Facility Evaluation Report

Licensing Program Analysts (LPAs) Galarza and Nicol Wesley conducted an unannounced Required- 1 year visit. The purpose of the visit was explain ed to LVN Xuexiang Wu. House M anager/ RN Sally Wu arrived shortly after. The facility is an Adult Residential Facility for Persons with Special Health Care Needs (ARFPSHN) licensed to serve to serve adults over the age of 18 with developmental disabilities who are medically fragile and require 24-hour licensed nursing supports vendored by Eastern Los Angeles Regional Center. The facility provides transportation services and is equipped with 2 vans. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection.

Infection Control: An Infection Control Plan was submitted to CCL and was available on site for review.

Physical Plant/Environment Safety: The facility is a single-story home that contains four (4) bedrooms fully equipped with mechanical lifts, two (2) bathrooms of which one (1) is equipped with a mechanical lift, a living room, family room, kitchen, dining room, laundry room, backyard shaded patio area, and attached garage. The facility's last fire inspection was conducted on 1/23/2024 by Echo Fire Protection Co.

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. Electrical smoke and sprinklers, and carbon monoxide detectors were tested. The facility has four (4) fully charged fire extinguishers. Cleaning supplies and toxic substances are inaccessible to clients. Water temperature readings measured between the required 105 - 120 degrees Fahrenheit. The facility maintains emergency food supply and water. Emergency Phone numbers, exit plan and programming schedules were posted. The building contains central air conditioning and heating. A 1st Aid Kit & Manual consisting of thermometer, tweezers, scissors, antiseptic, bandages, and gauze were observed. The facility has an operable generator.

Resident (R2's) bedroom door has chipped paint and facility walls, baseboards, and wall edges are in disrepair. A citation was issued.