Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 09/19/2024. LPA Ramirez was met by Administrator Ana Alarcio and explained the purpose of the visit. The facility is licensed serve six (6) developmentally disabled clients 18-59 years old, of which four (4) may be non-ambulatory. All clients in the facility receive services from San Gabriel/Pomona Regional Center.

LPA OBSERVATIONS: Tour began at 11:17 am. The facility is a single-story dwelling located in a residential area with four (4) client bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached garage, front yard, gated pool and backyard.

Front Yard: LPA Ramirez observed front yard to be free of hazards. Front yard was well maintained.

Kitchen: LPA Ramirez observed appliances to be in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed a fully charger fire extinguisher nearby.

Dining Room/Living room: Dining room was observed to contain one table with six (6) chairs. Living room was observed to contain plenty of lighting. LPA Ramirez observed a fully charged fire extinguisher nearby. LPA Ramirez observed signage promoting cough and hand washing etiquette in this area. LPA Ramirez observed nearby thermostat to read 72 degrees F. LPA Ramirez observed one (1) out of the four (4) clients', sitting in living room.

Linen Closet/Supply Closet: Observed to contain plenty linens, towels, and hygiene products.

Client Rooms 1 - 4: LPA Ramirez observed all client bedrooms to contain the required linens, furnishings, and lighting. All client bedrooms are private. LPA Ramirez observed smoke detector in C1's room to be in disrepair. Staff replaced smoke detector during inspection. LPA Ramirez will issue Technical Violation.