Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection. LPA arrived unannounced and met with staff, Jimmie Watkins. The licensee, Brenda Watkins, arrived shortly thereafter to assist with the visit. The home is vendorized by the San Gabriel/Pomona Regional Center.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools to inspect the home.

Infection Control: Staff are cleaning and disinfecting high touched surfaces daily. They are using appropriate hand hygiene and wearing gloves when necessary to assist clients. The facility has submitted the Infection Control Plan.

Physical Plant & En v ironment Safety: The facility consists of 4 client bedrooms, 2 bathrooms, living room, kitchen, and a garage. There is a carbon monoxide detector located in the kitchen and smoke detectors in each room. Knives and cleaning solutions are locked and inaccessible to clients. There are no firearms or weapons stored at the facility. Hot water was measured within the required range of 105 - 120 degrees F.

Operational Requirements: The fire clearance is approved for (4) ambulatory clients. Staff are adhering to operational requirements as there are 4 ambulatory clients residing at the home.

Food Service: There are sufficient food supplies of 2-day perishable and a week of non-perishable items. The foods are properly stored in the refrigerator. Plates, cups and utensils are kept cleaned.

Health Related Services: The medications are centrally stored and locked. LPA reviewed medications for all 4 clients and they are being administered as prescribed by the Physician and properly documented.

Staffing : There is sufficient staffing at the facility. LPA verified the administrator submitted documents to renew the certificate prior to expiration date of 7/8/23. The HIV and TB Training certificate was completed on 4/23/23. Staff employed are fingerprint cleared and associated to the facility.