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25 | Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Gilbert Guerra/ Direct Support Professional I & II (DSP I & II) and explained the purpose of the visit. At 2:50pm, Administrator, Gilbert Fierro arrived an assisted LPA with the inspection. The facility is licensed to care for (4) Developmentally Disabled Adults, ages 18 through 59, ambulatory only. All clients residing at this facility receive case management services provided by Frank D. Lanterman Regional Center.
LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:
Infection Control: Facility has not developed, completed and submitted the Infection Control Plan as required by CCL. Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor screening station at the entrance of the facility. Facility has a COVID-19 signage posted in the facility. Bathrooms have soap and paper towels. Staff are adhering to infection control requirements.
Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains a total of (4) client bedrooms, (1) staff bedroom and (2) full bathrooms, a living room/activity area, kitchen, dining area, backyard, and detached garage. Currently, there are three (3) clients living in the facility. Facility is Level 3. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Bathroom has non-skid materials and contained hygiene supplies including liquid soap, paper towels, and toilet paper. LPA observed broken/ripped window screens in (2) client windows. Exit doors are free of any obstruction and there are no pools or large bodies of water. Detached garage was inspected and LPA observed a refrigerator/freezer with enough perishable food supply. Kitchen knives, sharps objects, cleaning supplies and toxic substances are locked in a cabinet and inaccessible to clients. LPA observed a spray cleaning solution in an unlocked cabinet by the laundry area. Staff took it out immediately and stored it in a locked cabinet. There is a fire extinguisher observed to be fully charged mounted on the wall next to the dining area. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. There are no cameras in the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Hot water supply measured 111.7 deg F in bathroom #1 and 113.7 deg F in bathroom #2.
Due to time constraints, LPA Pena will return to complete the other 10 domains, file reviews, conduct staff and client interviews.
Deficiencies cited on LIC 809D. Exit interview, appeals rights and a copy of this report was provided to the AAdministrator/Licensee, Gilbert Fierro.
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