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 four (4) 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 only clients. LPA conducted an exterior and interior physical plant tour. It consists of 6 bedrooms [3 designated for clients and 6 for family use], living room, family room, dining room, kitchen, laundry room, weight training 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 #7 for licensee's family member. The last fire drill was conducted on 6/10/2033. Administrator certificate expires 4/1/2023.

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

Bedroom #4 is designated as the COVID-19 isolation room if needed.

Four (4) centrally stored resident medication records were reviewed. Facility maintains a 30-day supply of medications.

Sharps and chemicals/cleaning supplies are stored inaccessible to residents.

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.

Discarded furniture debris was observed in the side of the facility.

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