Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tool. LPA arrived unannounced and met with the House Manager, Lupita Garcia. The purpose of the visit was explained. The facility is licensed for (4) non-ambulatory clients, ages 18 - 59.

LPA toured the facility and conducted the following domains:

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting at least once during each shift and more often for high touched surfaces. Facility has sufficient PPE supplies and still screening for COVID-19 symptoms. LPA requested for the administrator to submit the Infection Control Plan within a week.

Physical Plant & Environment Safety: The facility does not have any pool or bodies of water on the premises. There are 4 client bedrooms, 1 activity room, 1 full bathroom, 1/2 bathroom, medication room, laundry room, living room, dining room, kitchen, and attached garage. Each client bedroom has the required furniture. Extra hygiene supplies were observed. The dual smoke and carbon monoxide detectors are interconnected and operable. Knives, cleaning solutions, and disinfectants are locked, making them inaccessible to clients. There are no firearms or weapons stored at the facility. The hot water temperature were measured between the required range of 105-120 degrees F.

Operational Requirements: The facility is licensed for (4) non-ambulatory adults ages 18 - 59. There are currently 4 clients residing at the home and were placed by the San Gabriel/Pomona Regional Center.

Staffing : There is sufficient staffing at the facility, with (2) staff in the morning, (4) staff in the afternoon, and (2) in the overnight shift. Staff are fingerprint cleared and associated to the facility.