Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced visit for an Annual Inspection. LPA was greeted by Mario Mallari (DSP) who allowed entrance into the facility, shortly after Back-UP Administrator Priscillah Houston arrived to assist with the visit, LPA explained the purpose for todays visit. The facility is licensed to serve 4 Non-Ambulatory Adults ages 18 to 59 years old. The facility currently has 2 clients that are serviced through Harbor Regional Center.

This is a single- story facility located in a residential area in Norwalk, Ca. A tour of the facility includes: 4 client bedrooms, 3 bathrooms, staff office, living room, dining area, pantry, attached garage with laundry, front yard and back yard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility.

Physical Plant & Environment Safety: LPA toured facility, clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was tested in the client bathrooms and measured within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked closet and are inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged.