Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Administrator and explained the reason for the visit.

The physical plant was inspected along with medications, food supply, and client and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59 and vendorized by San Gabriel/Pomona Regional Center. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. At the time of visit there was 1 client at the facility. 3 clients were at the Day program.

The facility is a single-story home located in a residential area. LPA toured the home and inspected dining room, living room, kitchen, 4 client bedrooms, 1 office, 2 bathrooms, attached garage, front yard, and backyard. The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. There is a shaded seating area / Picnic table with benches and umbrella, for the clients located in the backyard. Laundry was observed in the garage. LPA observed laundry detergent locked in the cabinet in the garage and not accessible to clients. There is only one entrance being utilized at the facility. There is a fireplace located in the living room area which is covered by a screen. Client bedrooms were checked. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. Extra linens, blankets, towels, and personal hygiene supplies were observed in the hallway cabinet. The bathrooms were toured. Bathrooms are clean and have the required hygiene items. 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 the closet at the entrance. and inaccessible to clients.