Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection. Upon arriving at the facility, LPA met with Staff, Oluwatosin Iwajomo, and explained the purpose of the visit. Administrator, Akinwale Orunesajo, arrived at 11:30am to assist with the visit. The facility is licensed for (5) ambulatory adults ages 18 -59. There are currently 4 clients residing at the home and were placed by the San Gabriel/Pomona Regional Center.

During the visit, the CARE tools was used for the inspection. A tour of the facility was conducted. Medications, food supplies, staff and client files were reviewed.

The facility is located in a residential area. The facility is a single-story house that consists of a living room, open kitchen and dining space, 3 client bedrooms, 1 staff office, 2 bathrooms, laundry area, and an attached garage. There are no pools or bodies of water on the premises. The client bedrooms contain the required furnishings. Bathrooms are clean. The hot water temperature was within the required range of 105 - 120 degrees F. Extra supplies of linen and personal hygiene were observed. Sufficient supplies of perishable and nonperishable foods were maintained. Smoke detectors and carbon monoxide detectors are operable. Required posters are posted by the entryway. Staff are continuing to follow the Infection Control guidance when assisting clients. Medications are centrally stored in a locked storage cabinet. LPA reviewed all 4 client medications and they are being administered as prescribed. LPA reviewed 4 client files and staff files. Client files have the required documents in their binders. Staff files also contain the required documents and training verification. The facility staff have CPI training but do not use manual restraints on clients. They have current CPR/First Aid certificates.

There were no deficiencies observed. An exit interview was conducted and this report was provided to the Administrator.