Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Kimberly Nephew, DSP and explained the purpose of the visit. Administrator Issac Oluoch arrived shortly after and assisted LPA explained the purpose of the visit. The Administrator assisted with the visit. The facility is licensed to care for (4) ambulatory Developmentally Disabled Adults ages 18 through 59 of which (2) may be non-ambulatory in bedrooms 3 & 4. Facility is approved for delayed egress on exterior gate only. Facility is a level 4I and serviced 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. The facility has a updated Infection Control Plan dated 3/11/2025. Bathrooms have hand washing signs, soap and paper towels. Staff are adhering to infection control requirements.

Physical Plant/Environment Safety: The facility is a single-story home located in a residential neighborhood, contains a total of (4) client bedrooms, (3) bathrooms, a living room, kitchen, dining area, backyard, and a detached garage. LPA observed a ring buzzer with audio on the front door and the back door. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Bathrooms have non-skid materials and contain hygiene supplies including liquid soap, paper towels, and toilet paper.