1. Infection Control: Facility has an updated infection control plan in place. Facility staff continue to practice hand washing with clients and disinfect the high touch service area every hour Facility has sufficient PPE supplies.

2. Physical Environment and Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, dining area, kitchen, four client's bedrooms, three client's bathrooms, cleaning supplies closet and attached garage with washer and dryer. The four clients bedrooms have one bed, one chair, one drawer, one night stand, required furniture and beddings and sufficient lighting and closet space. The three client's bathrooms are clean, sanitary and in a good working condition. The hot water temperature tested in all three bathrooms were 110.3 and 111.5 degrees F. which is within the Title 22 regulation. The sharp knives and utensils are stored and locked in the file cabinet near the kitchen. All the kitchen appliances are working well. All the chemicals and cleaning supplies are stored and locked in the supplies closet. The personal hygiene products are stored and locked in the supplies closet too. The facility has a phone service in the premises. The hallway night would be on during night time for client to access the non-private bathrooms. LPA inspected the carbon monoxide detectors and they are interconnected with the smoke detectors and they are all working well. The passage way, walkway and patio are free of obstruction.

4. Staffing: The facility has sufficient staff to provide care and supervision to Clients. LPA reviewed the NOC shift staff and they have the required facility planned emergency procedure training.

5. Personal Records-Training: All the staff files are usually stored in the corporate office and only management staff have access to the staff files but they would bring it to the facility if Licensing needs to be reviewed. LPA inspected two staff files and they all have the required documents in their personnel files which included: employment application, health screening and TB Test result, required training hours, and updated first aid certificate. The administrator is Cindy Garcia and her administrator certificate effective through 6/12/24 and she already mailed out the renew application to CCL. She has the required HIV and TB training certificate.

6. Client's Right: The facility has no client with any postural support. The facility does provide internet service for client and they do have at least one internet access device with video conferencing and client can communicate with their families, day program or primary physician if needed.

7. Food Service: The facility would provide three meals and snacks to clients daily and the facility has sufficient food supply for two days perishable and seven days non perishable. All the food are stored properly. Currently there's no client in the facility is on any modified diet.

8. Client's Record-Incident Reports: All clients files are stored at the Staff office area nearing the dining table and LPA inspected all three client's files and they have the required documents including: face sheet, admission agreement, Updated Individual Program Plan (IPP), updated physician report with TB test result, ambulatory status and medication list. LPA was not able to review two client's P&I Money in the facility and there's no functional capacity assessment form in client's file.

9.Health-Related Services: The client's medication is stored and locked in the file cabinet near the kitchen. LPA inspected all three client's medication and they are all seemed accurate and up-to-dated. All of them have 30 days supply of medication. LPA inspected the first aid kit and they have all the required supplies in the kit.

11. Disaster Preparedness: Facility has an updated and complete Emergency Disaster Plan (LIC610D)in place. The facility has two alternative shelter location.

12. Emergency Intervention: All the facility staff are CPI trained and they all have updated CPI certificate in file but they haven't been used CPI /restrain on client.

Deficiencies cited on LIC 809D. Exit interview, appeals rights and a copy of this report was provided to the Administrator,