Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA arrived at the facility and rang the doorbell but no one answered. LPA called the Administrator, Magdalena Estrada who said she will come over in a few minutes. At 10:05am, LPA met with the Administrator and Luis Whitlock, DSP I & II and explained the purpose of today's visit. The facility is approved to serve developmentally disabled clients ages 18 through 59 years, ambulatory only. 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. The Infection Control Plan has not been updated nor included in the Plan of Operation.

Physical Plant & Environment Safety: This facility is a single story home consists of kitchen, dining room, living room, (4) client bedrooms, (2) bathrooms, den/activity area, laundry area, detached garage and a backyard. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Smoke alarms and carbon monoxide were tested and operable. Laundry area is next to the kitchen. The fire extinguisher in the kitchen was recently inspected on 11/01/2024. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. There are no firearms or weapons stored at the facility. Water temperature readings me asured within the required 105 - 120 degrees Fahrenheit. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area and sitting area. LPA observed an old large sofa left next to the detached garage waiting to be picked up for trash. There is no camera in the facility.

Operational Requirements: A current Plan of Operation was reviewed. A fire clearance is in place. Surety Bond in the amount of $12,000 is valid and expires on 02/08/2026. Last Fire Drill was conducted on 12/06/2024.

*****Refer to LIC 809C for the continuation of this report.*****