Facility Evaluation Report

On 08/03/2023 Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual inspection visit , LPA Villegas met with Administrator Anabel Berovinos and the purpose of visit was explained. The facility is licensed for four (4) residents, three (3) ambulatory and one (1) Non-ambulatory developmentally disabled adults. Residents are linked with Harbor regional center.

The one-story residential home consists of (4) resident bedrooms, (2) resident bathrooms, living room, dining room, kitchen, office area, de-attached garage with washer and dryer/ storage area, front yard, backyard with umbrella with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A 2-day supply perishable and 7-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage. Staff are following modified diet as prescribed by doctors’ orders. As part of the inspection, LPA Villegas reviewed: (1) resident file, (1) resident medication records, and one (1) staff file. The facilities’ last fire drill was conducted on 08/01/2023 and smoke detectors and carbon monoxide detectors were observed and are operable. (2) Fire Extinguishers were checked and found to be fully charged and accessible .

LPA observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA observed the following during inspection of resident’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA observed fully stocked closet with bedding, towels, and toiletries supplies . Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA observed bathrooms were found to be within Title 22 regulation.