Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit and met with the Administrator, Dwayne Lundy and the LPA explained the purpose of the visit. The facility is licensed to serve developmentally disabled adults ages 18-59 years old, ambulatory only and 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: 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, two (2) client bedrooms, two (2) bathrooms, one (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 floor is inaccessible to clients, currently under construction which used to be a storage area. LPA requested the Administrator to send an updated floor plan/facility sketch. Client bedrooms were toured. Each bedroom has a bed, linen, dresser, light and sufficient closet space. Extra towels are stored in the bathroom #1. Extra linens are stored in cabinets in the family room. 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. LPA measured hot water temperature readings 117.3 degrees F in bathroom #1 and 117.6 degrees F in bathroom #2 which is within the required 105 - 120 degrees Fahrenheit.