1. Infection Control: Facility has an infection control plan in place. The facility staff continue to practice hand washing and disinfect the facility at each shift and Facility has sufficient PPE supplies.

2. Physical Environmental and safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: dining area, kitchen, living room, three client's bedrooms and two and half bathrooms, linen closet, staff office and a detached garage. The three client's bedrooms have two beds, two chairs, two drawers, night stands, required beddings and furniture and sufficient lighting and closet space. The two and half bathrooms are clean, sanitary and in a good working condition. The hot water temperature tested in those two and half bathrooms were tested between 110.4 and 111.9 degrees F which is within Title 22 regualtion. The sharp knives and utensils are stored and locked in the kitchen drawer. All the kitchen appliances are working properly. All the chemicals and cleaning supplies are stored and locked in the cabinet in the garage. The extra personal hygiene products are stored in the staff office. The hallway light is usually on during the night time for client to access the non-private bathroom and the bathrooms have a night light too. LPA inspected the carbon monoxide detectors and they are interconnected and they are working well. The facility has a telephone service on the premises.

3. Operational Requirement: Facility is licensed for 5 ambulatory and 1 non-ambulatory in master bedroom only. Currently the facility only have one client is non-ambulatory which is within the fire clearance requirement. The last fire drill was conducted on 4/1/24. The client in the facility would be able to attend community activities if there's an opportunity.

5. Personnel Records-Training: All the staff in the facility are over 18 years old, fingerprint cleared and associated with the facility. LPA inspected three staff files and they have the required documents in files. It's included: employment application, health screening with TB test result, required training hours and updated first aid certificate. The administrator is Peter Munoz and his administrator certificate is effective through 10/16/24 and he has the required HIV and TB training.

6. Client's Right-Information: There's no client in the facility required any postural support. The facility has internet service and provide at least one internet access device that can support video conferencing with their family or doctor if needed.

7. Food Service: The facility has the required two days perishable and seven days non perishable food supply in the facility refrigerator, pantry and garage. All the food are stored properly. No client in the facility required any modified diet.

8. Client's Record-Incident Reports : All client's files are stored in the office. All client's files have all the required documents include: Face sheet, admission agreement, updated physician report, Individual Program Plan (IPP), ambulatory status and medication list.