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, 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 2 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.

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. Cabinet was locked and laundry detergent and chemicals were inaccessible to client. There are no pools or large bodies of water. Client bedrooms were checked. Each bedroom has bed, linen, dresser, light, and sufficient closet space. Bathrooms have the required hygiene items, grab bars and non-skid mat. The hot water temperature was tested and was measured within Title 22 Regulation guidelines. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working 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. Carbon monoxide/smoke detectors in the hallway and in the client rooms are operational.