Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced annual inspection visit. The purpose of the visit was explained to DSP Eric Hanson. The facility is vendored by Eastern Los Angeles Regional Center as a level 4B Specialized. The facility serves elderly developmentally disabled residents 60 years and older. Currently there is one (1) resident under the age of 59.

Infection Control: The Infection Control Plan was reviewed and includes environmental cleaning and disinfection activities. The facility has cleaning supplies.

Operational Requirements: A hospice waiver for 2 residents is in place. A fire clearance for 6 non-ambulatory residents who are legally blind is in place. Facility handles resident P & I monies. The Surety Bond is current. 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 7/15/2026.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood. It consists of 4 client bedrooms, living room, dining room, family room, kitchen, laundry area, 3 bathrooms, backyard patio area, and detached garage. The facility is equipped with a sprinkler system. Smoke and carbon monoxide detectors were tested and are operational. The facility has one (1) fire extinguisher. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual. Cleaning supplies, knives, and toxic substances are inaccessible to residents. Exit doors are free of any obstruction and there are no pools or large bodies of water.

Staffing: A total 10 staff members provide care and supervision to the clients.