Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met Administrator Charito Lardizabal and 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 3 clients residing at the home and receive services from San Gabriel / Pomona regional Center. 2 clients were at the Day program and 1 client went to the doctor's appointment at the time of visit.

The facility is located in a residential area. LPA toured the home and inspected (3) client bedrooms, (2) bathrooms, office room, living room, dining room, kitchen, and attached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the back patio. Passageways and exits are free of obstruction. The water temperature was tested in both bathrooms and measured within the required 105-120 degrees. Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Client beds have the required linen, and the linen is in good condition. LPA observed plenty linens, towels in the linen/supply closet in the hallway. There is a carbon monoxide detector located in the living room and was tested and operable during the visit. There is a fire extinguisher located in the kitchen which is fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in a kitchen drawer and are inaccessible to clients. Sufficient supply of 2 days perishable & 7 days non-perishable foods were observed. Second refrigerator observed in the garage. Laundry area was observed in the garage. Laundry detergents, cleaning supplies and disinfectants are locked in the garage and are inaccessible to clients.