Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted the required annual inspection. LPA arrived unannounced and met with DSP Jackie Huicar allowed the entry of the facility. Shortly after, LPA met with the administrator Wilson Ekaun-John and assisted with the visit. The purpose for the visit was explained. The facility is licensed for Age Range 18 through 59 for Ambulatory only.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and only inspected those domain:

1, Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff are cleaning and disinfecting at least once a day and more often for high touched surfaces. 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 neighborhood area. The facility includes: living room, dining area, kitchen, four clients bedrooms, two clients bathrooms and a detached garage. The window screen in the 4th client's bedroom was broken and it does not have the light switch cover. Also there's a hole on the entrance wall. LPA inspected the carbon monoxide detectors and smoke detectors and they are all working properly. LPA tested the hot water in the two client bathrooms and they were tested between 117.1 and 117.5 degrees F which is is within the Title 22 regulation. All the sharp knives and chemicals are locked in the file cabinet near dining area and hallway cabinet. Also for the 1st client's bedroom, it does not have the fitted bedsheet.

3. Operational Requirements: The facility maintained a fire clearance approved by the fire department which they currently have 4 ambulatory clients only. The facility also has shaded area with table and chair for client to utilize for outdoor activity. The last fire and earthquake drill was conducted on 2/14/23.