Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Administrator 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. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. All clients were at the Day program at the time of visit. The facility is located in a residential area. LPA toured the home and inspected dining room, living area, kitchen, 4 bedrooms, 2 bathrooms and attached garage. Laundry area was observed in the garage. LPA observed laundry detergent and hygiene supplies are stored in the garage and locked in the cabinet. 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 for the clients located in the back patio. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. 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 and are inaccessible to clients. LPA observed plenty linens, towels in the linen/supply closet in the hallway. Fire extinguisher observed in the facility fully charged. Fire drill was conducted on 01/24/25. Carbon monoxide/smoke detectors in the dining room and in the hallway are operational. Centrally stored medications are stored in a locked cabinet in the dining room. The first aid kit was observed and found to be in compliance with the Title 22 Regulations. LPA reviewed clients and staff files. LPA confirmed staff working have fingerprint clearances. LPA reviewed clients medications. Medications are documented properly and given as prescribed.

No deficiency was observed during today's visit. Exit interview was conducted and a copy of report was provided to Administrator.