Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required - 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Administrator Nayeli Nolasco, and explained the reason for the visit. The facility is approved for serve Developmentally Disabled Adults, four (4) ambulatory clients ages 18-59.The facility is licensed as a level 1-13 home vendored by East Los Angeles Regional Center.

The following twelve (11) tool domains were observed and reviewed:

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing, still checking client temperature twice a day and staff disinfected the facility every shift. The facility has an Infection Control Plan and COVID-19 mitigation plan in place.

3. Operational Requirement: The facility is licensed for 4 ambulatory clients and currently all four (4) clients are ambulatory. The last fire/earthquake drill was conducted on 08/04/2024. Clients can attend the community events/activities if there's an opportunity and chance. The facility has a shaded area with table and chairs for client to utilize the outdoor activity area.

4.Staffing : The facility has sufficient staffing. LPA reviewed the NOC shift staff files, and they have current CPR/FIRST AID certificate. Staff need facility training on how to shut off utilities.

5. Personnel Records-Training. The facility staff files are stored at facility. All the staff are over 18 years old and older, fingerprint cleared and associated with the facility. The administrator is Nayeli Nolasco and, administrator certificate expiration date is 12/08/2025 and has her updated HIV and TB training. LPA reviewed four (4) staff files and they all have health screening TB test result.