Facility Evaluation Report

Licensing Program Analyst (LPA) Mayra Cota conducted an unannounced required annual visit. LPA met with Florinda Aleman, Direct Support Personnel and explained the reason for the visit. Jon De La Cruz, Administrator, arrived thereafter and assisted with the visit.

The facility is licensed to serve (4) developmentally disabled adults ages 18 to 59 years of age; three (3) can be non-ambulatory. Clients receive services through the Harbor Regional Center. The facility is in a residential area of Norwalk, CA.

During the visit, LPA toured the facility's indoor and outdoor environment, reviewed 4 client and 3 staff records and conducted medication review for (4) clients. The facility is a single-story house which consists of: receiving room, living room, kitchen, dining area, laundry area, 4 client bedrooms, 1 staff room, 2 bathrooms, attached garage and front and backyard.

During today’s visit, LPA observed the following:

The facility is free of debris, hazards and walkways, passageways and exits are free of obstruction. Living room was observed clean, however, two reclining chairs have torn armrests which are covered with duct tape. Kitchen appliances are clean and were operating at the time of visit. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed. Food is labeled and kept within expiration limits. Facility has an emergency supply of food and water, and additional emergency supplies like flashlights and batteries in living the room closet. Cleaning supplies and toxins were observed in a cabinet under kitchen sink; however, the latch holding the doors together did not secure door appropriately and latch falls off at minimal contact.