Facility Evaluation Report

On 2/12/2025 at approximately 10:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by Direct Support Staff members. LPA stated the reason for their visit. Administrator Jermarcus Dumas arrived shortly after to assist with today’s visit.

LPA asked for Census, Staff and Client Rosters. LPA conducted a physical plant tour at approximately 11:30 AM and the following was noted:

There is only one entrance being utilized at the facility. The facility is a single unit building with four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. There is a designated staff room operated solely as an office. The facility has approved fire clearance for six (6) ambulatory clients of which two (2) may be non-ambulatory. This facility is operating at a Level IV-G and are vendor through North Los Angeles Regional Center. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available.

Common areas: Living rooms and dining room observed to be neat, clean, and organized. All rooms observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 72°F. Fire extinguishe r located in the kitchen and dated 02/12/25. Required postings such as See/Say Something, Personal Rights and Rights of Individuals with Developmental Disabilities are located upon entrance. Fireplace: Observed to be covered and inaccessible to Clients. Working telephone observed.

Kitchen: Kitchen observed to be clean and inaccessible to pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. Knives and sharps observed to be kept in a separate locked box within locked kitchen cabinet along with Medication . Kitchen appliances observed to be working and in proper condition. Review of medication revealed discrepancies (continued on LIC 809-C)