Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Socorro Caligasan, Administrator and explained the reason for the visit.

Facility is licensed to served 4 adults between the ages of 18-59 years old.

1. Infection Control : Infection control practices and Personal Protective Equipment (PPEs) were observed. Facility is disinfecting throughout the day.

Facility is in good repair inside and outside. Living room and dining room have sufficient lighting and sitting space. Kitchen was observed clean. Medication cabinet is locked. Cleaning supplies are under lock and key. There are sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables. Temperature in freezer and refrigerator where within range. Laundry area is in the back area of home. Client's bedrooms were observed and have sufficient lighting, the required furniture and bedding supplies. Bathrooms were observed in working condition and water temperature was tested between 109.5 – 113.3 degrees F., which is within the required 105-120 degrees F. Carbon monoxide detector were observed, tested, and in working condition. Fire extinguisher was last checked on 4/16/2024

3. Operational Requirements: The Program Design was reviewed. Fire clearance was approved by LA County Fire Department for (4) ambulatory clients. Care and supervision to meet the clients’ needs was observed. Equipment for shaded are is at home and needs to be set up.