Facility Evaluation Report

Licensing Program Analyst (LPA) S Vaid conducted an unannounced required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Macristina Ilagan DSP at the facility and was granted access into the home. Administrator Peter Munzon was unable to assist due to prior appointment. The facility is vendorized through the San Gabriel/Pomona Regional Center, there are three (3) clients residing. Two clients are at day program and one (1) client are home.

1. Infection Control: Facility has an infection control plan in place. The facility staff continues to practice hand washing and disinfect the facility at each shift and observed facility with sufficient PPE supplies.

2. Physical Environmental and safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: dining area, kitchen, living room, three client's bedrooms and two and half bathrooms, linen closet, staff office and a detached garage. The three client's bedrooms have two beds, two chairs, two drawers, night stands, required beddings and furniture and sufficient lighting and closet space. The two and half bathrooms are clean, sanitary and in a good working condition. The hot water temperature tested in those two and half bathrooms were tested between 109.8-113.6 F which is within Title 22 regulations. The sharp knives and utensils are stored and locked in the kitchen drawer. All the kitchen appliances are working properly. All the chemicals and cleaning supplies are stored and locked in the cabinet in the garage. The hallway light is usually on during the nighttime for client to access the non-private bathroom and the bathrooms have a night light too. LPA observed the carbon monoxide detectors, and they are interconnected, and they are working well. The facility has a telephone service on the premises.