Facility Evaluation Report

Licensing Program Analyst (LPAs) Elizabeth Irra conducted the required annual inspection. LPA met with Carlos Cunanan (S-1) and discussed the purpose of today’s visit.

This home consists of (4) bedrooms, (2) bathrooms, (1) office, kitchen, dining area, living room, laundry area (outside) and unattached garage. Harbor Regional Center provides case management services to all clients from this home. Fire Department cleared/approved (2) ambulatory and (2) non-ambulatory clients.

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

Infection Control: Facility has an Infection Control plan in place.

Operational Requirements: Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms and carbon monoxide detector (located in the hallway near bedrooms) tested and operable. Fire extinguisher was last serviced on 11/23/24 (located in the kitchen and hallway near the bedrooms). Last fire drill was conducted on 11/05/24. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Hot water temperature measured at 112.0* in the hallway bathroom (near bedrooms) and 115.3* in the bathroom located near the kitchen.

Staffing : There is sufficient staffing at the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility.

Refer to LIC 809C for the continuation of this report.