LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and here are the domains that LPA inspected:

Infection Control: The facility has an updated infection control plan in place. The facility continues to practice hand washing and disinfect the facility every shift. The facility also has sufficient PPE supplies.

Physical Plant and Environmental Safety: The facility is a single-story house and located in a residential neighborhood area. The facility includes kitchen, dining area, living room, four clients’ bedrooms, two clients’ bathrooms, laundry room and a detached garage and a storage room. Each client's room has one bed, one drawer, one chair, required furniture and beddings, and sufficient lighting and closet space. The two client's bathrooms are clean, sanitary and in a good working condition. The hot water temperature in two client's bathrooms are tested between 105.9 and 106.5-degrees F which is within the Title 22 regulation. All the appliances in the kitchen are working properly. The sharp knives and utensils are stored in the kitchen drawer next to the stove. All the cleaning supplies and chemicals are stored and locked in the garage. The facility has a telephone on the premises. The hallway night will be on during nighttime so clients can have access to the non-private bathrooms. The extra personal hygiene products are stored in the garage. Carbon Monoxide detector was tested and working properly. One (1) Fire Extinguisher in the kitchen and is fully charged.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Staffing: Facility has sufficient staffing for the care and supervision of the clients. The facility has at least one person on call on the premises. The NOC shift staff has a facility emergency procedure training in file.

Personnel Records-Training: All the staff files are stored in the storage room next to the garage. LPA inspected the Administrator and four (4) staff files and all four (4) staff are over 18 years old, fingerprint cleared and associated with the facility. All four (4) staff have the required documents include: health screening, TB Test result, Employee Rights, required training hours and First Aid Certificate. The administrator Omar Sapalaran and administrator certificate expire on 06/2/25 and has the updated HIV and TB training certificate.

Client's Rights: The facility has no client with any postural support. The facility has internet service and provide at least one internet access device such as computer and equipped with video conferencing that client can communicate with their primary physician and family if needed.

Food Service: The facility has two days perishable and seven days non-perishable food supply. All the food are stored properly in the facility. No client in the facility required any modified diet that prescribed with the doctor.

Client Records-Incident Reports: All four (4) client's file are stored and locked in the file cabinet in the living room. All the clients’ files have the required documents which include face sheet, admission agreement, functional capability assessment, Individual Program Plan (IPP), medication list, ambulatory status, TB Clearance, Client Rights, physician and dental report.

Health Related Services: The facility would assist client with medical and dental appointments. All the client's medication are centrally stored and locked in the kitchen cabinet next to the refrigerator. LPA inspected all four (4) clients' medication and they all seemed accurate and updated and all clients have the 30-days’ supply of medication. All the staff have the required medication training hours. LPA inspected the first aid kit and it stored and locked in the hallway cabinet and it has all the required supplies.

Disaster Preparedness: The facility has an updated emergency disaster plan and dated on 5/20/23. The facility has two alternative shelter location. The Emergency Disaster Plan is posted on the wall with contact numbers. Emergency procedures are indicated on the form.

Emergency Intervention: The facility does not use any restraints on clients and all staff have the updated Pro-Act Training in file.

Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during the visit. Exit Interview conducted and a copy of the report with appeal rights were provided to the Administrator, Omar Sapalaran.