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25 | Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection on 10/28/24. LPA met with Co-Administrator, Maribel Sebastian, and explained the reason for the visit. The facility is licensed to serve 4 non-ambulatory developmentally disabled adults, ages 18 to 59. There is a hospice waiver approved for 1 client. There are currently 4 clients residing at the facility and are receiving services from the Harbor Regional Center.
LPA used the Compliance and Regulatory Enforcement (CARE) tools to conduct the inspection today.
The single story facility consists of 4 client bedrooms, 2 bathrooms, living room, dining area, kitchen, and attached garage. The facility continues to clean and sanitize daily and is well maintained. There is no swimming pool on the premises and no items are obstructing the walkways. The carbon monoxide detector and smoke detectors are operable. There are sufficient food supplies of 2 day perishable and a week of nonperishable. There is another refrigerator in the garage with food supplies. The hot water temperature was measured at 115.7 degree F. Knives and cleaning products are locked in the kitchen area. Medications are centrally stored. LPA reviewed all the clients' medications and did not observe any deficiencies.
LPA reviewed all 4 client files. The files have the required documents such as admission agreement, IPP report, medical assessment with TB results, personal rights form, and consent forms. The clients have restricted health conditions and staff receiving annual training on their health plans by a licensed professional. Those with postural supports have doctor's orders on file.
LPA selected 4 personnel files for review and all have the health assessment, TB results, personnel record, and current CPR & First Aid certificates. Administrator's (Merci Cania-Gonzales) certificate expires on 3/27/26. The facility has the updated Emergency Disaster Plan and conducts fire and earthquake drills monthly.
No deficiencies were issued today. An exit interview was held and a copy of this report was given to M. Sebastian. |