Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Administrator Oscar Millan and the purpose of the visit was discussed. The following (12) (CARE) tool domains were utilized during the inspection:

Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. The facility has an Infection Control Plan in place.

A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan.

The facility has a clearance to serve six, ambulatory only, adults, ages 18-59.

The home is vendorized through the Harbor Regional Center and is designated as a Level 4G home . T he home is of a single story structure, located in a residential neighborhood and consists of three client bedrooms, one staff room and two bathrooms, a living room, dining room, kitchen, family room and laundry room adjacent to the kitchen. It also has a covered patio area located in the backyard and a detached garage, which is used for storage.

The physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to clients.

Fire Alarms were inspected. Fire extinguishers Observed

Water temperature readings measured within the required 105 - 120 degrees Fahrenheit.