Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an announced pre-licensing visit and met with Licensee Rommel Gonzales and Administrator Marion Gonzales. The purpose for visit its to conduct a Pre-Licensing Inspection / Component III visit.

The facility has an approved fire clearance to be licensed to serve a capacity of six (4) ambulatory only clients ages 18-59 years.

This is a single-story home located in a residential area in Bellflower, Ca. A tour of the facility includes: living room, dining area, kitchen, 4 bedrooms, 3 bathrooms (1 bath is designated for staff in the back staff area), staff meeting room/break area is has its own entrance through the back yard and is separate from clients main living area, there is a front yard, back yard and detached garage with laundry area.

The physical plant was toured inside and out alongside Administrator and Licensee.

· There is a locked storage area that is centrally located for medication located in the dining area.

· Cleaning supplies are kept separate from food and located in a locked cabinet.

· Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair.

· Fire extinguisher and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· There are no pools/bodies of water at the facility and facility does not have firearms on premises.