Facility Evaluation Report
Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Administrator John Nguyen. The facility is licensed for 6 elderly developmentally disabled residents 60 years and older. One (1) current resident is under the age of 59. The facility is licensed as a level 4B Specialized vendored by Eastern Los Angeles Regional Center. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection.
Infection Control: The Infection Control Plan was reviewed. The facility has a supply of Personal Protective Equipment (PPEs).
Operational Requirements: No hospice or Dementia waiver is in place. A fire clearance for 6 non-ambulatory residents age 60 and above, who are legally blind is in place. Facility handles resident P & I monies and has a current Surety Bond. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 7/15/2025.
Physical Plant/Environment Safety: The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents. The facility has one (1) fully charged fire extinguisher. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Facility has a fire pull-alarm in the dining area and heat detectors.
Staffing: A total of 12 staff members provide care and supervision to the clients.
Personnel Records/Staff Training: Administrator certificate expires 10/1/2024. Staff have criminal background clearance and training. Four (4) staff files were reviewed. Proof of staff training, health and TB clearance, and 1st Aid/CPR training are on file. Two (2) staff (S5 & S6) are day program staff that assist in the mornings at the facility, neither staff have files on-site. Deficiency was cited.
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Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction