Facility Evaluation Report

Pacoima Adc, Pacoima04/21/2022Licence 197608215

Capacity90
Census40
Date signed04/27/2022 10:31:36 AM
The inspector’s account

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced One (1) Year Required Infection Control visit to this facility. LPA was greeted by activity coordinator/caregiver Mireya Delgadillo who stated the administrator would be arriving within 15-20 minutes. LPA disclosed to staff the purpose of the visit.

LPA conducted a tour of the physical plant at 11:15 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

There are hand sanitizing stations all over the facility including signs to wear a mask and other Covid 19 prevention protocol signs were posted near the entry door.

The facility consists of one big room with tables, chairs, sofas, and a kitchen with cabinets. There were games and a television for clients to use. The administrator office is located in the front of the facility to left of the front reception desk. An office for the assistant administrator is located to the right of the reception desk.

A quiet/library room for clients to use is located next to the assistant administrator office. LPA viewed storage space for client and staff belongings. There is a locked cabinet available for client and staff files. There is a copy machine to be used for clients and staff.

There are two (2) bathrooms: one for men and one for women located towards the back of the facility on the right side of the hallway. LPA observed all bathrooms to have grab bars, paper towels and trash cans. The hot water measured to 105.0-120.0.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction