Facility Evaluation Report

Licensing Program Analyst (LPA) Luis De Leon conducted an unannounced required annual inspection visit. LPA met with Assistant Administrator Ivy Gonzales Redjal and explained the reason for the visit. The facility is approved for four (4) non-ambulatory adults ages 18-59. Clients are serviced by Harbor Regional Center.

LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. LPA De Leon toured the facility with assistance of administrator Ivy Gonzales Redjal:

The facility is in a residential area and is made up of four (4) client bedrooms, one (1) staff room, two (2) full bathrooms for clients use, kitchen, dining room, living room, laundry located next to kitchen, front and backyard. There was no body of water observed in the property.

LPA reviewed four (4) out of four (4) Client files which consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Personal Rights, and Centrally Store Medication. LPA reviewed four (4) out of six (6) staff files which consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, Training, First Aid and CPR. Facility has current emergency Disaster Preparedness Plan and Infection Control Plan.