Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with Staff, Wilma Hintay and explained the reason for the visit. Administrator Marilyn Paguio arrived at the facility a short time later and assisted with the visit.

The facility is licensed to serve 4 clients between the age of 18 and 59 years old and 1 non- ambulatory. The facility is vendored through Harbor Regional Center. The facility is a single-story building in a residential area, with a kitchen, dining room, 2 living room, 4 client bedrooms, 1 staff bedroom, 2 bathrooms, backyard with shaded area and a detached garage. Fire extinguisher observed kitchen fully charged. There are smoke detectors/ Carbon monoxide located throughout the facility, tested and operational.

LPA, toured the facility inside and out, reviewed food supply, reviewed staff and client files, and reviewed resident medications. Bedrooms have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. Passageways and exits are free of obstruction. LPA toured the kitchen and observed 7 days of perishables and 2 days nonperishable. The front and backyard are well maintained. The resident bathrooms are clean, and showers have non-skid materials. The hot water temperature measured at 111.3 degrees F. There is sufficient lighting throughout the facility. LPA observed a sufficient supply of PPE in the garage. Infection control signs were observed throughout the facility. Medications reviewed for all clients and appears to be given as prescribed. Last emergency disaster drill was conducted on 7/01/23.

No deficiencies cited during today's visit. Exit interview conducted, copy of report provided to Ms. Paguio.