Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit. LPA was met by Herschelle Beasley Care staff and explained the purpose of the visit. Shortly after, Alisa Merchant, back-up Administrator arrived and assisted LPA with the inspection. The facility is licensed to care for (4) Developmentally Disabled Adults, non-ambulatory, ages 18 through 59. Services provided by Frank D. Lanterman Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. : Staff are adhering to infection control requirements. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan

Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains a total of (3) client bedrooms, (1) bathroom, a living room, kitchen, dining area, backyard, an additional dwelling unit in the back and a detached garage. Currently, there are (3) clients living in the facility. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Bathroom has non-skid materials and contained hygiene supplies including liquid soap and toilet paper. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and LPA observed a locked small shed used as a storage and an outhouse toilet. LPA also observed a detached additional dwelling unit in the back which is being occupied by (1) staff. LPA observed trash bags, old/unused items in the back yard and open/unsecured case opening accessing the attic and the crawl space. Detached garage was also inspected. Kitchen knives, sharps objects, cleaning supplies and toxic substances are locked and inaccessible to clients. LPA observed a bottle of dietary supplement mixed with food seasonings in the kitchen cabinet. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. At 9:50am, hot water supply measured 118 deg F in bathroom #1.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been submitted to CCL. A fire clearance for (4) clients is in place. LPA observed that the only fire extinguisher in the facility mounted on the kitchen wall was not fully charged and was missing service tag and/or purchase receipt. Facility does not have a valid Surety Bond insurance. The patio cover in the backyard is broken and torn down. The facility has not conducted a fire drill since July 12,2024 and earthquake drill since April 20, 2024.