Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required unannounced annual inspection. LPA met with Carlos Hernandez (Caregiver) and Juan Mendoza-Alvarez (Administrator) and explained the reason for the visit. The facility is licensed to serve 6 ambulatory clients ages 18-59. Facility currently has 4 ambulatory clients serviced by Lanternman Regional Center.

The facility is a two-story home located in a residential area in Pasadena, Ca. A tour of the facility includes: living room, dining room, den, kitchen (under construction – already reported to Licensing), laundry area, linen closet, 6 bedrooms (one bedroom is an office and one bedroom is being utilized as kitchen during construction) 2 bathrooms, detached garage, front yard, back yard and basement.

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility.

Physical Plant & Environment Safety: LPA toured facility, clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are centrally stored yet readily available for clients. The hot water temperature in both client bathrooms were tested and within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked and are inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged. Facility is undergoing repairs in kitchen making the kitchen inaccessible to clients. Stove and microwave in working condition and dining area available, one bedroom on second floor being utilized as food storage and extra dining area.