Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to staff Beatriz Krenz. Assistant Administrator Steven Rodriguez arrived shortly after. The facility is licensed as a level 4 N Adult Residential Facility for four (4) residents [three (3) bedridden and (one) non-ambulatory] developmentally disabled adults ages 59 and under vendored by Eastern Los Angeles Regional Center. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection.

Infection Control: The Infection Control Plan was reviewed. The facility has sufficient supply of Personal Protective Equipment (PPEs).

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood that is licensed for three (3) bedridden clients, and one (1) non-ambulatory client. It consists of 4 client bedrooms, 2 living rooms, dining area, kitchen, 3 bathrooms, laundry room, backyard patio area, and a detached garage. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. The facility has three (3) fully charged fire extinguishers and fire sprinklers. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual.

Operational Requirements: Fire clearance was approved on 1/17/2023 for one (1) non-ambulatory and three (3) bedridden residents . Care and supervision to meet the clients needs was observed. Special equipment and supplies are used by non-ambulatory residents. The Surety Bond is current with expiration date of 10/1/2025.

Staffing: A total of 10 staff members provide care and supervision to the clients.