Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Annual Required Visit. LPA was allowed entry by House Manager-Darlene Carcoba and explained the purpose of the visit. The facility is licensed serve four (4) ambulatory developmentally disabled clients 18-59 years old. All clients in the facility receive services from San Gabriel/Pomona Regional Center. Two clients are over 60 years of age.

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing, still checking client temperature twice a day and staff disinfected the facility every shift. The facility has an Infection Control Plan and COVID-19 mitigation plan in place.

Operational Requirements: Fire Drills are conducted every month; the last fire drill was conducted on 12/08/2025 Emergency Disaster/ Earthquake Drills are conducted every month, and the last one was conducted on 12/06/2025

The facility is a single-story dwelling located in a residential area with four (4) client bedrooms, one (1) staff office, three (3) bathrooms, kitchen, dining room, living room, front yard, and backyard. One door and one side wall need painting. Water measured 109.8 – 116.8 Degrees F which is within range of 105.0 -120.0 degrees F. LPA observed one container of detergent in the kitchen and staff immediately lock it up.