Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Assistant Administrator who assisted with the visit. LPA explained the reason for the visit. The physical plant was inspected along with medications, food supply, and resident 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 3 clients residing at the home and receive services from San Gabriel / Pomona regional Center. All 3 clients were at the Day program at the time of visit.

LPA toured the home and inspected three (3) client bedrooms, two (2) bathrooms, kitchen, dining room, the den, living room, and detached garage. 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 backyard. Laundry was observed in the hallway. Also facility has a second pair of washer and dryer in the garage. LPA observed laundry detergent locked in the cabinet and 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 bed, linen, dresser, light, and sufficient closet space. The client bathrooms were toured. 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. Cleaning supplies were observed in the client bathroom cabinet unlocked and accessible to the clients. 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 kitchen cabinet inaccessible to clients.