Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted the required annual inspection. LPA arrived unannounced and met with Administrator Marcos Hernandez who allowed the entry of the facility and assisted with the visit. Later on, the primary administrator Sandra Bote arrived. The purpose for the visit was explained. The facility is licensed to serve four developmentally disabled adults and two can be 'l

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and here are the domains that LPA inspected:

1, Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting the clients. Staff are cleaning and disinfecting each use for high touched surface area. Facility has sufficient PPE supplies and has an Infection Control Plan.

2. Physical Plant and Environmental: The facility is a single story house and located around the residential neighborhood area. The facility includes: a den/staff office, living room, dining area, kitchen, medication station, three (3) clients bedrooms, three bathrooms, laundry room, relaxation area and a detached garage. LPA inspected the smoke detectors and carbon monoxide detectors and they are located in each bedroom and common area and they are all working probably. LPA tested the hot water in the bathrooms and they were tested between 110.6 and 110.8 degrees F which is within the Title 22 regulation. All the sharp knives and utensils are locked in the kitchen drawer. All the chemicals and cleaning supplies are locked in the cabinet in the laundry room and cabinet in the kitchen. All the clients room are furnished and have required beddings.

3. Operational Requirements: The facility maintained a fire clearance approved by the fire department which two maybe non-ambulatory, currently the facility has two wheelchair clients. The facility also has shaded area with table and chairs for client to utilize for outdoor activity. The last fire drill was conducted on 4/1/23 and earthquake/disaster drill was conducted on 1/14/23.