Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Leoncia Broughton. Administrator Mayra Rufino arrived shortly after and 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 non-ambulatory and (3) may be ambulatory. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center.

LPA and Administrator toured the home and inspected (4) client bedrooms, (2) bathrooms, kitchen, dining room, living room, office and attached garage. Laundry area observed in the garage. There are no pool or large bodies of water. There is a shaded seating area for the clients located in the backyard. Passageways and exits are free of obstruction. The water temperature was tested in both bathrooms and measured at 111.7 F in bathroom #1 and 107.2 F in bathroom #2 which is 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. Clients beds have the required linen, and the linen is in good condition. Extra linens, blankets, towels, and personal hygiene supplies were observed in the hallway closet.. Smoke detectors were observed throughout the facility. There is a carbon monoxide detector in the living room of the home and was tested and operable during the visit. There is a fireplace located in the living room area which covered by a screen. There is a fire extinguisher located in the kitchen and it is fully charged. Kitchen appliances are clean and were operating at the time of the visit.