Facility Evaluation Report

Licensing Program Analysts (LPA) Daniel Konishi conducted an unannounced Annual Required Visit on 11/01/2024. LPA were met by Staff #1 (S1) explained the purpose of the visit and assisted with the tour of the facility. LPA met with the Administrator Leslie Eve and Licensee Aucione Coelho Eve arrived shortly after and explained the purpose of the visit. The facility has a fire clearance approved for four (4) ambulatory clients. All clients receive services from East Los Angeles Regional Center. LPAs requested and obtained a copy of Personnel Report, and Resident Roster.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical and Dental, Disaster Preparedness, and Emergency Intervention.

Infection control practices, signs, and Personal Protective Equipment (PPEs) were observed.

LPA observed that the facility has an infection control plan in place.

LPA conducted a tour of the facility with S1 and observed the following: The facility is a single-story building in a residential area, with a kitchen, dining room, 2 living rooms, 3 client bedrooms, 1 bathroom, backyard with shaded area and a garage. The front, back and side areas of the house are free of hazards.

Hallway closet: Contained plenty of linens, towels . Garage has sufficient PPEs and hygiene products in a locked cabinet. Fireplace is secured, closed, and inaccessible to clients. Showers also have non-skid materials. The hot water temperature measured at 112.8 degrees F between the required 105 - 120 degrees Fahrenheit in compliance with Tile 22 Regulations. The facility temperature at the time the visit was comfortable. Beds have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition.