Senior Care Records.

Facility Evaluation Report

Raymond House Annex, Pasadena02/20/2024Licence 198601505

Capacity6
Census6
Date signed02/20/2024 04:15:19 PM
The inspector’s account

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit at the facility for the purpose of conducting the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA Lopez met with Administrator Monique Jordan who allowed entry, LPA explained the purpose of the visit.

The facility is licensed to serve 6 ambulatory developmentally disabled clients aged 18 to 59. Currently, there are six (6) clients in placement. One Client is over 60 years of age. All clients residing at this facility receive case management services provided by Frank D Lanterman Regional Center.

During the visit LPA observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Bathrooms have hand washing signs, soap and paper towels. Per Facility Administrator all staff also have the COVID-19 vaccines including boosters. Facility Administrator is adhering to infection control requirements.

Operational Requirements: Fire Drills are conducted every three months; the last fire drill was conducted on 01/12/2024. Emergency Disaster/ Earthquake Drills are conducted every quarter and the last one was conducted on 12/07/2023. Facility staff conducts drills quarterly.

Refer to LIC 809C for continuation of report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction