Facility Evaluation Report

On 08/24/21 at 10:00 AM, Licensing Program Analysts (LPA) Nune Margaryan and LPA Nina Galarza arrived at this facility unannounced to conduct an annual inspection visit. LPAs met with Estela Barrera and Nadia Gomez. Purpose of the visit was explained. LPAs conducted using the infection control domain tool.

LPAs inspected the physical plant including but not limited to the dining room, living room, activity room, office, resident's bedrooms (4); resident's bathrooms (3 common bathrooms, 1 private located in the bedroom), laundry room, kitchen, attached garage and outside areas of the facility to ensure compliance with Title 22 regulations.

Facility is licensed for 4 non ambulatory Developmentally Disabled clients between 18 and 59 years old serviced by San Gabriel regional Center.

Upon entry LPAs observed delay egress functioning properly.

The facility has one central entry point and has implemented screening and sign in procedures at the front of the home. LPAs observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted at the front door and throughout the facility. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 wing if needed. Common touch surfaces are cleaned after each use. All staff were observed to be wearing mask upon entrance and during visit.

The bathrooms were observed to be clean, operational and equipped with grab bars and non-skid mats. The hot water temperature was tested throughout the facility and measured between 111.1 and 112.8 degree F.

The kitchen was inspected. LPAs observed the kitchen equipment's to be clean and in working condition. LPAs observed the food supply stored at the facility. There was a sufficient quantity of the perishable for 2 days and non-perishable food supplies for 7 days for all clients. Cleaning chemicals, and knives are locked and inaccessible to clients. LPAs observed that fireplace in the living area is secured.