Senior Care Records.

Facility Evaluation Report

Pacific Bridge Adult Residential Facility, Monterey Park07/06/2023Licence 197802108

Capacity6
Census6
Date signed07/06/2023 04:16:49 PM
The inspector’s account

Licensing Program Analyst (LPA) Alma Gonzalez 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 Gonzalez met with Administrator In H Lim and explained the purpose for the visit.

The facility is licensed to serve 6 ambulatory developmentally disabled clients age 18 to 59. Currently, there are six (6) clients in placement, there are no clients who have a restricted health care condition. All clients residing at this facility receive case management services provided by East Los Angeles Regional Center.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical Services, Disaster Preparedness, and Emergency Intervention.

During the visit LPA observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Facility has COVID-19 signage posted throughout the facility. Bathrooms have hand washing signs, soap and paper towels. Per Administrator all six (6) clients have COVID-19 vaccines including boosters. Per Administrator, all staff also have the COVID-19 vaccines including boosters. Facility is adhering to infection control requirements.

Refer to LIC 809C for continuation of report

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