Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Staff#1(S1), Program Manager and the reason for the visit was explained.

The facility is licensed to serve two (2) ambulatory and two (2) non-ambulatory, Developmentally Disabled Adults ages 18-59. All clients are serviced by South Central Los Angeles Regional Center. Annual fees are current. The facility is a single-story home located in a residential area in South Gate. The facility consisted of a living room, dining area, kitchen, three (3) client bedrooms, two (2) bathrooms, office area, dining area, detached garage, front yard and back yard.

The following CARE tool domains were reviewed during this visit:

Infection Control: Sufficient PPE supplies and an Infection Control Plan maintained at the facility were observed and in compliance.

Physical Plant & Environment Safety: Physical plant tour was conducted. Clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. (-Continued on the LIC809-C)