Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Joshua Barrios, Caregiver at the facility and was granted access into the home. Administrator Terry Del Mundo arrived shortly thereafter to assist with the inspection of the facility. There are four (4) non-ambulatory developmentally disabled clients who reside in the home. The facility is vendored by the East Los Angeles Regional Center.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical and Dental, Disaster Preparedness, and Emergency Intervention.

· Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility has an Infection Control Plan on file and was advised that it was submitted awhile ago.

· The facility is a single-story home located in a residential neighborhood that is licensed for a capacity of six (6) non-ambulatory clients. It consists of four (4) private and one (1) shared client bedrooms of which two (2) of the private bedrooms and the shared bedroom are in use, a living room, dining room, a kitchen, two (2) shared client bathrooms of which the non-private restroom R#1 measured at 114.8 degrees F, the second non-private restroom (R#2) measured at 117.6 Degrees F, and a third restroom in the shared bedroom area (R#3) measured at 116.7 degrees F, a front and back patio area, and an attached garage that includes the facility’s washing and drying machines.