Facility Evaluation Report

Licensing Program Analysts (LPA) Elena Mallett arrived at the facility to conduct an unannounced Annual visit . LPA met with Clinical Manager Maria Ortiz and the purpose of the visit was explained. Program Director Caryl Lark was notified by telephone and joined the visit shortly after. The facility is a short-term Residential Treatment Program that can serve 16 ambulatory adults.

The facility is located in a business park in Santa Fe Springs. The facility consists of a eight (8) shared client rooms, dining area, a kitchen, (3) client bathrooms, (1) staff bathroom, meeting rooms and staff offices, nurse office and an outdoor patio area with shaded seating and a basketball court.

LPA completed the visit using Compliance and Regulatory Enforcement Tools (CARE) . The following domains were completed during the visit

Infection Control: Infection Control Plan was reviewed by LPA. Facility follows title 22 regulations and is cleaning and disinfecting regularly. Staff has PPE and practices hand hygiene.

Physical Plant and Environmental Safety: Physical plant is clean and sanitary and the hallways and walkways are free from debris and obstruction. Hot water temperature did not measure within Title 22 regulations any of the 3 client bathrooms. A deficiency was cited. See 809-D. Facility has smoke and carbon monoxide detectors that were tested and operational. 4 fully charged fire extinguishers were observed. Sharps and toxins and cleaners are locked in cabinets. Client bedrooms had required light and furnishings. Extra linens and blankets and towels were observed.