Facility Evaluation Report, 05/15/2023 — Julstin Residential Care Center, West Covina CA

Licensing Program Analyst (LPA) Christine Wong conducted the required annual inspection. LPA arrived unannounced and met with Administrator Omar Sapalaran who allowed the entry of the facility and assisted with the visit. The purpose for the visit was explained. The facility is licensed for four non-ambulatory age 18-59.

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 three times a day 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: kitchen, living room, dining area, four clients bedrooms, two bathrooms, laundry room and a detached garage and staff office. LPA inspected the carbon monoxide detectors and smoke detectors and they are interconnected and located in each clients bedrooms and common area and they are all working well. LPA checked the hot water temperature in bathrooms and tested at 105.2 degrees F which is within Title 22 regulation. All the sharp knives are locked in the kitchen drawer. All the cleaning supplies and chemical are locked under the sink and laundry room and garage and they are inaccessible to clients. The facility has sufficient personal hygiene products for client to use. All clients rooms are furnished, clean and have required beddings. All the bathrooms are clean, sanitize and in a operational condition.

3. Operational Requirements: The facility maintained a fire clearance approved by the fire department which four non- ambulatory client and currently only one client is non-ambulatory. The facility also has a shaded area with table and chairs for client to utilize for outdoor activity. The last fire/disaster drill were conducted on 12/15/22.