Facility Evaluation Report

On 4/22/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual required inspection with a primary focus on Infection Control measures using the new CARE Inspection Tool.

Upon arriving at the facility, LPA called Administrator Andrew Lee and conducted a risk assessment. LPA met with DSP1 Dwain Griffith and explained the purpose of this visit. LPA was granted access and allowed to enter the facility to conduct an inspection. The facility is licensed to serve six (6) ambulatory clients, ages 18-59. Currently, there are four (4) clients and two (2) staff present during the visit. The facility’s annual fees are current during today’s visit. Clients are referred by the Harbor Regional Center.

LPA toured the single-story facility with DSP1 Griffith. The facility consists of four (4) client bedrooms, one (1) staff bedroom, two (2) bathrooms, kitchen, dining area, office area, living room, garage with a laundry room, and backyard patio.

The kitchen was inspected and there is at least a one week supply of nonperishable and two day supply of perishable foods. The facility is maintained at a comfortable temperature. Hot water temperature measures at 117.3 degrees Fahrenheit. There are working lights in each room to ensure safety and comfort for all clients in the facility. All outdoor and indoor passageways were free of obstructions. The clients have clean linen which includes blankets/bedspreads, top and bottom sheets, pillow cases, and mattress pads. First aid kit had the required items. The facility has a written emergency disaster plan located in the office area. This facility has one operable carbon monoxide detectors located in the hallway. There are no pools or bodies of water on the premises. There are no firearms on the premises and other dangerous weapons. The last facility fire drill was on 4/13/2022. Centrally stored medications are locked in a cabinet located in the dining area.