Facility Evaluation Report

Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced Annual Inspection of the facility. LPA met with Staff in Charge Irene and the purpose of the visit was explained. House Manager, Luz Brillantes was contacted by phone and made aware of the visit.

The facility is located in a residential neighborhood in Norwalk. The facility consists of a living room/dining room, kitchen, 4 shared client bedrooms, staff bedroom and staff bathroom and two client bathrooms. There is an attached garage and a backyard area and front yard area that are shaded and furnished.

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 door in bathroom #1 was observed to be inoperable and the area in and around shower needed cleaning. A deficiency was cited. See 809-D Smoke and CO2 detectors were present and operational.Knives Sharps and toxins and cleaners are locked in the garage and inaccessible to clients however there were cleaning products present under the kitchen sink in an unlocked cabinet that was accessible to clients. 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 oven did not work and had a missing knob. A deficiency was cited. See 809-D The backyard patio and front yard 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