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Facility Evaluation Report

Western Assemblies Home, Claremont10/13/2025Licence 191502342

Capacity36
Census13
Date signed10/13/2025 01:27:34 PM
Name of licensing program analystTena Herrera
Name of licensing program managerDavid Sicairos
The inspector’s account

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Administrator Lynn Hughes and explained the purpose for today’s visit. The facility is licensed to serve 36 Non-Ambulatory Adults ages 60 and above, with a hospice waiver of up to 3 residents. The facility currently has 3 residents utilizing hospice services.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Facility has sufficient PPE supplies and maintain the required Infection Control Plan.

Operational Requirements: Facility maintains the required liability insurance.

Physical Plant & Environment Safety: LPA toured facility, residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was tested and was within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked cabinets and are inaccessible to residents. Smoke detectors and carbon monoxid e detectors are operable and in compliance. There fire extinguishers were observed and are fully charged. Facility has video surveillance inside c ommon areas and outside perimeter of the facility. Call buttons were tested and operable.

Staffing : There appears to be sufficient staffing at all times in the facility.

Personnel Records-Training : Staff files are maintained in a secure location. LPA reviewed 4 staff files during today’s visit, files reviewed contained the following: Criminal Background Clearance, First-Aid/CPR/AED and sufficient on-going training. Lynn Hughes maintains a valid Administrator Certificate that expires 11/2025 (and confirmed has submitted renewal). (Continued on LIC9099-C)

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction