Facility Evaluation Report

Licensing Program Analysts (LPAs) Christine Wong and Erik Zaragoza conducted the unannounced Annual Inspection and met with DSP Roselyn Ochoada who allowed the entry of the facility. Shortly after, the facility manager Rachel Saeillo arrived and explained the reason of today's visit and will be using the Compliance And Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for age range 18 through 59.5 and ambulatory only.

The following domains were reviewed during today's annual required visit which included: infection control, physical plant and environmental, operational requirements, staffing, personnel records-training, client rights- information, client records-incident reports, food service, health related services, incidental medical services, disaster preparedness and emergency intervention.

I nfection Control : The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting once a day and more often for high touched surfaces. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant and Environmental: The facility is a single story house and located in a cul de sac around the residential neighborhood area. The home includes: living room/common area, dining area, kitchen/laundry area, three (3) clients bedrooms, two (2) clients bathrooms and staff office. Facility has an operable smoke detector in each room and a carbon monoxide detector located near clients rooms. Knives, cleaning solutions, and disinfectants are locked, making them inaccessible to clients. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F.