Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza made an unannounced Required - 1 year annual inspection visit. The purpose of the visit was explained to staff Claudia Lopez. Administrator Justin Johnson arrived shortly after. The facility is licensed as a level 4N 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. It consists of 4 resident bedrooms, 1 office room/laundry area, 2 bathrooms, kitchen, dining room, living room, outdoor patio, and a detached garage.

The following 12 (CARE) tool domains were utilized during the inspection.

Infection Control: The facility has a current Infection Control Plan.

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. A First Aid Kit and Manual were observed. The facility has 3 fully charged fire extinguishers. Hot water temperature readings did not measure between the required 105 - 120 degrees Fahrenheit. The kitchen sink measured 131.9 DF and bathrooms measured 136.7 DF & 135 DF. Storage areas for cleaning solutions/toxins, knives, and hazardous items were inaccessible to clients.

Operational Requirements: Fire clearance is approved for 2 ambulatory and 2 non-ambulatory residents. Care and supervision to meet the clients needs was observed. Residents use wheelchairs and walkers. Facility manages residents P & I monies. Facility has a current Surety Bond that expires Nov. 2024.

Staffing: A total of 11 staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Four (4) staff files were reviewed. Criminal background clearance, continuing education of DSP training, 1st Aid/CPR training, CPI emergency training, and health screening/TB clearance.

***Note: Administrator certificate expired 4/11/2024 . Proof that documents are pending approval was provided.