Facility Evaluation Report, 12/09/2024 — Redeemer Home III, West Covina CA

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. LPA explained the purpose of the visit to Administrator Josefina Bernal and administrative team. The facility is vendored through San Gabriel Pomona Regional Center as a level 4C ARF for developmentally disabled adults ages 18-59. However, four (4) residents are over the age of 60. Age Exceptions were approved on 1/3/2024. The following 12 (CARE) tool domains were utilized during the inspection.

Infection Control: The facility has an Infection Control Plan on-site.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood. It consists of 3 client bedrooms, 1 office room, 2 bathrooms, dining room/kitchen, living room, outdoor patio, and an attached garage. Exit doors are free of any obstruction and there are no pools or large bodies of water. Smoke and carbon monoxide detectors were tested and are operational. The facility has a fire pull-alarm alert system and one (1) fully charged fire extinguishers. Hot water temperature readings measured between the required 105 - 120 degrees Fahrenheit. Storage areas for cleaning solutions/toxins, knives, and hazardous items were inaccessible to clients. *NOTE: the backyard has a large storage shed full of discarded furniture, hazardous solutions, and a loft sleeping area,

Operational Requirements: Fire clearance is approved for four (4) ambulatory and two (2) non-ambulatory residents. Records indicate care and supervision to meet the clients needs is in place. Special equipment and supplies are used by clients. Facility manages residents P & I monies. Facility has a current Surety Bond that expires 9/22/2025.

Staffing: A total of 6 staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Five (5) staff files were reviewed. Criminal background clearance, continuing education of DSP training, 1st Aid/CPR training, and health screening/TB clearance. No emergency training is required.