Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Guadalupe Sahagun and explained the purpose of the visit. There are five (5) level 2 developmentally disabled clients ages 18-59. The facility is serviced by Eastern Los Angeles Regional Center. The facility is a owner operated single story home located in a residential neighborhood that is licensed for 6 ambulatory clients. It consists of 6 bedrooms [3 designated for clients and 3 for family use], living room, family room, dining room, kitchen, laundry room, covered backyard deck area, and gated self-latching swimming pool. The office room in the attached garage is presently being used as an additional bedroom for licensee's family member. The last fire drill was conducted on 10/16/2021. Administrator certificate expires 4/1/2023.

The interior and exterior physical plant was inspected. An unlocked BB gun was observed in a bedroom used by Licensee's family next to the garage. In addition, client (C1's) noon medications were observed to be unlocked on top of the client's night stand accessible to other clients in care.

COVID-19 Infection Control signs were observed in the entrance and bathrooms. Infection control screening items are kept in the kitchen area.

Each client's room is designated as a COVID-19 isolation room if needed.

Four (4) centrally stored resident medication records were reviewed.

Staff was observed wearing a surgical mask.

Clients in care do not wear masks because it is not tolerated due to cognitive impairment.

Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.

A posted Emergency Disaster Plan was observed.

Sufficient supply of Personal Protective Equipment (PPEs) was observed.

Staff and resident files were not reviewed during today's visit.

Exit interview was conducted with Administrator Guadalupe Sahagun. A copy of the report and appeal rights was provided.