Facility Evaluation Report

Licensing Program Analysts (LPA) Jose Villalobos and Ashley Calderon made an unannounced Annual inspection focused on Infection Control. On today’s visit LPA met with staff Kailan Hall and the purpose of the visit was discussed. Administrator Marsha Haywood arrived shortly after.

As a part of the inspection, LPA used the inspection tool, reviewed (6) client records, (3) staff files, and (6) client medications. Currently the facility has (6) clients which are ambulatory. The facility is vendorized through Eastern Los Angeles Regional Center. Facility is a one story family home with three (3) bedrooms each for (2) clients. There are (2) bathrooms of which (1) is for client use. There is also a living room, a den, a kitchen, central air and heating, a dining area, staff office, a laundry room, a shaded area located in the backyard. A attached two (2) car garage inaccessible to clients. Front and back yard is in good condition at time of visit. Washer/Dryer appliances observed. Toxins and sharps locked and inaccessible to clients. Bedrooms #1-#3 are equipped with a (2) beds each, a dresser, lamp, chair, overhead lightning for each client. Bathroom #1-#2 has a working toilet, wash basin, and shower. Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. Supply of hygiene supplies were observed. Fire alarms are interconnected and operational. Required postings observed. Water temperature within required tittle 22 regulations.

Infection control domain completed and there were no deficiencies. An exit interview was conducted and a copy of this report was provided to Administrator Marsha Haywood