Facility Evaluation Report

Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced Annual Inspection of the facility. LPA met with Staff in Charge and the purpose of the visit was explained. Administrator Peggie De Leon was contacted by phone and joined the visit shortly after.

The facility is located in a residential neighborhood in Norwalk. The facility consists of a living room/dining room, kitchen, 4 private client bedrooms, staff office, staff bathroom and two resident bathrooms. There is an attached garage and a backyard area.

LPA completed the visit using Compliance and Regulatory Enforcement Tools (CARE) . The following domains were completed during the visit

Infection Control: Infection Control Plan was reviewed by LPA. Plan follows title 22 regulations. Staff is cleaning and wiping down high touch areas daily.

Physical Plant and Environmental Safety: Physical plant was clean with hallways and walkways free from debris and obstruction. The hot water temperature in the 2 client restrooms measured within Title 22 regulations of 105F-120F . Grab bars and slip mats for the shower were observed in the restrooms .The shower in bathroom #1 was observed to be inoperable. A deficiency was cited. See 809-D Smoke and CO2 detectors were present and operational.Knives Sharps and toxins and cleaners are locked and inaccessible to clients however the lock on the cabinet for the laundry detergent was not functioning properly. A deficiency was cited. See 809-D Required furnishings and light were present in all client bedrooms. Extra linens and hygiene supplies were observed. The kitchen had operational appliances and was equipped to prepare and store food. The washer and dryer are located in the kitchen but all detergents were kept in a cabinet separate from any food. The backyard patio was free of debris and obstruction and contained a shaded area with furniture for the clients to enjoy the outdoors. A 2 day supply of perishable food and 7 day supply of