Senior Care Records.

Facility Evaluation Report

Midomar Homes III, Monterey Park03/20/2024Licence 197800590

Capacity4
Census2
Date signed03/20/2024 03:51:23 PM
The inspector’s account

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit at the facility for the purpose of conducting the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA Lopez met with Memer Dellosa, Administrator, LPA explained the purpose of the visit.

The facility is licensed to serve 4 ambulatory and developmentally disabled clients aged 18 to 59. Currently, there are two (2) clients in placement. Clients are provided Case Management services by ELA Regional center.

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves. while assisting clients. Staff are disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Bathrooms have hand washing signs, soap and paper towels. Per Facility Administrator all staff also have the COVID-19 vaccines including boosters. Facility Administrator is adhering to infection control requirements.

Operational Requirements: Fire Drills are conducted every three months; the last fire drill was conducted on 02/10/2024 Emergency Disaster/ Earthquake Drills are conducted every quarter and the last one was conducted on 12/10/2023.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction