Facility Evaluation Report

On 11/05/2022, Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA was allowed entry into this home by Jonathon Littleton (Direct Support Professional II (DSP II) and discussed the purpose of today's visit. Shortly after, LPA spoke with the Administrator, Charlotte Heim on the phone and explained the purpose of today's visit. Administrator stated she will not be able to come to the facility. The facility is vendorized by Frank D. Lanterman Regional Center and cares for Developmentally Disabled Adults ages 18 through 59 years. It is approved to serve six (6) clients, of which two (2) can be non ambulatory clients. Current census is two (2) ambulatory clients. LPA observed the facility plant, COVID-19 procedures, reviewed clients medications, observed food supplies and reviewed staff and resident files. This single-story home contains three (3) bedrooms, one of which is used as an office/storage room, two (2) full bathrooms, a living room, kitchen, dining area, backyard, and detached garage which is also used as activity/work out/TV-Computer room. LPA observed that the facility does not have a swimming pool or other bodies of water.

At 10:20am, LPA and DSP II Jonathon Littleton toured the facility and the following was observed/inspected:

The facility had a universal entrance screening area including a thermometer, PPE supplies, screening logs, and sign-in sheet.

COVID-19 signs and posters were placed in several areas of the facility.

Facility maintained a 30-day supply of PPE located in the entrance area, the storage room and the detached garage.

Staff wore face mask throughout his shift.

**** REPORT CONTINUED ON LIC 809-C*******