department in 7/29/24 and are pending. LPA requested documents for change of administrator be submitted within 10 days of this visit. (CONT. LIC 809C)
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction