Facility Evaluation Report

A One (1) Required Annual visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Adedeji Fagbola . Purpose of the visit was stated. This is North Los Angeles Regional Center vendored facility level IV-G.

At 3:16 PM, A tour of the physical plant was assessed and the following was noted:

The main door is the only entrance being utilized for entry. Screening area is located upon entrance by the dining area. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted on the walls. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room.

Facility has four (4) bedrooms and two (2) bathrooms. One (1) bedroom was converted into an office for staff use. The swimming pools was observed to be appropriately fenced.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at a range of 116.6°F to 117.2°F and within the required range.

Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of clutter during today's visit. (continued to LIC 809-C)