Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 12/18/2023 at 11:34 am. LPA was met by Licensed Vocational Nurse (LVN)- Edward Velarde and explained the purpose of the visit. This facility is licensed as an Adult Residential Facility for Persons with Special Healthcare Needs (ARFPSHN) and is vendored by East Los Angeles Regional Center. The facility is licensed to serve five (5) developmentally disabled clients ages 18 and above; of which five (5) may be bedridden. During today’s visit, LPA Ramirez observed four (4) staff providing direct care and supervision to clients in care. LPA Ramirez requested and obtained copies of personnel report, and client roster.

LPA OBSERVATIONS: The facility is a single-story home that contains five (5) bedrooms fully equipped with electrical mechanical lifts, two (2) bathrooms of which one (1) is equipped with an electronical mechanical lift and shower gurney, living room, kitchen, dining room, laundry room, backyard shaded patio area, and attached garage. LPA Ramirez observed one (1) Registered Nurse (RN), one (1) Licensed Vocational Nurse (LVN), and two (2) Direct Support Professionals (DSP) during visit. Fully charged fire extinguishers were observed throughout the facility.

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff clean and disinfect at least once a day and more often for high touched surfaces. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environmental Safety: Each client bedroom has one bed, one chair, dresser, lamps, bedding/linen and sufficient lighting and closet space. All client bathrooms were observed to be clean and signs promoting hand washing were observed. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees. LPA Ramirez observed shower gurney in gurney. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to clients. LPA Ramirez observed carbon Extra personal hygiene products are stored and locked in the hallway cabinet and inaccessible to clients. Extra linen and towels are stored in the laundry room. Fireplaces and open-faced heaters are securely closed and inaccessible to clients. The facility has a land-line telephone system. SEE 809-C for continued report