Facility Evaluation Report

Licensing Program Analysts (LPAs) Tyler Reyes and Luis Deleon conducted an unannounced case management visit to conduct a Health and Safety Check. LPAs met with Manager Trinitta Allen and the purpose of the visit was discussed. The facility is licensed for (4) ambulatory adults ages 18 to 59.

On today’s visit LPAs conducted a health and safety check. LPAs toured the physical plant and observed the following: living room, staff office, kitchen, dining area, (3) client bedrooms, (3) restrooms (2 of the client bedrooms have a private restroom and 1 restroom is for common use), laundry area, detached garage, front and backyard. LPAs observed with Manager Trinitta in restroom #1 located adjacent to the dining area, the hot water knobs on the double vanity sink are non-functional. Manager Trinitta states that the hot water knobs of restroom #1 have been non-funtional for approximately (1) one month. LPAs observed with Manager Trinitta client #1 (C1) private restroom #2 the hot water measured at 128.1 degrees f. The private restroom #3 located in C2 and C3’s room measured at 140.9 degrees f. The water temperature was retested with facility thermometer and tested above 120 degrees in restroom #2 and restroom #3 .The water temperature in all (3) restrooms did not meet Title 22 regulations, which require a range of 105 – 120 degrees f. During a tour of the backyard LPAs observed with Manager Trinitta cat feces in the backyard area on both sides of the detached garage. Based on record review the facility does not have a surety bond on file while they do handle the money of the clients. The facility was missing a Physician’s Report for both C3 and C4.

Oneisha James cooperate board member of Worchester Home will submit the necessary documents to be reviewed for change of administrator. LPAs provided Oneisha with the Monterey Park Regional office fax number and assigned LPA’s contact information.

Deficiencies issued on LIC809-D. An exit interview was conducted, and a copy of this report was provided to

to Oneisha James with the Appeals Rights.