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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004426
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:19:28 PM

Document Has Been Signed on 01/26/2023 02:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:PRUDENT COMFORT HOMESFACILITY NUMBER:
306004426
ADMINISTRATOR:DORIS BELLFACILITY TYPE:
735
ADDRESS:1071-1073 E. 71ST STREETTELEPHONE:
(562) 470-7018
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 6CENSUS: 4DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Wykelia BradyTIME COMPLETED:
03:00 PM
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On 01/26/22 at 1:00 pm, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual inspection with an emphasis on infection control measures, using the new Care tool. LPA was met by Wykelia Brady, Direct Support Staff, and the purpose of the visit was explained. The facility is licensed to serve six (6) ambulatory brain injured/mentally disabled adults with restricted health conditions. The current census for the clients is four (4). The facilities annual fees are current.

As part of the inspection, my primary focus was on infection control. LPA observed the facility’s infection control practices: LPA observed an empty sanitizing station at the facility entrance. PPE supplies are readily available to staff and residents, and additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility has most of the mandated COVID infection control posters posted. Staff replenished the sanitizing station before LPA completed the inspection.

LPA Scott and Wykelia Brady toured the facility which has 2 single-story buildings, on the same lot, with address numbers 1071-1073. The first building (1071) consists of 3 client bedrooms, 2 bathrooms, living room, dining room, kitchen, and attached garage. The second building (1073) consists of 2 Client bedrooms, 1 Live-in Staff bedroom, 2 bathrooms, living room, dining room, kitchen, and attached garage.

All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident’s personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Each client's room has a lamp, a chest of drawers, and closet space. The bathrooms were clean and free of mold/mildew. Client rooms are equipped with a wired smoke detector and is operational. There is one working carbon monoxide detector in the living room for each building.

Report continued on LIC809-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: PRUDENT COMFORT HOMES
FACILITY NUMBER: 306004426
VISIT DATE: 01/26/2023
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LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. The fire extinguisher was fully charged, and the last fire/emergency drill was performed on 11/21/22.

During the visit, LPA observed the facility infection control practices. LPA observed that the screening protocols for visitors, staff, and residents were not adhered to. Sanitizing stations (Located in common areas and restrooms) needs to be refilled. LPA observed staff was wearing face coverings, and some of the required postings were missing throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA’s temperature was taken upon request. LPA advised staff to refill all empty sanitizer jars as well as replenish the sanitizing station at the front entry point.



Technical advisories were issued for: Entry screening for COVID-19, visitor sign in log, hand and sanitizer bottles need to be replenished, and missing COVID-19 signs throughout the facility. Before LPA left the facility, they found and replaced the missing posters.

LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance.

No deficiencies were cited during this inspection visit.

An Exit interview was conducted, and a copy of this report was provided to Wykelia Brady, Direct Support Staff.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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