Facility Evaluation Report

Licensing Program Analysts (LPA) Christine Wong and Daniel Konishi conducted the unannounced Annual Inspection and met with Caregiver Anita Russell who allowed the entry of the facility and explained the reason of today's visit and shortly after, the administrator Darwin Belmonte arrived and assisted with the visit. LPAs will be using the Compliance And Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed to serve six (6) mentally disabled ambulatory only ages 18-59.

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.

1. Infection Control: The facility staff would encourage client to practice hand washing. The facility staff would wear gloves and masks at the facility and facility staff would disinfect the facility more than once daily.

2. Physical Plant and Environmental Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, dining area, kitchen, three clients bedrooms, one client bathroom, live in staff room and an attached garage. Each client room has two beds, dressers, required furniture and beddings and sufficient lighting and closet space. The client bathrooms is clean, sanitary and in a good working condition. The hot water temperature in the client bathroom was tested at 116 degrees F. which is within the Title 22 regulation. The kitchen appliances are working properly. The sharp knives are stored and locked in the cabinet in the garage. The cleaning supplies are stored and locked in the cabinet in the garage. The extra personal hygiene products are stored in the cabinet in the garage. There's a night light plug in the hallway, so client can have access to the non-private bathrooms at night. The facility has a telephone service on the premises. The carbon monoxide detectors in the facility are working well.