Facility Evaluation Report

On 03/16/22 Licensing Program Analyst (LPA) Jade Jordan conducted an Unannounced visit to conduct an Annual inspection with an emphasis on infection control. LPA was met by Administrators Divina Alipio, and Joy Alipio.

Upon entry LPA was screened for Covid-19 Symptoms, and temperature was manually taken.

The facility is family home, located on a residential street. The facility is licensed for (3) non ambulatory developmentally disabled adults. All clients are Harbor Regional Center clients.

The facility interior includes (3) client bedrooms, (2) bathrooms, living room/activity room, dining area, kitchen with washer and dryer and a detached garage used for storage. All bedrooms had the required furnishings, including 1 Bed with fitted sheet, flat sheet, comforter, 1 Chair, adequate lighting, dresser/drawer space and closet. All bathrooms are sanitary, free of mold/mildew with working toilets, faucets, and showers. Hot water measured at 116. degree's. Hallways, and walk ways are free of obstruction and debris.

The outside Patio has a shaded area, with tables and chairs. The landscape was in neat condition.

Several Active Administrators certificates were observed and posted on the wall as well as other required

postings. Administrator certificate expires on 01/02/23.

LPA observed an ample supply of Perishable/Non Perishable items.

Sharps, Toxins, and Medication were locked and inaccessible to clients in care.