Facility Evaluation Report

A Required One (1) year visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with administrator Cristina Destajo. Purpose of visit was stated. LPA observed that the four (4) residents were at the facility during visit. This facility is North Los Angeles Regional Center vendored facility Level IV-I.

A tour of the physical plant was conducted at 9:10 AM and the following was noted:

The facility has a gate outside before getting into the facility. The only entrance being utilized is the main front door, there is a sign at the main door that everyone entering at the facility must wear mask. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available.

The facility had submitted and approved Mitigation and Infection Control Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover.

The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room.

Facility has five (5) bedrooms and two (2) bathrooms. One bedroom is designated as an office and another one is designated as a staff bedroom. One (1) bathroom is designated for staff use. There is no body water in the facility.