Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an annual inspection using the Inspection tool. On today’s visit LPA met with administrator Adeshola Obayo . The purpose of the visit was discussed.

As a part of the inspection, LPA used the inspection tool, reviewed (3) client records, (3) staff files, and (3) client medications. Currently the facility has (3) clients of which (3) are ambulatory. The facility is vendorized through Eastern Los Angeles Regional Center. Facility is a one story family home with three (3) bedrooms. Bedroom #1 and #2 are for one (1) client. Bedroom #3 is for up to (2) clients. There is (1) bathroom for client use. There is also a living room, a kitchen, central air and heating, a dining area, a shaded area located in the backyard. A detached car garage inaccessible to clients. Front and back yard is in good condition at time of visit. Washer/Dryer appliances observed. Toxins and sharps locked and inaccessible to clients. All bedrooms equipped with required furniture for up to (4) clients. Bathroom #1 has a working toilet, wash basin, and shower. Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. Supply of hygiene supplies were observed. Fire alarms and Carbon monoxide detectors operational. Required postings observed. Water temperature within required tittle 22 regulations.

Inspection tool was completed , no deficiencies are being cited on this visit. An exit interview was conducted and a copy of this report was provided to Administrator Adeshola Obayo