Facility Evaluation Report

Licensing Program Analyst (LPA) Noemi Galarza made an unannounced Required - 1 year annual inspection visit. The purpose of the visit was explained to House Manager Efren Quintero whom assisted with the visit. LVN Interim Administrator Rhea Castillo arrived later. The facility is licensed as a level 4i Adult Residential Facility (ARF) that serves developmentally disabled residents under age 59, and is vendored by Eastern Los Angeles Regional Center. The facility is a single story home located in a residential neighborhood that is licensed for 4 bedridden residents located in a residential neighborhood. It consists of 4 bedrooms, 2 bathrooms, dining room, kitchen, living room, backyard with shaded patio furniture, and a detached garage. The following 12 (CARE) tool domains were utilized during the inspection.

Infection Control: The facility has an Infection Control Plan in place.

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. Smoke and carbon monoxide detectors were tested and are operational. The facility has a sprinkler system and three (3) fully charged fire extinguishers. Hot water temperature readings measured between the required 105 - 120 degrees Fahrenheit. Storage areas for cleaning solutions/toxins, knives, and hazardous items were inaccessible to clients.

Operational Requirements: Fire clearance is approved for four (4) bedridden residents. Care and supervision to meet the clients needs was observed. No special equipment and supplies are used by clients. Facility manages residents P & I monies. Facility has a current Surety Bond.

Staffing: A total of 12 staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Six (6) staff files were reviewed. Criminal background clearance, in-service training, Pro-Act/CPI training, 1st Aid/CPR training, and health screening.

Administrator Martin Sy is no longer the Administrator. The facility has 2 Interim Administrators at this time. A technical advisory was issued.