Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection with the focus of the Infection Control Practices domain. LPA arrived unannounced and staff arrived at 1:45pm to allow entry to the facility. Administrator, In Lim, arrived at 2pm to assist with the visit. The facility is licensed for 6 ambulatory only developmentally disabled adults ages 18 to 59. There are currently 6 ambulatory adults residing at the facility and were placed by the Eastern Los Angeles Regional Center.

LPA toured the facility and observed the following:

* The facility has 5 client bedrooms, 2 bathrooms, additional bedroom with bathroom designated as an isolation room, living room, dining room, kitchen, and an attached garage.

* COVID-19 signage are posted throughout the facility.

* The facility screens and logs the temperature of visitors. Staff and Clients temperature are taken twice a day and documented.

* Beds are moved at least 6 feet apart in shared bedrooms.

* Knives and disinfectants are locked and inaccessible to clients.

* Smoke detectors and carbon monoxide detectors were tested and operable.

* Food supplies of 2 day perishable and a week of non-perishable were observed.

* PPE supplies of at least 30 days were in storage.

* Emergency numbers and clients' information are up-to-date.

* LPA reviewed all 6 clients' medication and compared to the MAR log. They are all given as prescribed.

Per the Administrator, they are continuing to follow their mitigation plan to prevent the spread of the Coronavirus.

No deficiencies were issued today. An exit interview was held and a copy of this report was given to the Administrator.