Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit. LPA was met by Jayde Prentis - DSP I and explained the purpose of today's visit. At 2:30pm, Administrator arrived and assisted LPA with the inspection. The facility is licensed to serve developmentally disabled adults ages 18-59 years old, ambulatory only and s ervices 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: Staff are adhering to infection control requirements, using appropriate hand hygiene and gloves while assisting clients' medications. The facility has an Infection Control Plan maintained at the facility.

Physical Plant & Environment Safety: The facility is a two story home located in Pasadena, CA. A tour of the facility includes: living room, dining area, kitchen, den, 2 client bedrooms, 2 bathrooms, 1 office/storage room, laundry area, front yard, back yard and detached garage. Note: the facility is licensed for only the first level. The 2nd level is is inaccessible to clients, currently under construction which used to be a storage area.

Currently, there are (4) clients residing in the home. Client bedrooms were toured. Each bedroom has a bed, linen, dresser, light and sufficient closet space. Smoke alarms and carbon monoxide were tested and operable. Laundry area is next to the kitchen area. Knives, cleaning solutions, and disinfectants are locked in a cabinet and inaccessible to clients. There are no firearms or weapons stored at the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. LPA observed broken door blinds on the entry door and an open trash bin overflowing with empty bottles. The office/storage room appeared messy, disorganized, cluttered with clothes on the ground and filled plastic bags scattered throughout the room. Trash bins in the home do not have lids. There are (3) fire extinguishers which were last serviced on 02/07/2024. Exit doors are free of any obstruction and there are no pools or large bodies of water. The backyard was inspected and LPA observed broken door blinds on the entry door and an open trash bin overflowing with empty bottles. The office/storage room appeared messy, disorganized, cluttered with clothes on the ground and filled plastic bags scattered throughout the room. Trbserved various building materials like pieces of wood in different sizes, cans of paint in the backyard. LPA observed a sitting space in the backyard but no shaded area. *****CONTINUED ON LIC809-C*****