Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Annual Required / Infection Control visit to the above facility. Upon arriving at the facility, LPA knocked on the door but there was no answer. LPA called the facility and left a voicemail message, to advise that LPA was outside the door. At 9:51am, LPA called the Administrator, Herminia dela Cruz at cell: 626-354-9972 and advised of the situation. Administrator stated she will call her staff in the house to let me in, and that she will come over to the facility. At 9:57am, LPA was met by Imelda Chan, DSP II and House Manager. Administrator arrived at 10:26am and the purpose of today’s visit was explained. There are currently 3 clients in the facility. All current clients are serviced by Frank D. Lanterman Regional Center. The facility is licensed to serve five (5) developmentally disabled clients (age 18-59) and is approved for one (1) non-ambulatory client. Annual fees are current.

LPA and Administrator inspected the entire facility inside and out. The facility is a conventional single-story home located in a residential neighborhood. Home consists of 3 bedrooms, 2 bathrooms, Office, dining area, living room, kitchen, laundry located in a detached garage, and outside area backyard porch with outdoor activity area and shaded seating area for clients. COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms’, bathrooms, and hallways. DSP II did not screen LPA upon arrival. She did not know the Covid-19 protocol for screening all visitors. And she did not know how to use the digital thermometer and did not know where the visitors sign in sheet was located. DSP II was observed to wear a mask. Facility has an adequate amount of PPE and facility has enough PPE for 30 days.