Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Program Manager Mirna Alderete. Administrator Jose Alderete arrived shortly after who assisted with the visit. LPA explained the reason for the visit.

The physical plant was inspected along with medications, food supply, and clients and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59 of which (2) may be ambulatory and (1) may be non-ambulatory. There are currently 3 clients residing at the home and receive services from San Gabriel / Pomona Regional Center. At the time of visit 2 clients were at the Day Program and one on home visit. LPA toured the home and inspected three (3) client bedrooms, two (2) bathrooms: one for the staff in the office and one for the clients, kitchen, dining / living room, office, and attached garage. Laundry area is located in the garage. There is a metal cabinet in the garage for laundry detergent and chemicals. Garage door was locked, and laundry detergent and chemicals were inaccessible to client. There are no pools or large bodies of water. LPA observed broken chairs, broken monitor, broken doors, and water hose are blocking walkway in back yard. All client bedrooms were toured. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. Bathrooms were clean, and the hot water was tested 113.1 F degree, which is within the required 105 - 120 degrees. Trash bins in the bathrooms observed without covers/ lids. The kitchen was inspected. LPA observed that there is not a sufficient 2-day supply perishable and 7-day supply of non-perishable food. Walls and ceiling in the kitchen are dirty, A/C vents are dirty.All the appliances are clean and seem to be operating properly. Sharps are locked in a closet in the hallway and are inaccessible to clients. There is a fire extinguisher located in the kitchen and it is fully charged. Each bedroom has a smoke detector. There is a carbon monoxide detector in the hallway of the home.