Facility Evaluation Report, 08/16/2022 — Alpha Omega III, View Park CA

On 08/16/2022, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with caregiver Katherine Tavai and later joined by Licensee Yaounde Harris and explained the purpose of today’s visit. The facility is licensed to operate for four (4) ambulatory developmentally disabled adults of between the ages of 18 through 59.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, three (3) bathrooms, living area, a dining area and kitchen. There is an outside patio area in the backyard. The garage is detached and used for storage only, including PPE, but used mostly for the owner of the premises. The laundry area is located next to the kitchen.

LPA and Licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms fixtures were operational. The water temperature did not meet Title 22 standards in the bathrooms and kitchen sink. See 809D page. A comfortable temperature was maintained in the facility.

LPA observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. There are two (2) fire extinguisher fully charge located near the dining room and in the main hallway leading to the clients rooms. Smoke detectors and carbon monoxide were operable and in working condition. A reviewed of Medication Records Administration (MAR) was observed to be maintained in order and accurate.