Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement Tools. LPA explained the purpose of the visit to Administrator Ronald Dino and was granted access into the facility. There are one (1) ambulatory and two (2) non-ambulatory developmentally disabled clients who reside in the home. The facility is vendored through Harbor Regional Center.

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed.

Physical Plant/Environment Safety: The facility is a single-story home located in a residential neighborhood that is licensed for a capacity of three (3) non-ambulatory developmentally disabled clients between the ages of 18-59, and one (1) hospice waiver. It consists of three (3) individual client bedrooms, a living room, dining room, a kitchen which also functions as an office, one (1) shared client bathrooms hot water temperature measured at 107.8 Degrees F, and a second private restroom which measured at 105.6 Degrees F, kitchen water temperature measured at 106.4 degree F. A front and back patio area which contains the facility’s washing and drying machines, and a detached garage which serves as a storage area for the facility. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Fire alarm system is operational. The facility has one (1) fully charged fire extinguishers that are kept in the kitchen of the facility. Cleaning supplies and toxic substances are inaccessible to clients in the backyard of the facility. Water temperature readings measured between the required 105 - 120 degrees Fahrenheit.

Operational Requirements: The Program Design was reviewed. Fire clearance was approved by LA County Fire Department for three (3) non-ambulatory clients. Care and supervision to meet the clients’ needs was observed. CONTINUED ON 809C...........