Facility Evaluation Report

De Leon Home, Norwalk01/24/2023Licence 198601402

Capacity4
Census3
Date signed01/24/2023 03:52:34 PM
The inspector’s account

Licensing Program Analysts (LPA) Galarza & Erik Zaragoza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with DSP staff Carol Amado and Cassandra Brown and explained the purpose of the visit. Administrator Rana Chapkhaneh was explained the purpose of the visit telephonically. There are currently three (3) level 4i ambulatory disabled clients ages of 18 through 59 serviced by Harbor Regional Center. The facility is a single story home located in a residential neighborhood. It consists of 4 client bedrooms, 2 bathrooms, kitchen, dining area, living room, outdoor patio, and attached garage. The last fire/emergency drill was conducted on 1/4/2023. Administrator certificate expires 5/4/2024.

The interior and exterior physical plant was inspected. The facility is equipped with a fire pull alarm system. Smoke and carbon monoxide detectors were tested and operational.

COVID-19 Infection Control Practices and signs that promote hand washing, cough/sneeze etiquette, and physical distancing were observed in the entrance, common areas, hallways, bathrooms and client rooms. There is a screening station at the entrance of the facility to screen visitors.

Each client room is designated as a COVID-19 isolation room if needed.

A posted Emergency Disaster Plan was observed.

Centrally stored medications/30-day supply of medications were reviewed.

Staff were observed wearing mask. Clients do not wear masks due to disability exemption.

The kitchen was inspected and has sufficient supply of 2 day perishable & 7 day non-perishable food.

Water temperature was within normal limits 105 degrees Fahrenheit (40.5 degrees C) and not more than 120 degrees Fahrenheit (48.8 degrees C).

Facility has an adequate 30-day+ supply of Personal Protective Equipment (PPEs).

The facility submitted a COVID-19 Mitigation Plan. An Infection Control Plan (ICP) has been submitted.

Exit interview was conducted with staff Cassandra Brown. A copy of the report was issued.

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